As a physician, you start growing in your practice you will realize that you need to outsource part or all your billing routine tasks to be more productive and efficient at work. HIPAA compliance is not really an option. All medical practices and businesses must be compliant to stay in business. What Is HIPAA? Health […]
Cancer patients admitted to an emergency or intensive care unit (ICU) have some critical requirement of basic care needs because of their unknown illness; time-point in the treatment plan and treatment-related deadliness resulting in organ damage, hemodynamic infection, or blood contamination. Over the past two decades, therapeutic advances have reshaped not just the medical approach […]
In an old-fashioned practice model, the physician is solely responsible for most, if not all of the work undertaking of his facility, which also involves charge entry, to medical billing and coding till the time of claims reimbursements. Sharing the workload With the team care model, however, the physician and clinical assistant share these responsibilities. […]
CMS released the proposed Outpatient Prospective Payment System – OPPS rule for 2018— which includes a major proposed cut for separately payable drugs purchased under the 340B program. The proposal would reduce reimbursement for separately payable Medicare Part B drugs purchased at 340B prices. Reimbursement would drop from average sales price plus 6% to ASP […]
The Center for Medicare and Medicaid Services (CMS) proposed a new rule that will update the payment policies and rates. The update will specifically cater to Hospital Outpatient and Ambulatory Surgical Centers (ASC). The rules will set forth a motion to promote efficient service and promote higher quality service for all the Medicare beneficiaries. The […]
The family practice is an intermediate between the patient and a specialty doctor. As most family practice doctors today grapple with the complexities of billing and regulations, finding an easy solution remains elusive. Managing different situations at a family practice is becoming a growing concern, especially as specialists prepare for real-life healthcare challenges. Increasing workplace […]
Claims management and reimbursement are changing in healthcare and one of the strongest signs of those is the Affordable Care Act. As the act has come to inclusion is has resulted in different billing regulations this has led to many healthcare organizations to consider the patient-centered care model. The providers are reeling under the low […]
A large Home Medical Equipment (HME) billing service provider is looking to aggressively expand its RCM business. In the business world as well as in the healthcare field growth is good. However, with growth comes a unique challenge; which may or may not be solved. Even though evolving or growing medical facility services may not […]
We all love helping people, especially those in distress. More importantly, you wouldn’t run a Chiropractic clinic, if you didn’t love assisting those requiring special medical help. With a specific end goal to encourage your patients (customers), you should first encourage yourself. In this day in age, insurance agencies and government regulations can make it […]
Is your hospital facility billing continuously facing errors? Within any of your medical accounts in terms of Revenue Cycle Management (RCM) is that restricting your organization’s cash flow? There are a few common problems that have affected the current Hospital Billing setting which can be avoided in a few steps. Claim Denials One of the […]
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