medicalbillers' Journal
 
[Most Recent Entries] [Calendar View] [Friends]

Below are 20 journal entries, after skipping by the 20 most recent ones recorded in medicalbillers' InsaneJournal:

    [ << Previous 20 -- Next 20 >> ]
    Thursday, September 15th, 2011
    3:01 pm
    Physicians hit by higher operating losses in Group Practices

    Physicians hit by higher operating losses in Group Practices



    2010 has registered an increase in physician’s compensation across specialties even as most of the medical groups have been operating at significant financial losses; in fact, the specialties have registered a compensation increase of 2.6% for Primary Care, 3.8% for surgical specialty, and 2.4% for other medical specialties.



    According to AGMA survey conducted amongst 49,700 US healthcare providers, the group practices in the northern region have topped the list by averaging a loss of $10,669, followed by those in the southern region with an average loss of $1,870 and eastern region with an average loss of $1,597. Western regions neared the breakeven point of last year i.e. $27.



    Browse all : Medical Billing (http://www.medicalbillersandcoders.com/)



    In the current economic climate, these medical groups continue to face the challenge of delivering the highest quality, coordinated care to the patients they serve, due to these high operating losses. According to this survey a major reason for the negative operating margin is due to the increased integration of medical groups and health systems where funding from each physician goes to their medical group corpus. Another reason that contributes to operating losses is the difficulty involved in retrieving expenses incurred due to enhancing patient care in the context of volume based reimbursement system in the US.



    Hence, it is advisable for these group practices to look for experts who can provide relevant consultancy services to identifying the lacunas and streamline the overall functioning of their group practices by decreasing the administrative cost while increasing operating revenue.



    Medicalbillersandcoders.com has expertise in providing consultancy services for group practices to enhance their revenue in the time of flat reimbursement from both government and private payers along with other administrative challenges. Offering the best solutions in strategic, financial, and operational consultancy, MBC offer professional support and assistance to healthcare providers to keep abreast of the changing industry norms, so that they can concentrate on their core services such as patient care.



    For More Information Visit: Dallas Medical Billing, Los Angeles Medical Billing



    Resource Box



    Medicalbillersandcoders.com is the largest consortium of Medical Billers and Coders in the United States. We offer Medical Billing, Dallas Medical Billing, Los Angeles Medical Billing, and Washington Medical Billing.

    Wednesday, September 14th, 2011
    2:36 pm
    Is ICD-10 Transition Feasible by October, 2013 Deadline?

    As we stand at the mid of the intervening period, there is growing apprehension over achieving comprehensive realization of ICD-10 and other Compliance standard implementation by the October 1, 2013 deadline across the spectrum of healthcare stake-holding: health care providers, payers, software vendors, and clearinghouses/third-party billers.


    The CMS has drawn up detailed timelines for phased implementation:



    • payers and providers to begin internal testing of version 5010 standards for electronic claims by January 1, 2010

    • Internal testing of version 5010 to be completed to achieve Level I of version 5010 compliance by December 31, 2010

    • External testing of Version 5010 for electronic claims to be complete to achieve Level II of version 5010 compliance by December 31, 2011

    • By January 1, 2012, all electronic claims to use version 5010 as version 4010 claims will no longer be accepted

    • Beginning with October 1, 2013, claims for services provided on or after this date to use ICD-10 codes for medical diagnosis and inpatient procedures Whereas CPT codes will continue to be used for only outpatient services


    Despite the specified deadlines, the medical fraternity, already rattled by imminent impact of Debt ceiling and SGR reforms on Medicare payments, may not be as responsive as it would have been normally.


    HIPAA 5010 – which requires over 800 changes from the 9 transactions in the previous 4010 – is seen as enabler of comprehensive classification and coverage of transactions for privacy compliant reporting, and a platform for adopting ICD-10 codes, and ICD-10 – which accommodates over 68,000 ICD-10-CM codes, and 87,000 ICD-10-PCS codes – proves to be pervasive coding system eliminating ambiguity surrounding the preceding ICD-9.


    Despite their respective merits, physicians/hospitals – who are already grappling with operational costs associated with medical billing services – will find it even more cumbersome to adopt them owing to



    • Heavy Cost Associated with Migration

    • Complex Technology Implementation

    • Training and Orienting Staff to New System, and

    • Establishing Logistical Relationship with Medical Billers and Insurance Carriers


    Federal Government subsidies or incentive too cannot be counted on as the Federal Government itself is preoccupied with solving monstrous economic problems. But, having to abide by Federal dictum, physicians/hospitals will be left with no avail but to practice the system as mandated, absence of which will render their medical billing ineffective.


    In such a scenario, proactive medical billing companies that have the requisite competence in place to enable their trusting clients to migrate smoothly and efficiently to the ensuing ICD-10 system of medical coding, and HIPAA 5010 compliant reporting are of crucial help. Moreover, hiring expert support will go a long way in realistically realizing the anticipated return on the investment incurred during the transition.


    Specifically geared up for the occasion, Medicalbillersandcoders.com – having delivered efficient medical billing management for a majority of physicians/hospitals/clinics across the United States – has the wherewithal to successfully manage the demands of the ICD-10 system of medical coding, and HIPAA 5010 compliant reporting.


    Riding on an paralleled set of pre-qualifiers – certified by the American Association of Professional Coders (AAPC); proficient in using advanced medical billing and coding software as required by the ICD-10 system of medical coding, and HIPAA 5010 compliant reporting; and an impressive track-record of maximum and efficient reimbursement of medical bills with the leading private insurance carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid as well – our medical billing professionals carry an imperial edge in the industry.


    Our medical billing experts – who are adept at accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards – have been crucial to physicians/clinics/hospitals’ operational efficiency and revenue maximization.

    Tuesday, September 13th, 2011
    4:36 pm
    U.S. Health Spending Projected To Grow at 5.8 Percent Annually: Pros and Cons

    The recent extrapolation by the economists in the Office of the Actuary at the Centers for Medicare and Medicaid Services (CMS) – which has projected all healthcare spending in the United States to be at an annual average rate of 5.8 percent for the period 2010 through 2020, and at 19.8 percent of GDP by 2020 – should be cause for celebration as well as challenge for all stakeholders: physicians, patients, insurance carriers, and professional medical billing companies.


    Looking at healthcare market of $4.64 trillion by 2020, nearly half of which will be funded by the Federal Government for its popular Medicare and Medicaid programs, it is only natural that there will an unprecedented growth in medical practitioners vying for their share of the apple pie. Consequently, the medical service benchmark will get pushed up by a few notches as the patients will have options to choose from. Ultimately, with the Affordable Care Act’s Accountable Care Organization scheme coming into picture, an enormous opportunity will actually get translated into quality-driven physician services.


    Going by the expansion of health insurance coverage through Medicaid and subsidized private health insurance under the Affordable Care Act, as well as Medicare reforms – which will induct more baby boomers into Federal health insurance – nearly 30 million more will come under the ambit of health insurance by 2020. Consequently, there will be a considerable reduction in the out-of-pocket spending on medical services by a majority of the underprivileged class.


