I am writing this just after PRACTICE MANAGEMENT 2013, which took place at the end of January in Las Vegas. When it comes to Las Vegas, you might think of black jack. However, in the context of payment and practice management matters in our current environment, you might instead think of the Red Queen as found in Lewis Carroll’s Through the Looking Glass. Carroll wrote, “The Red Queen has to run faster and faster in order to keep still where she is. That is exactly what you all are doing.” The quote is quite apropos since the purpose of this article is to alert you of actions that anesthesiologists practicing in groups of 100 or more eligible professionals will need to take just to hold steady.

Section 3007 of the Patient Protection and Affordable Care Act (PPACA) requires that by 2015, the Centers for Medicare & Medicaid Services (CMS) begin...

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