Supreme Court Rules To Save Obamacare Tax Subsidies
The U.S. Supreme Court upheld a core component of President Barack Obama’s health-care law, backing tax credits used by millions of Americans to buy insurance and preserving the landmark measure that will define his legacy.nnThe 6-3 ruling eliminates the most potent legal challenge to a law designed to cover at least 30 million uninsured people and averts a collapse in state insurance markets. Chief Justice John Roberts and Justice Anthony Kennedy joined the court’s four Democratic appointees in the majority. They said the 2010 Affordable Care Act allows tax credits in all 50 states, not just the 16 that have authorized their own online insurance exchanges.nn“Congress passed the Affordable Care Act to improve health insurance markets, not to destroy them,” Roberts wrote. “If at all possible, we must interpret the act in a way that is consistent with the former, and avoids the latter.”nnThe ruling is the high court’s second in three years to preserve Obamacare in the face of Republican-backed legal attacks. Republican opponents now must look to winning the White House in the 2016 election if they hope to roll back the law.nn
The Affordable Care Act “is here to stay,” Obama said at the White House. “What we’re not going to do is unravel what has now been woven into the fabric of America,” the president said. “I can work with Republicans and Democrats to move forward. Let’s join together. Make health care in America even better.”nnHospitals led a rally among health-care companies after the ruling. HCA Holdings Inc., the largest for-profit hospital chain, gained 8.8 percent to $90.72 at 4 p.m. in New York. Tenet Healthcare Corp. jumped 12.2 percent and Community Health Systems Inc. added 13.0 percent.nnStock gains at insurers were smaller, in part because subsidized customers make up a small proportion of the total at the biggest firms. UnitedHealth Group Inc., the largest U.S. health insurer, rose 2.7 percent to $122.33.nnThe decision also helps ease the path to dealmaking among health insurers. Bloomberg News reported today that Aetna Inc. could reach a deal to acquire Humana Inc. as early as this weekend. Anthem Inc. went public with a bid for Cigna Corp. on June 20 that Cigna rejected. Groups representing hospitals and doctors praised the ruling. Steven Stack, the president of the American Medical Association, said his group is “relieved.” The American Hospital Association said the decision was a “significant victory for protecting access to care for many of those who need it.”n
nThis article originally posted on Bloomberg.com.
Last week, we reviewed a new bill that would allow for a new two-year “grace period” for accepting the new set of ICD-10CM/PCS code that was presented to the US House of Representatives.
These bills, the Coalition for ICD-10 says, could:n
American Airlines, back in 2008, started charging for checked baggage (really, I looked it up!). Up to that point, and even today, most of us have thought that the cost of the ticket should include the cost of checking a bag! As it turns out, the ticket price is only for getting us safely (not even necessarily comfortably) from point A to point B. The rest (food, bags, drinks, in-flight entertainment, etc.) is an up charge.nnIs ambulatory medical care really that much different? The contracted reimbursement rate is for safe, quality and effective medical care. Could everything else (some things) be an up charge? Think about all those administrative services your practice provides to make the health care system work: filling out paperwork, making referral authorizations.nnStay tuned for more Todd’s Tips!nn
About R. Todd Welter • MS, CPCnFounder and President of Welter Healthcare Partners
T75.1XXA — Swimmer’s crampnnH60.331 — Swimmer’s ear, right earnnB65.3 — Swimmer’s itchnnIn preparation for the upcoming deadline for ICD-10 implementation, Welter Healthcare Partners presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with the new and expanded code set and the additional clinical documentation needed from your providers to comply with ICD-10 coding, and more importantly, for accurate and clean claims submission to keep your revenue stream flowing! We are to help YOU prepare for the October 1, 2015 implementation date. Please don’t hesitate to 
The Sustainable Growth Rate (SGR) has been repealed! However, (and there is always a however) it has been replaced with a potentially much more caustic new scheme. The Feds are going to force providers into the quality reporting, clinical practice improvement and EHR MU world. They call it MIPS. Not participating will cost you up to a 9% reduction in Medicare reimbursement by 2022. It’s time to get serious about measuring and improving quality, etc. If you are not on a MU EMR, it’s time! Doing so will potentially get you an additional 9% by 2022.nnStay tuned for more Todd’s Tips!nn
W56.01XA — Bitten by dolphin, initial encounternW56.12XS — Struck by sea lion, sequelanW56.22XA — Struck by orca, initial encounternW56.31XA — Bitten by other marine mammals, initial encounternnIn preparation for the upcoming deadline for ICD-10 implementation, Welter Healthcare Partners presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with the new and expanded code set and the additional clinical documentation needed from your providers to comply with ICD-10 coding, and more importantly, for accurate and clean claims submission to keep your revenue stream flowing! We are to help YOU prepare for the October 1, 2015 implementation date. Please don’t hesitate to