    Although insurance carriers can think of substantial increase in premium inflow, the prevalence of government-funded Medicare and Medicaid (nearly half of the total health insurance composition), and Federal Government’s extra vigil on controlling undesirable increase in premium, and incidental charges, will only drive them to be even more stringent on medical reimbursements.


    Medical Billing Companies , which otherwise would have stood to gain in terms of additional market share, will be required to be even more competent in the wake of the ensuing ICD-10 and the HIPAA compliant 5010 standard for coding and reporting respectively – both of which demand a higher degree of competence as compared to the previous ICD-9 and HIPAA 4010 regimen.


    The sum total of all these consequences will eventually reflect on physicians/hospitals’ ability to effectively and efficiently conduct medical billing, which is crucial to their sustenance and growth. But, judging by the historical experience of failed experiments with in-house medical billing practices – either in-house staff reporting it to be detrimental to their core function of supportive medical care, or underperforming despite heavy investment on training and system-implementation – it is anybody’s guess that physicians/hospitals will eventually be forced to avail competent medical billing services.


    In such a scenario, Medicalbillersandcoders.com (www.medicalbillersandcoders.com) – the largest consortium of medical billing professionals, who are adept at accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, compliance standards, and ride on an paralleled set of pre-qualifiers: certified by the American Association of Professional Coders (AAPC).


    These proficient medical billers and coders are trained to use advanced medical billing softwares such as Lytec, Medic, Misys, Medisoft, NextGen, IDX, etc., and latest coding softwares such as EncoderPro, FLashcode and CodeLink. Their expertise in applying standard CPT, HCPCS procedure and supply codes, and ICD diagnostic codes has earned them an impressive track-record of maximizing client reimbursement of medical bills with leading private insurance carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid. These Medical Billing and coding specialists will be an ideal ally in complementing their clients’ cost-minimization and revenue-maximization endeavor through a proactive medical billing management.


    Browse All: Dallas Medical Billing, Atlanta Medical Billing

    4:03 pm
    Impact of Federal Debt Ceiling on Medicare Payments to Physicians

    Debt ceiling on Federal Debt is a perennial topic for debate in the US healthcare scenario. Debt ceiling or Debt limit is the brink to which U.S. Federal Government can raise debts to fund its budgetary allocation. Although there have been instances in the past that allowed for raising debts well over the statutory limit, yet the present scenario is such that it has put a question mark over the Federal Government’s ability to borrow. Consequently, despite the talk of an additional $2.2 trillion borrowing through governmental securities, the fear of imminent debt ceiling effects across the spectrum of healthcare industry looms large.


    With the national debt having approached its statutory limit of $14.29 trillion, there is an imminent set of repercussion waiting to engulf the Federal Government’s economic sectors. As the eventual debt ceiling is going to trigger off default or delay in payments to Federal Government commitments, there is a growing degree of anxiety among interest-groups: creditors, beneficiaries, vendors; military staff, social security and Medicare, and unemployed beneficiaries.


    Among the many interest-groups that are likely to be impacted by the Debt ceiling, Healthcare sector – which accounts for a majority of share in the Federal Budget – is going to feel the heat more. Consequently, its stakeholders – physicians/hospitals, patients, insurance carriers, and medical billing professionals will all be forced to rethink their operational efficiency to stave off the negative impact of Debt ceiling.
    Federal Government, already faced with the impending Sustainable Growth Rate (SGR) problem, will be pushed to float unprecedented radical reforms to its popular Medicare and Medicaid programs, such as


    • Increase in the Medicare eligibility age and a jump in co-pays and deductibles

    • Lowering benefits to low-income individuals under Medicaid

    • Cuts to Medigap insurance, which would limit supplemental insurance plans for the elderly, and the implementation of a policy requiring high-earning seniors to pay higher premiums for their plans

    • Reduction in spending by $1.2 trillion across a wide array of federal programs, including a 2 percent cut to Medicare provider payments starting in 2013.

    • A possible threat of 29.5 percent cut to Medicare payments if the Congress doesn’t alter the Sustainable Growth Rate, in which case payments to doctors would drop so low that many would be forced to stop seeing Medicare patients.

    In such a scenario, physicians – whose patient composition happens to be a majority (nearly half of their total patient composition) of Medicare and Medicaid beneficiaries – will be forced to operate at less than break-even point, which is hard to sustain.


    Browse All: medical billing, Chicago Medical Billing, Los Angeles Medical Billing


    Faced with such imminent consequences, physicians/hospitals – who are already grappling with a highly competitive healthcare market; stringent compliant environment: ICD 9CM to ICD 10 compliant coding and HIPAA compliant reporting; and failed in-house medical billing experimentation, where in either in-house staff reporting it to be detrimental to their core function of supportive medical care, or underperforming despite heavy investment on training and system-implementation – physicians/hospitals will inevitably have to look up to qualified and competent medical billing management experts, who ensure operational efficiency and revenue maximization.


    Medicalbillersandcoders.com (www.medicalbillersandcoders.com), the largest consortium of medical billing professionals, can prove to be an ideal ally in complementing its clients’ cost-minimization and revenue-maximization endeavor through a proactive medical billing management.


    Our medical billing experts – who are adept at accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards – have been preferred choice of a majority of physicians/hospitals groups across the U.S. Proficient in using advanced medical billing and coding softwares and an impressive track-record of efficient reimbursement with the leading private insurance carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid as well – our medical billing professionals carry an extra edge in the industry.

    Friday, September 9th, 2011
    6:33 pm
    PCMH: Assisting Primary Care Physicians as well as Patients

    A Patient Centered Medical Home (PCMH) is not a particular type of hospital or building but an alternative approach to delivering health care that provides coordinated, continuous patient-centric medical care, managed by a team of individuals led by a physician. PCMHs employ the latest technology available to make optimum use of time and funds in order to deliver best possible healthcare to the patients. Although the concept is not new it has gained recognition and popularity among patients and physicians alike due to the recent health reforms. There are numerous pilots being carried out in various parts of the country and the results are positive and fruitful for health care providers and patients.


    Browse All: Medical Billing

    Coordinating patient care
    Primarily, a PCMH integrates care across the healthcare spectrum including specialists, hospitals, therapists, laboratories, druggists, and home health to avoid duplicate care and curtail errors. It aims to assist physicians in keeping up-to-date with the patient history and also helps patients by giving them the opportunity to receive care from one physician over long periods of time. This simply ensures that the physician knows the patient history and the patient trusts the type of care that is being provided. This in-depth knowledge of a patient’s history in a practical manner and on record allows physicians to make decisions that are relevant and efficient at the same time. It also offers extended hours which goes a long way in keeping patients out of expensive emergency rooms. Moreover, by sharing the information and decision-making with the patients, it enables and supports them to manage their own care and keep healthy.


