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The Dark Side of Medicare Advantage Plans

Nurse Practitioners in Business

Recently an NPBO Member shared with me a report on Medicare Advantage plans and the increasing amount of prior authorizations that are being required with Advantage plans. This is true for Original Medicare and Medicare Advantage Plans. Medicare is a complex topic for consumers and providers alike.

Medicare 397
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Implications of Health Systems Losing their Non-Profit Status

Emerging RN Leader

Sherman, EdD, RN, NEA-BC, FAAN Health systems are facing serious headwinds this year with potential cuts to Medicare, Medicaid, and the federal subsidy of health exchanges. A declining economy also threatens the jobs of a significant number of workers in the US and, with it, their health insurance.

Medicaid 356
Insiders

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FAQs of Opting Out of Medicare

Nurse Practitioners in Business

Opting out of Medicare has caused a lot of confusion for NPs and other providers. When you can bill Medicare and when you don’t have to. What it means by opting out of Medicare. What it means by opting out of Medicare. Can you just refuse to see Medicare recipients?

Medicare 221
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What you need to understand about Medicare cuts

Nurse Practitioners in Business

Hearing about Medicare cuts causes a provider’s blood to run cold. Will you really lose money by seeing Medicare patients? I am constantly asked “Should I opt out of Medicare?” In fact, at 66 years old, I am a beneficiary of Medicare Part B and a Medigap plan. And many have strong opinions on this.

Medicare 221
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Understanding Participating and Non-participating provider status for NPs

Nurse Practitioners in Business

On the surface, it sounds like having non-participating provider status with Medicare is a good thing. Medicare requires NPs enrolled with Medicare as a provider to accept assignment. But for NPs, is it really? That the rule had always taught me that NPs could not opt for “non-participating” provider status.

Medicare 221
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Don’t Let Tax Season Sneak Up: Use This Checklist

Nurse Practitioners in Business

Ensure Payroll Tax Compliance: If you have employees, make sure payroll taxes (Social Security, Medicare, and unemployment taxes) are withheld and remitted. If you come across errors, correct them without delay. File 1099-NEC Forms: If you hired independent contractors , issue Form 1099-NEC by January 31 to avoid IRS penalties.

Business 286
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Patient Centered Care Theory in the Modern World of Healthcare

Nursology

The Centers for Medicare and … Continue reading Patient Centered Care Theory in the Modern World of Healthcare Consumer-driven ideas such as convenience and patient experience have forced hospitals to develop new and creative ways to make the patient experience truly personalized to increase patient satisfaction scores.