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

add to favorites email to friend print save as pdf

Related Stories

AAFP, other physician groups request stop to ICD-10

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

Keep your teens safe on the road this summer

4 hours ago

(HealthDay)—Car crashes are the leading cause of accidental death among American teens, and parents need to take steps to keep their teens safe when they're on the road this summer, an expert says.

Survey finds sharp increase in teen use of HGH

4 hours ago

(AP)—Experimentation with human growth hormones by America's teens more than doubled in the past year, as more young people looked to drugs to boost their athletic performance and improve their looks, according ...

Government drafting birth control accommodation

5 hours ago

(AP)—The Obama administration is developing a new way for religious nonprofits that object to paying for contraceptives in their health plans to opt out, without submitting a form they say violates their religious beliefs.

User comments