    Health Information Technology
    The healthcareIT sector is another feature of PCMH that helps primary care providers to enhance the efficiency of the work flow process, improve the quality of care, and provide outcome measurements as well as accountability. Physicians, nurses and primary healthcare providers are using this technology to make informed decisions on the latest and real-time information available due to Electronic Health Records (EHR).


    Time
    The time factor plays a vital role in the health care industry and patients and physicians can suffer due to the delays in various process. PCMH aims to ensure that patients can visit a health care provider without scheduling on the same day that they think they need a health check up. Time is also saved due to the e-prescriptions which are a feature of PCMH and let the physicians prescribe medicines online. Moreover, due to such e-prescriptions, patients do not have to wait for their medicines since they are already ready to be delivered when the patient visits a PCMH.


    Money
    In the PCMH model, cost effectiveness results from enhanced care and improved patient health, which reduce the need for healthcare services? Patient Centered Medical Homes not only increase the efficiency of primary care physicians but also help in augmenting the revenue by rewarding the quality of the outcome rather than the volume. PCMHs are also good for the revenue and affordable for patients because of the incentives provided by the government to physicians to adopt new technology such as EMR or EHR. The New England Journal of Medicine has reported that PCMH increase the revenue because of the sharing of savings among many physicians as a coordinated effort.


    The Future
    The future of PCMHs is good for primary care physicians who can increase their revenue and provide better care for patients. This can be especially effective in caring for ailments such as diabetes, chronic illnesses, and enhance preventive care. However, it can be more beneficial for primary care physicians rather than specialists and thus provides a solution to the most problematic area in medicine in the United States. PCMHs can act as an efficient entry point for patients in the health industry and provide long term primary care for patients.


    For more information on how PCMHs are likely to impact Primary physicians and their billing processes effectively and cost-effectively cope with it, or to know more about our consultancy services on how physicians can handle these and similar issues in their practice, please visit medicalbillersandcoders.com, the largest consortium of billers and coders in the US across all specialties.


    Los Angeles Medical Billing | San Diego Medical Billing

    Source: Medical billing (http://www.medicalbillersandcodersblog.com/medicalbilling/pcmh.html)
    5:50 pm
    Have you implemented your EMR successfully
    Successful EMR Implementation: Vital Signs

    The implementation of Electronic Medical Records (EMR) is an integral part of the recent health reforms and many hospitals, clinics and physicians have already started using EMRs successfully. There are numerous ways to gauge the efficiency and the compliance of EMRs with government guidelines to be eligible for the incentives provided by the Government. Successful implementation of EMR or EHR entails numerous criteria laid down by the government such as “meaningful use”, and other guidelines that can range from recording patient information using EMRs to E-prescriptions. However, there are several other additional factors that determine if the EMR that has been in use is successful and would remain that way in the future.


    Meaningful Use
    The most important aspect of successful implementation of Electronic Medical Records or EHR is the Meaningful Use criteria. If the EMR is not being used in a meaningful manner then physicians may not qualify for the incentives and also end up wasting time, effort and money because of improper use or major technical problems. This can lead to a decrease in revenue and a drop in the quality of care provided to the patient and completely defeats the purpose of EMRs and EHRs. There are 15 core requirements under the stage 1 of Meaningful Use and hospitals and physicians can analyze whether all these requirements are being met. There are another set of requirements out of which at least 5 must be met in order to demonstrate meaningful use.


    Technical Analysis
    The successful implementation of EMRs also depends on the technical performance of the various systems involved in the healthcare IT sector. It is important to analyze whether there have been problems with particular software and what type of support the vendor has provided after implementation. It is also essential to analyze whether to hire a technician if there have been disruptions due to technical hurdles. Good technical support can ensure that the system being used for EMRs is safe from hackers and patient privacy is not jeopardized.


    Cost Benefit Analysis
    The cost benefit analysis of EMRs can be calculated not just monetarily but also in the form of the quality of the care provided to patients. The cost of successfully maintaining and using EMRs is certainly justified if physicians and hospitals can qualify for the incentive which means that an effort toward better patient care is being carried out even as costs. Some of the costs that EMRs will directly cut are towards maintaining and storing paper records, costs related to the software itself which will partially be paid off by the incentives, administration costs, and the cost of opportunities foregone due to time constraints.


    Reduction of Errors
    EMRs can provide a system to physicians, hospitals, administrators, and medical billers and coders that helps in reducing errors. The reduction of errors directly impacts costs as well as patient care so analyzing the amount of reduction in errors in medical billing, medical coding, and administration can assist in deciding whether the EHR implementation is successful. Moreover, reduction in errors can also save time for physicians which can be utilized for concentrating on better patient care.


    Feedback
    The successful implementation of EMR involves not just the technology but also the people who utilize it on a daily basis. Taking feedback about the EMR from the medical staff and administrators can help physicians in gauging the success of the implementation of the EMR and help in analyzing the strengths, weaknesses, opportunities and threats in the system. The feedback can be in the form of staff meetings or discussions where problems related to EMR and other related issues are taken up. Such feedback can also be taken from medical billers and coders who have experience in dealing with payers and the changing technology as well as the latest compliance guidelines. However, the best feedback is in the form of monetary results and better patient care which can be strong indicators that the EMR implementation has been successful.


    Browse All: Phoenix Medical Billing, San Diego Medical Billing,Dallas Medical Billing

    For more information on how successful implementation of EMRs is likely to impact physicians and their billing processes effectively and cost-effectively cope with it, and to know more about our consultancy services on how physicians can handle EMR implementation better and similar issues in their practice, please visit medicalbillersandcoders.com, the largest consortium of billers and coders in the US across all specialties.



    Current Mood: accomplished
    4:31 pm
    The Proposed Medicare Cuts, and Its Imminent Repercussions

    The Congress’ balancing act aimed at increasing nation’s debt, and decreasing federal spending has quite expectedly singled out Medicare – which is one of the priority spending sectors in the Federal Budget – as the nucleus of its growing deficit budget, and the one that requires immediate controlling measures either in terms of careful structural reform to the Medical Sustainable Growth Rate (SGR), or blunt across-the-board 2% cut to Medicare and other domestic programs. What is alarming is that the accumulated SGR is pegged at a negative 21.3% for 2011, though deferred till the end of the year, would have meant a drastic 21.3% cut to physicians bills for Medicare beneficiaries.

    Having already come in for widespread criticism from all the stakeholders, the implementation will have serious repercussions across the spectrum of nation’s primary healthcare sector: Medicare Physicians, Beneficiaries, Medicare Insurance Carriers, and Medicare Billing Companies.

