Private insurers leaning towards Medicare and Medicaid to maintain profitability amidst healthcare reforms

Over the past 3 years, rise of 36% to 42% has been depicted in the share of large insurers’ revenues due to federal programs – Medicare and Medicaid. According to the research division of Bloomberg- insurers are likely to further increase their reliance on federal government post the implementation of the health-care law in 2014, […]

The Primary Care Physicians Shortage in California

California is facing an increased shortage of primary care physicians, especially with a rise in the elderly population, leading to increased health coverage under Federal healthcare reforms. Additionally, 30% of primary care physicians in the state are nearing retirement, being above 60 or older—the highest percentage in any state. However, compared to the shortage, the […]

Uninsured Population Rate Percentage vs. Physician’s Density Ration in Texas, Mississippi & Oklahoma

Physicians work scope is expected to change with millions of Americans to gain health insurance through the Affordable Care Act in 2014. On the upside Physicians especially primary-care provider will experience higher demand transforming to higher reimbursements and job security. However, on the other hand other healthcare reform initiatives would require better quality patient care […]

Understanding Physician Assistants Reimbursement Environment

“Amidst all these overriding Medicare or health insurance guidelines surrounding the reimbursement for their assistants’ services, physicians would invariably feel exhausted for doubling up as medical billers along with their primary focus of clinical efficiency. Therefore, physicians would be well-off outsourcing medical billing services that are adept at handling their assistants’ reimbursement issue along with […]

Orienting Your Support Staff to The Integrated EHR Eco-System

“Before expecting your support staff or divisional departments to contribute qualitatively into the integrated EHR system, care must be taken to identify and train them for orienting them to the mechanism of the EHR” By now medical practices must have realized that EHR is not just about technology but beyond that. As EHR becomes mandatory […]

Dispelling Hospitals’ Reluctance in Adopting Alternative Therapy & Medical Billing

“As much as its popularity amongst larger population of patients, Alternative Therapy may well become a viable alternative in ensuring hospitals’ uninterrupted sustenance and growth. And, judging by its popularity, it may well become an integral part of comprehensive medical services offer by majority of hospital” Many a times, proven medical treatment or intervention may […]

Revenue Management & Being Vigilant amidst the impending Medicare backlash

“Although, physicians can expect their Medicare reimbursements to be unhindered at least for another year or so, they need to equally vigilant with their medical billing, coding, submission, realization, and the Revenue Cycle Management so as to be sure of not letting their Account Receivables (A/Rs) beyond the expiry of the current window for Sustainable […]

Medical Reimbursement Issues Push Physicians to Flee Hospitals Triggering a Teverse Trend

For over a decade, US healthcare has seen hospitals integrating with primary healthcare physicians across all the states of the US, challenging the traditional notion of primary care as a separate set of services from hospital healthcare, to provide all types of healthcare services under one roof and ensure mutual benefits that help all the […]

Making physicians’ knowledge transition to ICD-10 and HIPAA 5010 easier, efficient and meaningful

Physicians requiring to upgrading their coding knowledge to a more exhaustive ICD-1O system More than any other clinical or operational entity that needs to realize the affinity to the ICD-10 and HIPAA compliant medical data filing and processing, it is your physicians that require show the lead. As physicians are the first-contact of clinical encounter, […]

Making ICD-10 transition easier, efficient and meaningful

By now medical practices must have realized that the transition to ICD-10 means more than just learning a new code set and upgrading the existing software. As medical practices embark on the transition to a more radical system of clinical and operational regimen, the deadline for which is set at October 1, 2013, they are […]