The Challenges Faced by Primary Care Physicians and Possible Solutions

The shortage of primary care physicians in the United States will soon worsen due to the added pressure on resources because of healthcare policy changes by the government. The rising number of elderly people in the country is also putting tremendous pressure on the services provided by primary care physicians. A white paper by the […]

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Physician Billing Facing the Biggest Financial Challenges in a Changing Industry

Some populist policies of the Obama government related to healthcare have left hospitals in all the states of the US to deal with more of what they should be doing less, preparing insurance claims and realizing payments. In fact, a survey by Thomson Reuters, in 2011, mentions hospital CEOs saying that reimbursement cuts and new […]

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Exploring Possibilities of Merger Among Hospitals

While people managing healthcare setups have largely been successful in elevating the quality of medical care, the task of orchestrating mergers might seem altogether a different proposition for them – successful management of mergers require bringing together diverse resources, styles, culture, and financial structures into one harmonious unison. Although collaborative clinical management is not a […]

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Reimbursement Cuts: Texas Doctors Using Personal Resources

Small private practices struggle to survive, even as Texas Medical Association (TMA) President reported a significant worsening of the practice environment with various physicians using money from their personal reserves or secured bank loans to keep their practices going. According to AMA news nearly 51% of Texas doctors dug into personal funds. Various national reports […]

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States Mimicking Medicare – Experimenting with Accountable Care Models for Medicaid

Accountable Care Organizations (ACO) model’s popularity is growing and mirroring Medicare almost 11 states are trying ACO models for their Medicaid programs by adding initiatives resembling ACO’s to their programs, moreover various providers who initially were vary of Medicare ACO models are showing interest in the state versions as well. With the exact number of […]

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Hospital EHR Payments Doubled in the Last Quarter Exceeding $1.9 Billion

Hospital payments escalated to more than double from October through December 2011 exceeding $1.9 billion, through the Medicare and Medicaid electronic health-record (EHR) system incentive programs, as reported by CMS’s latest monthly report. Both physicians and other eligible professional’s payments also increased 99% during the same period to nearly $570.4 million. According to CMS the […]

Read More.. Hospital EHR Payments Doubled in the Last Quarter Exceeding $1.9 Billion

Analyzing Revenue Management Techniques for Ophthalmologists

“While Ophthalmologists seek to reinvent their clinical and operational model, the booming prospect of patient influx – 43 million by the year 2020 comprising age-related eye diseases, including cataracts, diabetic retinopathy, glaucoma and age-related macular degeneration– should also be encouraging to their hearts. But, the issue of realigning their clinical and operational model to the […]

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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 […]

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Balancing ACO Objective with Physician Reimbursement Maximization

As the U.S. healthcare sector looks up the Accountable Care Organization (ACO) Concept of healthcare delivery with great expectation, physician community is quite apprehensive about their ability to garner reimbursements under a new healthcare delivery altogether. While ACO itself is not a novel concept – there have been umpteen examples of institutions operating on ACO […]

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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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