    • Medicare Physicians, who are already finding it impossible to serve Medicare beneficiaries for fees well below the market-driven rates, would find it even more tougher to balance their operating costs and revenues, and consequently be driven to reconsider their services for Medicare beneficiaries in the aftermath of such recommendation on Medicare.
    • Medicare Beneficiaries, who are already at loss finding suitable Medicare physicians, will find it even harder if the Medicare physicians consider migrating to private practice altogether, forcing Medicare beneficiaries spend at market-driven health cost. Further compounding the issue is the fact that the imminent percentage of seniors waiting to swell the-already-brimming dam of Medicare beneficiaries.
    • Medicare Insurance, which accounts for a majority of medical insurance reimbursement, would adversely be hit in as far is its percentage of medical insurance share is concerned should there be an exodus of Medicare beneficiaries to private insurance carriers.
    • Medical Billing Companies that until now considered Medicare processing as one of their priority businesses will be compelled to relegate Medicare down their portfolios of insurance carriers.

    Having carried forward the perennially cumulative negative Sustainable Growth Rate (SGR) for more than a decade in the lager interest of Medicare beneficiaries (comprising senior citizens), the Federal Government has realized the proportion of negative impact of Sustainable Growth Rate on its fiscal composition and effectiveness of Medicare. Accordingly, it is contemplating either to repeal the Sustainable Growth Rate (SGR) formula for Medicare (meaning further Federal deficit to already trouble-stricken economy) or phased writing-off of the cumulative Sustainable Growth Rate projected to yield $575 billion in savings in the first 10 years (meaning a drastic reduction in payments to physicians attending Medicare beneficiaries, which could affect the physicians’ motivation level for serving Medicare patients).

    Medicalbillersandcoders.com (www.medicalbillersandcoders.com), which is the largest consortium of medical billers with a deep concern for the medical billing market in the U.S., hopes that the Federal Government – having to tread on a thin line – will eventually come up with a solution that, apart from ensuring a balanced health budget, fosters Medicare as the health scheme promoting multiple stakeholders’ interests: Medicare Physicians, Medicare Beneficiaries, Medicare Insurance Carriers, and Medical Billing Companies catering to Medicare beneficiaries.

    For More information visit: Albuquerque Medical Billing, Atlanta Medical Billing

    3:42 pm
    Top 4 Challenges in Healthcare Information Exchange (HIE)

    Healthcare Information Exchange is the end goal of the recent health reforms in the United States and aims to provide better patient care on a continual basis by multiple organizations. The implementation of HIE not only helps in providing quality care to patients but also assists in reducing costs and errors that arise due to duplicate tests, cost of paperwork, and other manual efforts such as scanning of documents, printing, and traditional procedures that consume time and money. Since HIE is still in its implementation stage, many health care providers, hospitals and the government are facing numerous challenges in this area.

    Meaningful Use

    The biggest hurdle that the government and physicians are facing is the Meaningful Use of EMR. Physicians, clinics, and hospitals have to demonstrate that they have been using the IT reforms in a meaningful manner and this entails numerous requirements to be met. These can range from recording the smoking status of patients above the age of 13 years to providing e-prescriptions. Many physicians are finding it hard to implement the technology and successfully demonstrate meaningful use due to many reasons. Some of these include resistance to new technology by the staff or physicians, older physicians who are set to retire in a few years and are reluctant to adopt such technology, and the possible adverse legal implications of successfully implementing EMR and EHRs.

    Legal Implications

    The utilization of HIE can have legal implications for small providers of EHR systems but larger government sponsored providers face lesser risks in the form of legal actions. Moreover, physicians and hospitals may face legal penalties if the system is not used in an appropriate manner which can lead to reduced quality of patient care. The legislation regarding HIE and EMRs or EHR is still being developed and this uncertainty and lack of proper regulations in the initial stages of the HIE implementation is creating anxiety among health care providers.

    Costs

    Health Information Exchange is a complicated and sensitive issue where there is very little scope for errors and so the costs for implementation and utilization over longer periods of time are another problem physicians and the government is facing. The major issue as far as costs are concerned is the downtime costs which would be borne by physicians. If the HIE or EMR systems are down even for a short period of time, it can cost the physicians a lot of money and result in a drop in their revenue. As many physicians and hospitals scramble to implement Electronic Health Records to assist in the HIE process, this aspect of system downtime is sometimes ignored by system providers and health care providers as well.

    Privacy

    The biggest concern that physicians and patients have is the privacy of their records since there are many professionals who would have access to their health information. Since the information shared by them can be misused by many agencies such as competing insurance companies, training physicians, pharmaceutical companies and unauthorized research agencies, there certainly is a growing concern over the security of such sensitive data.

    Solutions

    There are many opinions, debates and solutions which are being proposed to meet these Healthcare IT sector reform challenges. However, some of the most simple and cost effective measures are physician education about HIE, legal reforms related to HIE, ensuring technical efficiency, and better administrative processes including efficient medical billing and coding, medical transcription, lesser turnaround time and efficient interaction with payers. In fact, to focus on optimizing your processes in keeping with the HIE injunctions you could hire the support of excellent consultants. These HIE specialists have the capability of directing your precious time and effort towards implementation of technology and processes rather than creating trouble.

    Although there are various challenges faced by HIE in the United States, it is possible to successfully implement it with the help of experienced HIE and revenue cycle consultants. For more information regarding healthcare IT reforms and end to end revenue cycle consultancy you can visit medicalbillersandcoders.com – the largest consortium of medical billing professionals across all states, handling all specialties.

