The Toiyabe Group (TTG) has provided coding, pricing and billing expertise to numerous acute care hospitals, medical group practices, prepaid healthcare service plans, and allied health professionals. In all aspects of our consulting services, regulatory compliance has been of primary importance. The senior officers of our firm have extensive backgrounds in acute care hospital settings and medical practice, accounts receivable management, complimented by hospital finance experience, accounting management, and information system support.
TTG offers personalized, professional services using a multi-disciplinary team approach comprised of experts in coding, billing, charging, clinical documentation, workflow analysis, medical necessity criteria as well as forensic accounting and fraud examiners.
May 9, 2012 CMS NEWS
Health care law increases payments to doctors for primary care
Primary care physicians serving Medicaid patients would see their Medicaid payments rise under a proposed rule announced today by Health and Human Services (HHS) Secretary Kathleen Sebelius. Thanks to the Affordable Care Act, the increase would bring Medicaid primary care service fees in line with those paid by Medicare. The boost would be in effect for calendar years (CY) 2013 and 2014. States would receive a total of more than $11 billion in new funds to bolster their Medicaid primary care delivery systems.
Today’s proposed rule would implement the Affordable Care Act’s requirement that Medicaid reimburse family medicine, general internal medicine, pediatric medicine and related subspecialists at Medicare levels in CY 2013 and 2014. The increase in payment for primary care is paid entirely by the federal government with no matching payments required of States.
"The payment increase proposed today will be an important tool for States to ensure their primary care networks are prepared for increased enrollment as the health care law is implemented,” said Marilyn Tavenner, Acting Administrator for the Centers for Medicare & Medicaid Services (CMS). “Today’s action will help encourage primary care physicians to continue to expand their efforts to provide checkups, preventive screenings, vaccines, and other care to Medicaid beneficiaries.”