Will Medicaid and Medicare Reforms See Rise in Healthcare Standards by 2015?

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 […]

Posted by Medical Billers and Coders October 25, 2013September 9, 2016EMR / EHR / Health IT, Healthcare Reforms

How to Overcome the Effects of CMS 2013 Fee Schedule on Cardiology Billing

CMS 2013 fee schedule brought good news for family physicians and primary care providers but it has proved to be a mixed bag for cardiologists with 2 to 6% cut in Medicare fees. At a time when cardiology practices are already vulnerable, cuts in payment for vital cardiovascular services have affected their revenue cycle. Combined […]

Posted by Medical Billers and Coders October 1, 2013August 6, 2016Cardiology Billing Services, Healthcare Reforms

Maintaining Profitability At Your Practice Amid Healthcare Reforms!

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 […]

Posted by Medical Billers and Coders September 2, 2013July 28, 2014Healthcare Reforms, HIPAA / ACA / ACO

Hospitals Adapt To The New Upcoming Innovative Payment Models!

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 […]

Posted by Medical Billers and Coders August 6, 2013June 3, 2021Healthcare Reforms

Reforms Prompt Physicians To Opt For Billing Guidance To Increase Profitability!

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. […]

Posted by Medical Billers and Coders August 5, 2013August 13, 2014Healthcare Reforms

Value of Documentation Amidst Healthcare Reforms

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 […]

Posted by Medical Billers and Coders July 18, 2013August 13, 2014Healthcare Reforms

Family Practices Handle New Updates and Coding Changes in 2013 with Efficient Medical Billing

Efficient medical billing practices can strengthen the financial backbone of a family practice and allow family practitioners to focus on the service aspect of their practice. However, in a constantly evolving healthcare industry the need to Update Medical Billing at regular intervals becomes absolutely indispensable. It goes without saying that the year 2013 will see […]

Posted by Medical Billers and Coders June 17, 2013July 28, 2014Healthcare Reforms, Revenue Cycle Management (RCM)

Physicians Balance Healthcare Reform Demands with Work Demands through Effective Medical Billing

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 […]

Posted by Medical Billers and Coders June 14, 2013July 28, 2014Healthcare Reforms

Cardiology Practices Cope with the Challenges Emerging from Changes in Medical Record Auditing

Medical record auditing is undergoing changes and this has made even the most prepared physicians nervous. Quality of care and services offered by a medical practice is determined by the thoroughness of clinical documentation and medical records maintained by the practice. Therefore, for every Cardiologist, already facing the recent revision to cardiology fee schedule besides […]

Posted by Medical Billers and Coders June 4, 2013July 28, 2014Healthcare Reforms

Physicians Realign Their Strategies to Meet the Challenges of Healthcare Reform

After reforms, the American healthcare industry is seeing a curious change: healthcare providers are adjusting their practice models to suit the needs of Affordable Care Act. A quick look at some of the factors that are provoking these changes will bring about how the changes have not left (or will not leave) any aspect of […]

Posted by Medical Billers and Coders May 15, 2013July 28, 2014Healthcare Reforms