    Houston Medical Billing | Chicago Medical Billing | Atlanta Medical Billing

    Friday, September 2nd, 2011
    2:49 pm
    US Physicians’ Administration Costs Four Times Higher Than Single-payer Healthcare Providers
    Going by a recent survey by the researchers with Cornell University and University of Toronto – which has unearthed alarming fact about relatively higher administrative costs in the United States: physician practices incurring nearly $83,000 in administrative costs per physician each year, nearly four times the amount spent by their Canadian counterparts – it is quite imaginable the extent of its implication on physicians’ fees, and patients’ medicals bills ultimately. The fact that the survey has treated Canadian medical quality on par with that of United States, ranked highest globally, further endorses the need for immediate insurance-related administrative reforms that can drastically:
    • Bring down the per-capita physician administrative cost to as low as $22,205
    • Reduce time spent by nurses and medical assistants on administrative tasks related to health plans to as low as 2.5 hours per physician per week, which is what prevailing in Canada, and
    • Achieve an annual savings of $27.6 billion on insurance related administrative costs
    Easier said than done, the reform measures should effectively address multiple issues that have been responsible for this undesirable scenario. While running a thorough analysis on reasons responsible, the researchers have identified the following areas that require reformatory action:
    • Multiple-payer health care system: The prevalence of multiple-payer health care system has been both complex with different sets of regulations, procedures and forms mandated by each health insurance plan or payer, as well resource-consuming. Ideally, multiple-payer health care system needs to be simplified into either two-payer system – one each for private and Federal insurance plans – or, if possible, single-payer system that Canadian physicians follow.
    • Failed Experimentation with in-house medical billing: Experimentation with in-house medical billing practice has not been encouraging either – either in-house staff reporting it to be detrimental to their core function of supportive medical care, or underperforming despite heavy investment on training and system-implementation. Consequently, physicians – with no avail but to practice medical billing somehow – have to bear the brunt of excessive operational costs.
    • Unscrupulous Medical Billing companies: There have been instances where in solution-seeking physicians/hospitals have run into some unscrupulous medical billing company or medical billing agency, who contrary to ensuring cost optimization and revenue maximization, have further compounded their clients’ woes by sending out wrong bills in an incorrect format.
    Amidst such complex problems, the ensuing Affordable Care Organization (ACO) floated by Patient Protection and Affordable Care Act of 2010 (PPACA), scheduled to be officially launched in January 2012, promises to bring down spiraling health expenditure through
    • Incentive linked payment system, initially for Medicare physicians, and subsequently for private practitioners also.
    • Controlling premium and incidental charges of insurance carriers
    While these reformatory measures are greatly welcome, physicians/hospitals should inevitably carry on seeking professional help of expert medical billing specialists that are competent enough to tackle spiraling administration costs, and ensure operational efficiency and revenue maximization.
    Medicalbillersandcoders.com, the largest consortium of medical billing professionals, brings certified medical billers and coders from all 50 states under one roof. With the average experience of billers in this consortium to be 7 years, you can find well trained in-house billers and well equipped medical billing agencies in your city.
    These billing professionals are adept at accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards, riding on unparalleled set of pre-qualifiers – certified by the American Association of Professional Coders (AAPC).
    Expert at applying standard CPT, HCPCS procedure and supply codes, and ICD-9-CM diagnosis; and an impressive track-record of maximum and efficient reimbursement of medical bills with the leading private insurance carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group and Government sponsored Medicare and Medicaid as well – is uniquely poised to complement physician cost-minimization and revenue-maximization endeavors.
    SanAntonio Medical Billing | San Diego Medical Billing | San Francisco Medical Billing
    2:41 pm
    Primary Healthcare: A Critical Reassessment in the Changing Healthcare Scenario

    The Primary Health Care (PHC) system in the US has so far served as a platform for providing frontline care with services provided by medical professionals ranging from family physicians and assistants, internal medicine specialists, nursing practitioners and clinicians.

    However, the diversity in patient backgrounds and medical needs of individuals, special needs patients (e.g. disabled persons or community crisis victims) along with the wide spectrum of the care demanded can take a toll on veteran medical experts, so it’s quite easy to imagine what newly qualified PHC professionals or facilities have to deal with.

    PHC Burnout Reasons Regarded as the quarterback of primary patient care, clinicians have issues of performing at optimum levels consistently, since they are the first point of contact for health problems that have so far not been diagnosed, have the responsibility of providing comprehensive personal care and also building long-term relationships with patients who come in with chronic problems.

    Now, add to these duties, the necessity of effectively coordinating across multiple sectors for ensuring health services offered at their clinic are customized for all patients, in the correct setting and provided by the most appropriate medical expert in keeping with a patient’s values and it is easy to understand why PHC professionals are often stressed and overworked.

    PHC professionals have to manage key stakeholders, such as employees, legislators and patients in addition to their increasing workload, with fewer trainees and support care personnel available to meet with rising demands of quality primary healthcare and strict government policies.

    Having to further work within the narrow confines of antiquated administrative systems of Primary Health care delivery further debilitates PHC providers.

    PHC providers need efficient, measurable and guaranteed systems for integrating different primary care disciplines so they can ensure advanced support, adequate community networking and improved primary care services for a wide range of patients – without having to commit hands-on time or labor for transforming their practice.

    Solutions For Growing Primary Health Care Services Learning about new models of PHC, latest clinical innovations, exposure to the latest billing and coding software, having access to reformed curriculums and medical billing and coding systems that augment the nature of services provided by Primary health care professionals are some ways of solving the problems of burned out physicians specializing in PHC. However, it may not be practical for many Primary Health Care practitioners to personally handle all of these issues or even acquire trained, dedicated and experienced staff in-house to manage competencies needed for enhanced primary care without significantly affecting revenue.

    Here is where outsourcing certain competencies to specialized medical billing and coding companies and firms trained to provide expert administrative support services to medical practitioners, clinics and healthcare centers can play an important role in transforming the way medical care is provided. In addition to the growing number of patients a PHC provider or organization serves, the government adds more duties through laws and regulations, making this burden even heavier especially on the primary healthcare professional, the first-contact medical help provider.

    Though government initiatives are aimed at reducing the patients’ burden by providing Medicare and Medicaid to improve the quality of service – via enforcement of PQRS (Physician Quality Reporting Service), setting up and maintenance of Electronic Health Record (EHS) systems – these additional regulations and procedures place an extra burden on the physician. They involve setup costs, maintenance, staff and training etc. -facts that should be considered seriously by PHC providers keen to build credibility without neglecting revenue optimization for their practice.

    PQRS requires doctors to report to a particular set of Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes. This is no easy task, since PQRS helps the physician gain credibility in his or her work sphere, but the cost implications far outweigh this advantage for most PHC providers. Sourcing support staff or training existing staff to use this new and complex technology can be time-consuming and a drain on resources.

    However, using the services of professionals like Medicalbillersandcoders.com to hire skilled CPC certified coders and CCHIT certified-software can help the physicians to focus on quality of patient care by PQRS participation while these experts ensure a healthy revenue generation for the organization.

    Specialist medical billing and coding firms such as medicalbillersandcoders.com cater to individual professionals as well as large hospitals. HIPAA compliancy, insurance pre-authorization, denial management and appeals, account receivables, as well as customized consultancy services for optimizing revenue cycle management – you name it and their team members are certified and well equipped to handle every administration duty you can think of!

    So, if you are a Primary Care Physician jostling with hundreds of changes in the healthcare industry and want to optimize your revenue, click www.medicalbillersandcoders.com to learn more!

    For more information visit: Cleveland Medical Billing, Charlotte Medical Billing, Chicago Medical Billing

    Wednesday, August 31st, 2011
    5:58 pm
    Effective patient care versus revenue cycle management: physicians perform a balancing act

    Physicians in the U.S., despite ranking high for their medical competence, have never been able to fully realize and optimize their medical bill reimbursements owing to an increasingly complex health insurance system that has been constantly evolving, and characterized by:

    • HIPAA Compliant Medical Reporting
    • Stringent Billing and Coding Regimen
    • Technological Interface for Electronic Billing and Coding
    • Multiple-payer Health Care System, both Private Insurance Plans, and Federal Health Plans such as Medicare and Medicaid.

    Physicians, whose core concern being the elevation of medical care in congruence with the ever evolving global competitive benchmark, have reported medical billing managementto be an undesirable diversion that can negatively impact their medical efficiency. Experimentation with in-house medical billing practice has not been encouraging either – with in-house staff reporting it to be detrimental to their core function of supportive medical care, or underperforming despite heavy investment on training and system-implementation. Consequently, physicians – with no avail but to practice medical billing somehow – have inevitably been driven to seek professional help in medical billing from medical billing specialists.

