Medical Billing and RCM Blogs

Medical Billing Consultancy Role in Practices Planning for ICD-10 Conversion

The extent and scope of ICD-10’s clinical and operational impact is such that it is going to influence how functional departments coordinate and operate internally among themselves as well as with external entities such as payers and regulatory bodies. Therefore, it is imperative that providers migrate to clinical and operational practices that best endorse ICD-10 […]

Medicaid vs. Private Insurance: Providers’ Perspective

Medicaid not only plays a significant role in helping disabled and indigent people in the country but also provides important financial support for long term care patients. However, Medicaid also has a pivotal role to play in crowding-out private players in the insurance industry. Medicaid is essentially for poor people or indigent individuals and families […]

Practicing Medicine in Multiple States: Inherent Medical Billing Challenges

Contrary to single-location practices that were the norms during olden days, the recent trend has been the exploring of practice opportunities in multiple locations. It is not strange for a medical practice/clinic/hospital to expand its operations beyond the original location once it has built up a considerable reputation. Moreover, multiple-location operation has its own advantages: […]

Driving Patient Engagement Through Healthcare-Based Social Media

From seemingly innocuous platforms for personal interaction amongst registered community members, social media (comprising Face Book, Twitter, and other interactive sites) has emerged as a powerful channel for marketing. In fact, its business-utility has grown to so much that it has evolved to be a parallel channel to the traditional mode of advertising of products […]

Averting common operational & legal pitfalls at your medical practice

Medical practice and legal issues have long been inseparable. History is full of examples wherein practices have run into legal hassles, and eventually been penalized with criminal as well civil charges. Barring some strange cases that have been intentional, physicians have had to pay for what is known as negligence or reluctance to avail medico-legal […]

The Growing Shift from Private Practice to Hospital Employment

There seems to be something really interesting as far as the shift from private practice to hospital based employment recently: A consistent 2% annual decline in private practicing by physicians, which is expected to be at 5% annually by 2013 An upsurge in hospital employment accounting for nearly 51% of the physicians employed last year, […]

The Impact of Hospital Billing Processes on Patients’ Longer-Term Satisfaction

The way that business offices can have reference patterns amongst consumers is a tactical opportunity as the insurance market moves to high deductible plans and hospitals take in new physicians into their business. According to a survey conducted by Connance in 2011 Americans who received hospital services in the past 2 years, merely 21% of […]

Exodus to Hospital-Based Employment and its Effect on Healthcare Industry

While the recent healthcare reforms ushered in by the Federal Government promises to elevate clinical and operational efficiency across the nation’s healthcare continuum, it is also going to induce physicians into a more accountable and responsible quality clinical regime. The imminent Accountable Care Organization Model, Medicare cuts, the fear of Sustainable Growth Rate (SGR) backlash, […]

The Changing Face of Primary Care: An Overview

The shortage of PCPs in the United States has been a well-publicized and well-documented issue. However, the solutions to the various issues faced by primary care in the country have been obscure even after the implementation of the Affordable Care Act. The complications in finding the solutions to the challenges faced by primary care stem […]

Is Medicare and Medicaid Reimbursements fairer than Private Insurers: a Brief Comparison

Various providers despite being paid lesser by government than by commercial insurers believe that Medicare and Medicaid reimburse more fairly than commercial payers. Findings from a recent survey depicted that 93% of respondents feel that Medicare is fair always or frequently while 62% felt the same about Medicaid, whereas 62% were of the view that […]

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