Given the alarming statistics about medical billing industry average – 14% of all claims submitted to the payers are denied and have to be resubmitted, appealed or written off by providers, 50% of denied claims are never re-filed, and 50-70% of denied claims have higher chance of being recovered – physicians’ reasoning seems to be […]
Unlike physician practices of yesteryear’s, physician practices today have found themselves surrounded by a larger pool of stakeholders: patients, government, and insurance carriers. While physicians commitment to quality medical services continues to be unquestionable, their ability to comply with escalating government’s healthcare norms, and insurance providers’ stringent reimbursement policy has been found wanting. As the […]
The Center for Medicare and Medicaid services is poised to take bigger steps in preventing fraud and abuse by increasing its monitoring and analytics capabilities. CMS will conduct enrollment and medical claims analytics to keep frauds out of Medicare, for this some necessary technology is already deployed, while the other systems will be ready by […]
Center of Medicare and Medicaid services released the final accountable care organization rule. ACO’s consist of physicians, hospitals, and other providers in various combinations that attempt to coordinate the care of Medicare patients with the goal of improving its quality while reducing costs. Successful ACOs would be entitled to share any savings they produce for […]
State budget cuts have started affecting the mental healthcare services in many states. According to a study, states have cut more than $1.6 billion in general funds from their state mental health agency budgets from fiscal years 2009 through 2012. On the other hand demand for public health services is increasing, especially at a time […]
While physicians and health insurance providers have been indispensable and integral to US healthcare industry, the trust with each other has not been all that convincing – physicians being apprehensive of growing rate of denial and delay of their patients’ health insurance claims, and health insurance carriers being suspicious of physicians’ integrity in medical billing. […]
“Although, in-house medical billing, owing to its proximity to the physician’s supervision, can work relate itself better than the outsourced solutions, yet, it is beset with inherent adequacies” Outsourcing medical billing services are composed of experts who have the time to carefully process your billing accurately. Although physician’s practices have equally been divided between in-house […]
The physician-patient relationship is one of the most important aspects of the health industry and contemporary medicine. There have been numerous changes and tremendous advances in the way health care is delivered to people. However, the importance of the relationship between providers and patients has not diminished or faded in any manner. In fact, the […]
There are many tax deductions for physicians who have their own clinic and even for those who work part time or full time in a hospital. Many such deductions are often overlooked and providers end up paying more than they should which can profoundly affect the revenue and the financial health of a clinic or […]
The proposed Medicare cuts by President Obama and the Congressional “Super Committee” does not bode well for physicians and geriatric medicine in the country. Although the cuts would ensure that Medicare bankruptcy would be postponed and the Federal deficit reduced, it has long term negative consequences for long-term care hospitals, nursing homes, home health facilities, […]
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