    Experience has shown that successful medical billing has followed the dictum of perpetual reinvention in tune with stringent compliant standard (coding compliance), privacy compliance regimen (as per HIPAA), and ever advancing technological platforms for billing management cycle – all of which have contributed to an imposing environment that demands a highly qualified, experienced and dynamic team of medical billers, who along with a comprehensive knowledge of billing, are adept at conducting medical billing management in a sequential manner:

    • Patient Enrollment
    • Scheduling
    • Insurance Verification
    • Insurance Authorizations
    • Scheduling and Re-scheduling
    • Coding
    • Billing and Reconciling of Accounts
    • Collections
    • AR Collections
    • Denial Management & Appeals

    Consequently, physicians’ search for comprehensive medical billing service has led them to leading medical billing specialists, such as Medicalbillersandcoders.com – the largest consortium of medical billing professionals, who are adept at accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards.

    Carrying impeccable qualifications – certified by the American Association of Professional Coders (AAPC); proficient in using advanced medical billing software such as Lytec, Medic, Misys, Medisoft, NextGen, IDX, etc., and latest coding softwares such as EncoderPro, FLashcode and CodeLink, these medical billing specialist help physicians to streamline their current operations.

    Expert at applying standard CPT, HCPCS procedure and supply codes, and ICD-9-CM diagnosis; HIPAA compliant medical reporting; and an impressive track-record of maximizing reimbursement of medical bills with the leading private insurance carriers such as United health , Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid as well – our medical billing experts ensure simplification of your revenue cycle, appreciable increase in collection rates and operational margins, more patient inflow and referrals, and Increased avenue for medical research and development.

    San Francisco Medical Billing | SAN JOSE Medical Billing | Seattle Medical Billing

    5:41 pm
    Outsourced Medical Billing – the prescription for new practices’ impressive ROI
    Given the rapidly expanding patient base, and an insatiable demand for quality medical care, it is not surprising that each passing-by moment is witness to the birth of a new practice. Despite being driven by a larger healthcare vision, new practices – operating in a market-driven environment – are inevitably forced to lend equal significance to Rate of Return on Investment (ROI), which is the operational yard-stick for sustenance and growth in a highly competitive medical service market.

    If pooling in the requisite resources to launch your medical services is one huge task, operating it on profitable basis is altogether a different proposition. Having ventured into a socially-responsible service, most of your time and resources will be expended on employing the best of physicians, diagnostic and curative measures, support and administrative staff, and facilities – all of which have direct impact on quality medical care, patient satisfaction, patient retention, and credibility that would further expand your patient referrals.

    Assuming that you go on, and eventually achieve the objective you set out for – medical service credibility – would there be any guarantee that you would have achieved an equally credible and sustainable Rate of Return on Investment (ROI)? Medical bill realization, which is a matter of insurance coverage, would weigh heavily on venture practices, who are generally novice to stringent billing regimen governed by CMS. Further, a full-fledged in-house medical billing team may not be advisable as it, being slow to yield results, is equally capital-intensive requiring heavy investment on: Installation of Billing and Coding Platforms, and Training the staff on best practices in medical billing.

    Amidst the prevalence of such uncertainty on in-house medical billing results, it is prudent to source your medical billing needs from a competent outside agency;

    • Application of Advanced Technology Interface comprising use of latest medical billing softwares such as Lytec, Medic, Misys, Medisoft, NextGen, IDX, etc.,
    • Use of latest coding softwares such as EncoderPro, FLashcode and CodeLink
    • Application of standard CPT, HCPCS procedure and supply codes, and ICD-9-CM diagnosis coding as per CMS guidelines and HIPAA compliant medical reporting
    • Successful track-record of processing medical bills with the leading private insurance carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid as well

    Beyond the above requirements, the Medical Billing agency must also provide comprehensive medical billing complete with:
    • Patient Enrollment
    • Insurance Enrollment
    • Scheduling
    • Insurance Verification
    • Insurance Authorizations
    • Charge Entry
    • Coding
    • Billing and Reconciling Of Accounts
    • Denial Management & Appeals, and
    • Physician Credentialing

    Medicalbillersandcoders.com (www.medicalbillersandcoders.com), the largest consortium of medical billers in U.S. for over a decade, and whose medical billing service – complete with accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, account receivables, and compliance standards – can be an ideal solution for new practices that require phased implementation of medical billing process before considering in-house medical billing themselves.

    Going by the recent statistics – 30 to 40% reduction in medical billing costs – our comprehensive billing solution is the prescription for new practices that seek an impressive ROI through simplification of revenue cycle, appreciable increase in collection rates, more patient inflow and referrals, and increased avenue for medical research and development.

    Monday, August 29th, 2011
    5:54 pm
    Avenue for Optimizing Dental Practice Revenue
    Unprecedented increase in qualified dental practitioners, technological advancement, and market-driven competition has all contributed to continual decrease in operating margins. The fact that dental practitioners, whose core-concern is to maintain highest standard in dental care, rarely find time or resources to address revenue issues has further compounded the issue. But, there exists unanimous consensus on leveraging people, process and technology to positively impact operational efficiency and revenues.

    Consequently, identification of functional entities that require well-coordinated efforts towards realizing the objective of operational efficiency and revenue maximization becomes crucial. Generally, Patient Registration, Patient Scheduling, Eligibility Verification (EV) and Benefits, Cash Posting, Analysis, Insurance Follow up, Denial Management, and Patient Collections are the areas that need to be managed in a sequential manner.

    Patient Registration

    Patient Registration, which involves creating or updating the personal details of the patient, guarantor & subscriber in the system database, enables entry & archiving of the patient’s coverage information in the system.

    Patient scheduling


    Patient scheduling, both for new and follow up appointments, ensures time-specific appointment with dentists, resulting in optimum time management. As in dental practices follow up and procedure visit are recurrent and delays and cancellation of appointment happen frequently.

    Eligibility Verification and Benefits

    Eligibility Verification and Benefits find out whether the patient is eligible for dental insurance, and if so, to what extent: preventive, basic or major. Establishing a proper communication channel with the patients’ insurance providers is crucial to mitigate undesirable delays or denial of dental bills.

    Cash Posting

    Cash posting is the act of applying the insurance payments to the patients’ account, which ensures reconciliation of medical bills on your billing system.

    Claim Analysis

    Analysis is a crucial effort that identifies causes for claims held up for too long, and devises means – such as modifiers, and resubmission – to speed up the realization of Account Receivables. Ideally, Accounts Receivables Analyst ensures that AR is under control & acceptable by industry standards.

    Denial Management

    Denial Management is the process of devising suitable action on denied claims. Usually, it comprises reprocessing the claim for payment and closing of the claim.

    Patient Collections

    Patient collection takes care of informing patient about the portion of their bill payable by them individually and time period for payment before moving the account to a collection agency.

