Myles Riner, MD

Currently, I am a physician consultant to MedAmerica and CEP America (managed care contracting, problem payer management, regulatory affairs), and a past President of CAL/ACEP. Also active on ACEP's Reimbursement Committee and the Categorization of Hospital Emergency Services task force.

Posts by Myles Riner, MD

PTSD in Children Following Dog Bites

Tuesday, August 28th, 2012

Tags: dog attacks, dog bite, pediatrics, PTSD
Posted in Drugs and Treatments | 1 Comment

Why is the Government Targeting the Most Charitable Physician Specialty?

Saturday, May 19th, 2012

Tags: CMS, emergency physician, fraud, healthcare claims coding, Patient Protection Act, PPACA, RAC audits, reimbursement
Posted in CMS | No Comments

What is the Fair Market Value of an Emergency Physician’s Services?

Monday, March 19th, 2012

Tags: asthma, costs, E.D., emergency care, emergency physician, fair payment, medicaid, medicare, reimbursement, value based purchasing
Posted in Billing and Reimbursement, Fair Payment/Balance Billing | No Comments

Does a Visit to the ER Represent a Failure of the Health Care System?

Wednesday, February 15th, 2012

Tags: emergency, emergency care, failure of the health care system, Health Care Reform, health policy
Posted in Health Care Reform | 1 Comment

CMS and Washington State Conspire to Take Emergency Physician Services Illegally

Thursday, January 26th, 2012

Tags: deferral of ED care, EMTALA, medicaid, medical screening
Posted in Billing and Reimbursement, CMS, Healthcare Insurance | 4 Comments

Anthem (and others) to Cut Payment for E&M-25 by 50%

Tuesday, December 20th, 2011

Tags: bending the cost curve, correct coding initiative, health reform, healthcare claims coding, managed care, medicaid
Posted in Billing and Reimbursement, Fair Payment/Balance Billing, Managed Care Contracting and Payment | 2 Comments

The Solution to Medicaid Expansion or There’s Just Not Enough Meat on the Bone

Friday, December 2nd, 2011

Tags: Health Care Reform, managed care, medicaid
Posted in Health Care Reform | No Comments

Value Based Purchasing of Emergency Care – Part 2 Recommendations for Providers

Friday, November 4th, 2011

Tags: payment reform, value based purchasing
Posted in ED Management, Health Care Reform | No Comments

Value Based Purchasing of Emergency Care – Part 1 Recommendations for Payers

Sunday, October 30th, 2011

Tags: Health Care Reform, payment reform, value based purchasing
Posted in Health Care Reform, Managed Care Contracting and Payment | No Comments

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