Payment Models Archives

Measuring the Impact on Physician Reimbursements With Upsurge in Retail Clinics

“As medical service providers try to adapt themselves to these altering equations, their ability to manage clinical and operational functions would invariably involve the next level of efficiency. While there is ample scope for revenue augmentation amidst a booming health insurance scenario, there is also the issue of keeping the quality of medical services on […]

Physician Bundle Payment Plans: Improving Claims Generation

Healthcare is costly in general and what makes it more prone to increase in costs is that it comes in phases: pre-hospitalization, hospitalization and post-hospitalization. To address the situation and provide patients with an all-encompassing payment package, many payment modules have been tried out over the years across all states of the US. But the […]

Upfront Realization as the catalyst for accelerating Physician reimbursement

“As physicians juggle with their core medical focus and issues related Upfront Collections, there would eventually be an adverse impact on their ability to afford quality medical care. Therefore, sooner or later, they would have to decide on outsourcing the competent services that can offer the best upfront Collection as part of the comprehensive Revenue […]

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Deciphering Medicare Fee Schedules

A proactive affinity to Medicare Fee Schedule alerts physicians to the efficacy of attending to Medicare beneficiaries, and also plans their revenue prospects in advance. But, with the legislation firm on mandatory medical service to Medicare patients, physicians are inevitably driven to seek and understand Medicare Fee Schedule. The sheer volume of Medicare transactions (more […]

Bundled payment initiative to lower healthcare costs, help coordinate care

A new program to aid and improve patient care while patients are in the hospital and after they are discharged has been announced by the U.S. department of Health and Human Services (HHS). These initiatives will also motivate doctors, nurses and specialist to perform coordinated care and hence reduce cost. Till date, hospitals, physicians, and […]

Impact of Federal Debt Ceiling on Medicare Payments to Physicians

Debt ceiling on Federal Debt is a perennial topic for debate in the US healthcare scenario. Debt ceiling or Debt limit is the brink to which U.S. Federal Government can raise debts to fund its budgetary allocation. Although there have been instances in the past that allowed for raising debts well over the statutory limit, […]

The Proposed Medicare Cuts, and Its Imminent Repercussions

The Congress’ balancing act aimed at increasing nation’s debt, and decreasing federal spending has quite expectedly singled out Medicare – which is one of the priority spending sectors in the Federal Budget – as the nucleus of its growing deficit budget, and the one that requires immediate controlling measures either in terms of careful structural […]

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