    Browse All: Medical Billing

    Thus, having a billing mechanism that can ideally complement your dental practice will render the realization of following benefits:

    • Positive impact on cash flow and performance
    • Improved patient experience and satisfaction
    • Access to competitive advantage.
    • Increased cash flow and lower expenses.
    • Achieving a Higher Return on Investment (ROI).
    • Provision for cost predictability
    • Quantifiable and sustainable improvements to your dental practices through custom-made strategies to address competence of existing resources, prioritization of tasks, and implementation and monitoring of divisional goals

    Of late, social media tools – blogs, Facebook, Twitter and other viral marketing opportunities – too have their significance in broadening dental patient base along with operational tools for cost and revenue optimization. Therefore, applying social media tools for marketing propaganda over the web media in tandem with the regular cost and revenue optimization measures is an ideal combination for comprehensive optimization of your dental practices.

    Owing to the complexities involved, dental practitioners have often reported these strenuous optimization exercises as detrimental to their core medical efficiency, and outsourcing as the best recourse. Medicalbillersandcoders.com (www.medicalbillersandcoders.com) – whose optimization measures are complete with accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards – is the prescription for simplification of your revenue cycle, appreciable increase in collection rates, more patient inflow and referrals.

    For more information visit: Tucson Medical Billing, Seattle Medical Billing

    5:42 pm
    Level of Preparedness for Smooth Transition to ICD-10
    US Federal Government, which has earmarked October 1, 2013 as the deadline, has sought to replace the 30-year-old ICD-9 with the radical ICD-10 – believed to be harbinger of sweeping changes across all facets of healthcare organizations: providers, staff, processes, insurance carriers, and systems and technology.

    But, given the experience in other countries – UK, France, Australia, Germany, and Canada, which prior to adopting ICD-10 in 1995, 1996, 1998, 2000, and 2001 respectively, had to wait as long as 5 years for achieving successful implementation of ICD-10 – it is only expected that the incubatory period from 2010 to 2013 is going to be spent on implementation alone across the length and breadth of the U.S. healthcare system.

    Further, transition involving multiple constituents – ICD-10 CM, used in both inpatient and outpatient settings, replacing ICD-9-CM volumes 1 and 2; ICD-10-PCS replacing ICD-9-CM volume 3 for use in inpatient settings only; and, more importantly, the implementation of the HIPAA compliant 5010 standard, a prerequisite to ICD-10 since the current HIPAA 4010 standard does not support ICD-10 codes – is sure going to make it excruciation for all covered entities, including health plans, healthcare clearinghouses and most healthcare providers.

    Fortunately, experiences historically in other nations should both be an indicator of challenges that lie on the way, as well as guidelines for realizing smooth transition by the deadline of October 1, 2013. Combining these experiences with the following implementation guidelines should not only make the transition less excruciating but also enable an early interoperable health data exchange in the US, and improve the ability to measure medical processes and outcomes:

    Analyzing the chasm between the current system and the demands of ICD-10 system
    One of the important tasks prior to implementing the ICD-10 is to analyze the gap between the current system – both technical as well as human – and the projected demand of ICD-10 system. Fundamentally the areas that require a re-look are technology, including interface and interoperability requirements; education and Training; workflow and organizational processes, including clinical documentation, health Information management (HIM) department, clinical service areas and back-office administrative and billing functions and processes, coding productivity and workflow, data quality, data and information reporting – internal and external, and revenue cycle processes and workflow.

    Having analyzed the gap with respect to the above parameter above, there comes the need to align the requisites in line with the ICD-10 demands

    Education and Training

    Having analyzed the areas to be upgraded in line with the demands, the next step is to educate and train the human resources that actually are going to be impacted. Primarily, the following sections of manpower are going to be in need of the education and training in line with the ICD-10:

    • Health Information Management (HIM) professionals (regardless of departmental affiliation or the presence of centralized or decentralized coding practices)
    • Administrative and front office staff such as Registration or Scheduling departments
    • Clinical staff – physicians and all other allied health professionals who may document the patient health record
    • Revenue Cycle and Business office support staff, including contract managers, documentation reviewers and corporate compliance officers
    • Finance Department staff
    • Departmental and other management staff including quality and utilization management, performance improvement and other key areas that may use or report ICD codes
    • Clinical Documentation Improvement

    Educating and training your staff alone is not going to make any difference unless there is considerable improvement in clinical documentation, which, along with successful compliance with HIPAA norms, enables best coding practices as per ICD-10. Hence, the resources spent on education and training should reflect on the quality of clinical documentation.

    Browse All: Baltimore Medical Billing


    Tactful Management of Revenue Cycle

    ICD-10, being exhaustive and stringent, has the potential to negatively impact your revenue cycle, with the billing reimbursement taking far more time to realize, or frequent reports of denials. A better proactive processing system that can tactfully solve ICD-10 intricacies will be indispensable.

    Upgrading Information Management and Technology

    Successful implementation requires a matching deployment of technology application and system in congruence with ICD-10 demands. Therefore, healthcare organizations should look installing advanced systems, and at integrating them across all functional points within the organization.

    Post Implementation Review

    Implementing alone will not yield the desirable objectives; there will be regular review and audit of the implementation, which will not only ensure revenue optimization, but also and quality data dissemination for research and archiving.

    With such an arduous task ahead, physicians or hospitals can safely resort to availing services of medical billers who are proactive and prepared with material-requisites for ICD-10.

    MedicalBillersandcoders.com (www.medicalbillersandcoders.com), with a long-standing reputation of being the largest consortium of medical billers in the U.S., is a preferable catalyst in smooth transition to ICD-10.

    5:42 pm
    MBC offers expert consultancy services to healthcare providers across the US for strategic


    MBC offers expert consultancy services to healthcare providers across the US for strategic, operational, and revenue cycle management, no matter the size of their organization. Viewing the dynamic changes sweeping through the healthcare industry, we have perceived an urgent requirement of professional support and assistance to healthcare providers to adapt to the latest regulations and flux in the healthcare industry.







    2012 is the year when health reform actually hits home and the healthcare providers need to put their practices in order, in terms of regulation compliances such as HIPAA 5010, ICD10, PQRI (Physician Quality Reporting Initiative), CPOE (Computerized Physician Order Entry), HIE (Health Information Exchange) along with the latest EHR updates.







    The MBC consultancy professionals can effortlessly implement and integrate these compliances into physician’ system. This can save the physicians immense administrative complications and inconvenience during the transition process as also after the regulation deadline.







    We believe that the regulation related changes are not complex per se; the challenge lies in actively motivating the physicians’ teams to adopt these compliances by underlining their relevance and scope in effective patient healthcare and improved revenue cycle management.







    The niche of Medicalbillersandcoders.com remains revenue cycle management and solutions to problems around optimized revenue cycles. MBC as a market force believes that it is best equipped to handle physician difficulties given its hundreds of billers and coders who cater to all specialties and face operational difficulties everyday.



    MBC offers comprehensive consultancy services to optimize the revenue generation of healthcare providers by a thorough analysis of their revenue cycle management. Our experts minutely scrutinize the various stages of revenue cycle management to identify the root causes of revenue leakages and inefficiencies in order to provide pro-active solutions for healthy revenue generation.







