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 the way Chiropractic is seen in medical circles, an over hauling of revenue models of […]
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 charging for the services has shifted towards the resource costs that are incurred in providing […]
From a long period of time, the healthcare industry has followed the traditional model of payment for claims settlement – fee-for-service model – where specified amount has to be paid for the healthcare service. Recently, the health insurance companies are adopting to new payment models, and they have actively begun considering and testing the new […]
The transition to newer payment models is a key issue in the healthcare industry. These reforms are focusing on increasing value, by offering high quality at low costs. We will take a look at few payment models, and then analyze the multiple challenges that the healthcare sector will face during the transition to value based […]
Medical billing process is evolving with new healthcare reforms and value based payment models being introduced into the healthcare industry. It is being forecasted that in the next five years, more than half of health plans will be supported by value-based payment models out of which more than 60% are already mid-way through its implementation. […]
Hospitals, physicians and other care providers require being paid in a more systematic manner to help enhance quality of healthcare that too at a low cost. The current fee-for-service system in the US through which physicians are paid has been considered a major reason for escalating costs in the healthcare system. Under this system, physicians […]
Pay-for-performance programs are a great way of rewarding health care providers but do you have the time and resources to make your medical practice eligible for such rewards? There is no doubt that these programs provide encouragement to doctors and better services to patients but several challenges are also related to pay-for-performance- In order to […]
Optimizing Fee Schedules for Physicians: An Overview The fee schedule for any physician practice is an important pecuniary factor that affects not just your revenue but also the way in which healthcare is delivered to the patients. Many practices fail to update their fee schedules on a regular basis which can affect the profitability and […]
While we are not alien to the term ‘pay-as-you-go’, it is something that is catching the imagination of physicians opting for outsourced medical billing services. Unlike in the past, when ‘pay-as-you-go’ was sporadically availed by a few physicians, it is now emerging as a viable alternative to long-term contractual medical billing services. Well… what is […]
Medicare, which continues to remain as the nation’s largest public health insurance scheme covering nearly half the United States’ population in its health insurance ambit, has gone through considerable reforms over the years. In fact, the evolution of Medicare can be defined as: Phase-I when it actually used to reimburse physicians the actual cost of […]
