Category Archives: Payment Models

Analyze your Current Pathology Billing Process

Providers in various specialties have to face increasing hardships given the healthcare reforms and CMS rules & regulations. The pathology practitioners are today challenged by declining payments, changing payment models and competitive pressures. Pathology practices need to make medical billing … Continue reading

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Ways in which Healthcare Analytics are Ensuring Better Patient Satisfaction

Critical patient care has been backed by pushing through the Value based performance payment model along with a few other subsidiary payment models that tie into it. But given the number of footfalls, with the Affordable Care Act (ACA), which … Continue reading

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The Impact of Financial Incentives on ICD-10 Debate

ICD stands for International Classification of Diseases and its codes hold important information with respect to managing health and treating conditions. The healthcare system in USA relies on a set of codes known as ICD-9 to document diagnosis and in … Continue reading

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How Streamlined Medical Billing Helps Deal with Pay-for-Performance Challenges

Due to variations in health plans, physician performance and rise in healthcare costs, a significant number of practices in the US are implementing pay-for-performance incentive program. P4P started in the private sector but due to growing popularity it crossed over … Continue reading

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Will fee-for-Value Billing Model Lead to Employee Attrition in Healthcare?

Fee-for-Value or Pay-for-performance billing models are making waves in healthcare industry and care providers are finding it increasingly difficult to adapt to the changes brought on by them. Most importantly, this change in billing model is accentuating pressure on current … Continue reading

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Chiropractic revenue model facing billing changes in 2013

Chiropractic as an alternate field of medicine has always suffered the problems of effective billing and revenue management due to lack of priority given to it as a non primary care practice. However, with recent healthcare reforms bringing change in … Continue reading

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Utilizing the Medicare Physician Fee Schedule Accurately to Increase Revenue

The Physician Fee Schedule contains valuable information regarding reimbursement and coding for Medicare patients. The Schedule was implemented in January 1992 before which service charges revolved around reasonable and prevailing charges. After the implementation of the schedule, the basis of … Continue reading

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