Enhanced pay for family docs due Jan. 1 will be retroactive

Enhanced pay for family docs due jan. 1 will be retroactive
Family physicians who see Medicaid patients and are entitled to enhanced payment will get their pay, although it is likely to be delayed.

(HealthDay)—Family physicians who see Medicaid patients and are entitled to enhanced payment will get their pay, although it is likely to be delayed.

Noting that specific physicians are eligible for enhanced payment under the parity provision of the and Affordable Care Act, which officially went into effect on Jan. 1, the Centers for Medicare & Medicaid Services (CMS) has produced a series of reports to address issues relating to implementation of the provision.

States are required to submit a state plan outlining how they intend to implement the parity provision by March 31. The CMS then has 90 days to approve or disapprove the plan, or ask for more information. States will be responsible for paying physicians retroactively. To qualify for enhanced payment, physicians have to self-attest that they are board-certified in family medicine, internal medicine, or pediatrics, and demonstrate that primary care services account for at least 60 percent of their billing related to evaluation and management codes.

"This is one part of the Act that helps primary care practices, improves payment rates, and increases access to health care for the underserved," Jeff Cain, M.D., president of the American Academy of (AAFP), said in a statement. "These are priorities for the AAFP."

More information: Document - Parity
Document - Managed Care
More Information

Related Stories

AAFP, other physician groups request stop to ICD-10

date Jan 15, 2013

(HealthDay)—The American Academy of Family Physicians (AAFP) has joined the American Medical Association and other physician organizations to request that the U.S. Centers for Medicare & Medicaid Services ...

Recommended for you

Breastfeeding protects against environmental pollution

date May 22, 2015

Living in a city with a high level of vehicle traffic or close to a steel works means living with two intense sources of environmental pollution. However, a study conducted by the UPV/EHU researcher Aitana ...

When it comes to hearing, diet may trump noise exposure

date May 22, 2015

Although the old wives' tale about carrots being good for your eyesight has been debunked, University of Florida researchers have found a link between healthy eating and another of your five senses: hearing.

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.