The changing regulatory pressures coupled with evolving payments and care delivery models are known to have implications on physician’s time especially when it comes to direct care for the patient. In order to implement better care delivery models many practices outsource either part or the entire RCM process. How can one make such decisions? Based […]
Accurate coding and billing processes are the core elements for a successful compliance program for healthcare providers and physicians which can translate into a successful Revenue cycle Management process leading to enhanced revenues. It involves appropriate and precise application of billing codes, diligent documentation of medical records, and correct charging for medical services rendered. But, […]
When doctors take the Hippocratic Oath they vow to take care of the patient and uphold ethical standards. However, in the modern era, only following the traditional custom will cause the physician to run out of business. Revenue Follow-up is one of the most important tasks for a physician. Having said that, the fact is, […]
We, the healthcare providers, all waited with bated breath as the October 01, 2015 drew close – the day when our systems would transition from ICD-09 to ICD-10 coding system. The blogs and articles tried to draw up as many resources as they could to help healthcare providers get more aware of various gaps, pitfalls, […]
With underpayments galore, and incentives that are not so very attractive, Medicare is proving to be adept at what it does best – lower the fees further with providers. Although the behemoth that Medicare turns out in its favor while bludgeoning down physicians’ fees, it may turn out to be its Achilles heel after all. […]
We are stepping into the New Year! 2015 has been a roller coaster ride with multiple healthcare changes that took place, the greatest of them being the implementation of ICD-10. Healthcare centers handled these changes pretty well, of course with effects that were pretty much visible. Striking a balance between the administration work and patient […]
Health providers have not always been meticulous when it comes to patients billing, and have suffered reimbursement setbacks. Added to this, were wrongly coded claims, no timely follow-ups with denial claims and A/R billing. However, with the changing healthcare reforms, CMS rules and regulations, and the ACA act, popularly known as the Obamacare Act, physicians […]
Doctors, whose raison d’etre is to heal, actually end up focusing on loopholes in their billing process than focusing on tending the patients. Healing their patients and working towards healing the shortcomings of their billing process, resulting into denials is more of a balancing act. Most often there is a question as to why bills […]
It has been observed, that since 2008 and after the Affordable Care Act (ACA) has come into being, there has been a major doubling of patients with high deductibles plans. People often have picked a high deductible plan because it has a lower premium and out-of-pocket expenses are lower and can fit into their budget. […]
With an increase in high-deductible plans, soaring medical bills, new rules, and increasing patient responsibility, patients are usually not ready to pay high bills. Nevertheless, a few below-mentioned strategies can gauge and boost the ‘Patient Payment Collection’ process. Patient Payment Collection process: Payment type: To provide maximum flexibility, make all types of payments available at […]
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