Miscommunication between the healthcare providers and coding professionals is one of the major reasons behind improper medical billing. The billing system in US has turned complex due to its Affordable Care Act (ACA). With more Americans heading towards insurance coverage in 2014, the possibility of errors has increased. Industry facts: As per an estimation by […]
Despite how you feel about the ICD-10 delay, make it work for you, not against you. The ICD-10 compliance date has been extended to October 2015 and while some doctors are disheartened by the delay others are happy. This extension will help practices to prepare better for the implementation of the additional codes ready to […]
Considering the rollout of healthcare reforms and deadline for ICD-10 transition, 2014 will prove to be a challenging year for physicians. Medical billing and reimbursement changes in 2014: 20.1% drop in Medicare reimbursement has been announced by CMS for professional services. While some specialties will benefit in 2014, other specialities including pathologists, interventional pain management […]
Shortage of billing and coding staff remains to be one of the major problems faced by medical practices. Providers find it difficult to enhance revenue and sail through billing challenges as finding and hiring qualified coders and billers is difficult and expensive. How will the shortage affect your practice? The market not just lacks qualified […]
Given the increasing complexities of reforms that are affecting the day-to-day operations of healthcare organizations, a generalized workforce has to make way for specialists responsible for specific areas with clearly defined tasks to perform. In a healthcare operation driven by specialists, a physician will know who to handover medical details to, to be used for […]
As a result of Medicare Sustainable Growth Rate (SGR), physicians face Medicare payment cuts annually. Even though the Congress often steps in to stop the reductions, it has been reported that Medicare reimbursement for physicians will be slashed by 24.4% in 2014. Physicians and senior citizens to bear the brunt: Even though annual Medicare cuts […]
Physicians across the US continue to struggle with implementation of Health IT and Meaningful Use, failing to earn incentive payments. Even though CMS is trying to increase the number of providers successfully attesting to Meaningful Use, practices seem to be unprepared for meeting the requirements. Do you have an underperforming EHR? Practices struggling to adopt […]
Healthcare industry has undergone rigorous transitions in the past 10 years to ensure efficient care cost and service delivery. In addition to that focus has shifted significantly towards patient interest and installing ways to safeguard it. With new ICD 10 and CPT coding changes around the corner and hospitals being encouraged to participate in Affordable […]
Multiple strategies will be required by medical practices to cope with an anticipated drop in productivity due to ICD-10. Coding, claims processing, case management, decision support and follow-up (electronic medical billing system) are likely to face greatest impact due to the new system. Therefore, it has become important for providers to prepare for any type […]
Not just small practices but hospitals in the US are also facing the pressure caused by healthcare reforms. Many hospitals are closing down, merging with bigger hospitals or experiencing major financial problems. It is being expected that 2014 will also bring various challenges for hospitals in the US for which, they will have to be […]
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