PMI Testifies at NCVHS Hearing

On May 3,2017, Dave Nicholson, CHBME, President and CEO of PMI testified on behalf of the Healthcare Billing and Management Association (HBMA) at the National Committee on Vital and Health Statistics (NCVHS) hearing held at the Health and Human Services … Continued

MIPS Informational Release

CMS has released additional information regarding MIPS participation. One of the documents released, a MIPS Participation Fact Sheet, outlines the providers who are required to participate in order to receive a positive or neutral pay adjustment. It also details who … Continued

PMI Participates in PACEP Scientific Assembly and PAP Scientific Meeting

PMI President, Dave Nicholson and Business Development Manager, Andrea Pingley recently spent time networking at the Pennsylvania College of Emergency Physicians (PACEP) Scientific Assembly in Pittsburgh, PA and the Pennsylvania Association of Pathologists (PAP) Scientific Meeting in Harrisburg, PA. With … Continued

What will happen to Value- Based Initiatives?

This week Modern Healthcare discusses the outlook of value- based initiatives given the recent postponement of the Comprehensive Care for Joint Replacement Model pilot. The plan’s viability is seen as uncertain under the new administration, where HHS Secretary Tom Price … Continued

MGMA Requests Release of MIPS Eligibility

In a letter to CMS Administrator Seema Verma, MGMA’s Senior Vice President, Government Affairs, Anders M. Gilberg has requested the release of MIPS eligibility information. Specifically looking for notification of current status as “hospital-based” or “non-patient-facing” practices, notification regarding low-volume … Continued

Legislation for Balance Billing Medicare and MACRA

An article from Modern Healthcare outlines HHS Secretary Tom Price’s support for legislation that allows for balance billing Medicare patients.   The intention is to increase the number of providers participating with Medicare. Currently only providers who are not enrolled in … Continued

PMI Goes Live with Enhanced Analytics and Mobile Capability

PMI has expanded its client analytics and mobile viewing capability. When processing medical claims, there is no shortage of data that can be collected, and we’ve compiled the material into meaningful, useable information.   PMI’s month-to-date dashboard offers all the tools … Continued

Aetna/Humana Merger Blocked, Appeal Unlikely to be Successful

Although an appeal has been filed on the decision to block the $37million merger between Aetna and Humana, its success is doubtful. Physician billers and revenue cycle management professional have been closely watching this case unfold. It was determined that … Continued