How Will Patient Engagement Affect Your Value-based Reimbursement?

Patient Engagement is an invitation for participation with shared decision-making and to create a take on aspects of communication-channels which will provide the patients the benefit of managing their own health under the care of physicians or with the member of the healthcare team. An activated or engaged patient will provide the healthcare system with […]

Medical Billing: How Training Matters for Coders?

Accurate medical billing is important to achieve sustainable success for your medical practice. When centers lack in training their in-house coders, compliance is threatened. Below mentioned are the facts that you should know: According to several reports, up to 85 percent of medical bills contain coding mistakes resulting in $70 billion in estimated losses. 45 […]

How can Outsource Medical Billing Transform your Patient Care?

As a healthcare provider, your primary concern is with your patients. For you to provide better financial wellbeing your practice enables the highest quality of service. Unless your practice gets the permitted level of return for this you need to provide the best of patient care. To make your practice ready for the best of […]

How to Make Your Practice MACRA Rule Ready?

CMS has already finalized the reform and the payment structure for the Medicare clinics this further paves the way for value-based care. For some physicians, the very term MACRA Rule has got them into enough dizziness. MACRA comprises more than 2,400 pages of regulations; so we don’t really expect a different reaction from the physicians […]

How Can Billing Companies Overcome Their Worst Nightmare?

Medical Billing since its inception has both equal parts of Healthcare providers and insurance companies. For Healthcare providers it’s more in the part of reimbursement while for the insurance companies, it’s holding their profits. As Billing became more and more complex with the inclusion of other regulations the need skilled billers and coders was felt […]

Relative Value Units (RVU): Independent Physicians Need To Know

For managing finances, computation of values or formula is used in the United States Medicare for reimbursement of independent physicians. Known as Relative Value Units (RVUs), it was devised in 1988 to calculate the work rendered by physicians for treating patients. It differs chiefly from physician to physician in terms of services rendered; for e.g. […]

3 Unknown Myths about AR Pile-Up

Accounts Receivable (AR) is one step that divides the reimbursement and claims; the older the claim gets, the harder it becomes for claims to get reimbursed. For practice when AR slips below a certain level you either have a pretty large backlog to be sorted out, or you can see that it becomes impossible to […]

What do Providers and Medical Billers Need to Know about the Final MACRA Rule?

Indicating a departure from the volume-based, fee-for-service model, MACRA now replaces the SGR – sustainable-growth-rate-formula to control Medicare costs. The MACRA rule is all about linking Medicare reimbursements to the quality metrics with the medical billers which will be now rewarded for offering value-based quality services. MACRA revokes the set payment rates based on economic […]

Leverage data analytics for medical billing to improve patient experience

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Health systems and hospitals across the nation are faced with different revenue management challenges, some of which are caused by the rise in the transition to the value-based payment alternatives, consumerism, and high deductible health coverage plans. Off late, it has pushed patients to become more involved in healthcare decision making. Better transparency into costs […]

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