If we consider the budgetary formula enacted in 1997 by the Congress, Medicare reimbursements might get reduced by 25% by 2014. A large number of doctors are already refusing to see Medicare patients due to low payment and with this further reduction, more doctors might refuse to accept Medicare patients. It has been estimated that […]
Challenges faced by physicians accepting Medicare patients: Medicare enrollment process is one of the main challenges faced by physicians. Due to various problems found in the enrollment process over past years, Medicare billing has become daunting for providers. Increased paperwork and low reimbursement rates are also some of the hassles due to which many doctors […]
In order to ensure timely payments, practices need well-trained billers and coders who can understand the difference between Medicare and Medicaid billing claims. Why you need expert staff for Medicare billing? A large number of providers, including institutions and licensed individuals get majority of their income from treatment of Medicare beneficiaries. Since this program is […]
Modern healthcare challenges have become so numerous and daunting that they leave healthcare organizations in a constant state of flux. Take the challenges posed by new technologies used to perform various procedures involved in treatment episodes. Each time a new diagnostic tool arrives, healthcare organizations have to both acquire and adapt to it. Both have […]
With more than 90 million Americans covered under Medicare and Medicaid insurance services, the U.S. healthcare system is heavily dependent on the success of healthcare reforms to improve care standards. All healthcare reforms are currently focusing on two parameters of care – cost and quality. Every new rule and guideline which is being introduced is […]
The US health care system has undergone major reforms in the last few years. This includes adoption of new healthcare IT reforms such as EHR (Electronic Health Records) and EMR (Electronic Medical Records). It has also changed the way physicians are reimbursed. The cuts imposed on Medicare leaves doctors with reduced revenue resulting in negative […]
Hospitals, in the US, are facing considerable challenges in the wake of innovative payment models. Innovative payment models are four different types of payment modules which apply to various phases of treatment episode and involve payment to the provider in the form of bundled payments. To understand how these models work, it would be helpful […]
Numerous US clinics profitability ratios have been depicting a downward trend and according to a recent physician survey, two thirds of the participants predict low profitability for the year ahead. This is not a positive scenario, and to change it first we have to consider the factors which are affecting the profitability of these clinics. […]
Challenges faced by practices today Medical claim denials are very frequent; due to computer technologies that detect the slightest of errors and immediately reject such claims. The reasons for rejection can range from registration inaccuracies, invalid diagnosis code to lack of authorization and common insurance glitches such as ineligibility for insurance, maybe a case of […]
Due to the new reforms brought on by the Obama administration, healthcare centres across US are soon likely to receive increased number of patients, handle increased number of administrative activities and hence require to spend increased amount of time on balancing work and reform pressures to be able to run a profitable practice. Difficulties in […]