    MBC aims to provide value-added consultancy across the spectrum of healthcare services throughout the US.









    Thursday, August 18th, 2011
    4:00 pm
    Professional Revenue Cycle Management Consultancy Services by Medicalbillersandcoders.com
    MBC offers expert consultancy services to healthcare providers across the US for strategic, operational, and revenue cycle management, no matter the size of their organization. Viewing the dynamic changes sweeping through the healthcare industry, we have perceived an urgent requirement of professional support and assistance to healthcare providers to adapt to the latest regulations and flux in the healthcare industry.

    2012 is the year when health reform actually hits home and the healthcare providers need to put their practices in order, in terms of regulation compliances such as HIPAA 5010, ICD10, PQRI (Physician Quality Reporting Initiative), CPOE (Computerized Physician Order Entry), HIE (Health Information Exchange) along with the latest EHR updates.

    The MBC consultancy professionals can effortlessly implement and integrate these compliances into physician’ system. This can save the physicians immense administrative complications and inconvenience during the transition process as also after the regulation deadline.

    We believe that the regulation related changes are not complex per se; the challenge lies in actively motivating the physicians’ teams to adopt these compliances by underlining their relevance and scope in effective patient healthcare and improved revenue cycle management.

    The niche of Medicalbillersandcoders.com remains revenue cycle management and solutions to problems around optimized revenue cycles. MBC as a market force believes that it is best equipped to handle physician difficulties given its hundreds of billers and coders who cater to all specialties and face operational difficulties everyday.
    MBC offers comprehensive consultancy services to optimize the revenue generation of healthcare providers by a thorough analysis of their revenue cycle management. Our experts minutely scrutinize the various stages of revenue cycle management to identify the root causes of revenue leakages and inefficiencies in order to provide pro-active solutions for healthy revenue generation.

    MBC aims to provide value-added consultancy across the spectrum of healthcare services throughout the US.

    3:55 pm
    Primary care Physicians to be the most affected by the proposed 30% CMS Cuts on Medicare payment for

    The physicians’ proposed fee schedule issued by the Centers for Medicare & Medicaid Services (CMS) for 2012 includes approximately 30% payment reduction in Medicare payments. If the proposed Medicare cuts become a reality, it may result in the primary care physicians, both government employed as well as private physicians, withdrawing from Medicare, as it is bound to turn the odds against them in terms of financial feasibility.



    This will ultimately affect the end users i.e. the patients, particularly the senior citizens as their access to physicians is likely to reduce. A large number of physicians are looking forward to a permanent solution for this problem which can be achieved through the proper implementation of sustainable growth rate (SGR) factor.



    With the inevitable incorporation of latest regulation such as EHR, PQRS, and ePrescribing in the healthcare scenario, the role of primary care physicians is set to be even more pertinent and active, putting more burdens on them. This might further aggravate the situation envisaged by the proposed 30% Medicare cuts.



    The physicians need to gear up to face this challenge of payment cuts by making their system more efficient. They can hire experts to handle their revenue cycle in order to concentrate more on their core competencies like patient care and research. These experts can optimize physicians’ billing and coding process to enhance their reimbursement cycle. This will definitely go a long way for physicians to sustain their business profitably even after the Medicare cuts.




    3:55 pm
    Professional Revenue Cycle Management Consultancy Services by Medicalbillersandcoders.com

    The physicians’ proposed fee schedule issued by the Centers for Medicare & Medicaid Services (CMS) for 2012 includes approximately 30% payment reduction in Medicare payments. If the proposed Medicare cuts become a reality, it may result in the primary care physicians, both government employed as well as private physicians, withdrawing from Medicare, as it is bound to turn the odds against them in terms of financial feasibility.



    This will ultimately affect the end users i.e. the patients, particularly the senior citizens as their access to physicians is likely to reduce. A large number of physicians are looking forward to a permanent solution for this problem which can be achieved through the proper implementation of sustainable growth rate (SGR) factor.



    With the inevitable incorporation of latest regulation such as EHR, PQRS, and ePrescribing in the healthcare scenario, the role of primary care physicians is set to be even more pertinent and active, putting more burdens on them. This might further aggravate the situation envisaged by the proposed 30% Medicare cuts.



    The physicians need to gear up to face this challenge of payment cuts by making their system more efficient. They can hire experts to handle their revenue cycle in order to concentrate more on their core competencies like patient care and research. These experts can optimize physicians’ billing and coding process to enhance their reimbursement cycle. This will definitely go a long way for physicians to sustain their business profitably even after the Medicare cuts.




    3:48 pm
    Primary care Physicians to be the most affected by the proposed 30% CMS Cuts on Medicare payment for
    The physicians’ proposed fee schedule issued by the Centers for Medicare & Medicaid Services (CMS) for 2012 includes approximately 30% payment reduction in Medicare payments. If the proposed Medicare cuts become a reality, it may result in the primary care physicians, both government employed as well as private physicians, withdrawing from Medicare, as it is bound to turn the odds against them in terms of financial feasibility.

    This will ultimately affect the end users i.e. the patients, particularly the senior citizens as their access to physicians is likely to reduce. A large number of physicians are looking forward to a permanent solution for this problem which can be achieved through the proper implementation of sustainable growth rate (SGR) factor.

    With the inevitable incorporation of latest regulation such as EHR, PQRS, and ePrescribing in the healthcare scenario, the role of primary care physicians is set to be even more pertinent and active, putting more burdens on them. This might further aggravate the situation envisaged by the proposed 30% Medicare cuts.

    The physicians need to gear up to face this challenge of payment cuts by making their system more efficient. They can hire experts to handle their revenue cycle in order to concentrate more on their core competencies like patient care and research. These experts can optimize physicians’ billing and coding process to enhance their reimbursement cycle. This will definitely go a long way for physicians to sustain their business profitably even after the Medicare cuts.

    Wednesday, August 10th, 2011
    4:38 pm
    Latest Coding Resources and Products Available Online, for a Fee
    Coding is a very crucial step in a clinic’s revenue cycle process and coders need to keep themselves updated with changing industry regulations and norms to remain competitive. But the question is how? The latest online coding resources offered by the American Medical Association have come as a blessing for the coders by providing electronic access to authoritative coding and compliance resources, as well as updates to the latest coding, billing and compliance changes.

    The AMA Coding Online has made available some of its best selling coding products such as CodeManager® in various editions, CPT® Assisstant with latest updates and historical information, RBRVS DataManager as well as many more. These products carry current updates (including quarterly/annual updates) as well as historical changes and are available with clinical examples, illustrations, and description in relevant cases.

    The website is a veritable storehouse of latest coding resources and products for coders who would like quick and pertinent answers to their routine professional queries and stay abreast of the changes and trends; it also provides the physicians with a readymade facilitator to train their staff as well as authenticate coding to external sources.

[ << Previous 20 -- Next 20 >> ]
Medical Billing Companies   About InsaneJournal