Medical Billing and RCM Blogs

Physicians to Make the Most of 5010 Enforcement Delay

Physicians were mainly relieved with the announcement made by Centers for Medicare & Medicaid Services (CMS) Office of E-health Standards and Services (OESS) on 17th November, to delay enforcement of Health Insurance Portability and Accountability Act HIPAA 5010 transaction standards with a 90-day discretion period for all HIPAA covered entities. CMS stated that their decision is […]

Tackling the challenges faced by Physicians while treating Geriatrics

The Challenges in Geriatric Medicine The projected population of geriatrics is about 19.7 percent of the total population by the year 2030, according to the Bureau of Labor Statistics. In light of such projections, it becomes clear that physicians and health care providers are definitely going to face growing number of elderly patients in their […]

Revenue Cycle Improvements for Physicians and Clinics: An Overview

The revenue cycle management process starts even before the patient visits a physician’s office or a clinic or hospital and ends when full reimbursement is realized. The scope for improvements in the revenue cycle management process has been accentuated in the recent times due to changes in the health care industry and the health policies […]

Radiology: Finding New Meaning in “Meaningful Use”

Radiologists in the United States are currently facing a dilemma as far as “meaningful use” (MU) of Electronic Health Records (EHRs) is concerned. The American College of Radiology (ACR) IT and Informatics Committee leaders and staff have met the National Coordinator for HIT (ONC) as well as Center for Medicare and Medicaid Services (CMS) staff […]

Tackling the Demands Of Gastroenterology Medical Billing in Illinois

Like most of the states in the US, Illinois too boasts of quality medical services. Lying in the Midwest region, Illinois population, being the largest in the region at 12,830,632 as per 2010 census, offers endless opportunities for diverse medical practitioners. Coupled with the demands of the ever-increasing population, Illinois’ robust economy, estimated to be […]

Strategic Realignment to Affordable Care Organization Model – providers perspective

“While physicians embark on such transformational healthcare model, their quantum of Medicare reimbursement, and its amicable distribution among themselves is sure going to be complex issue. Given such complex calculation on Medicare reimbursements and qualifying incentives, an external medical billing services that is best acquainted with Medicare environment becomes more pronounced.” As time closes in […]

single payer system vermont

Vermont: State with Single payer system “Single-payer health system” which was passed in May 2011 by the Vermont governor, expects to accumulate savings of 24.3% of total health expenditure between 2015 and 2024, according to Harvard economist William Hsiao. Vermont is to be the first state in USA to implement this system, which will move […]

Dealing with overpayments in your practice

“Simple it might seem, yet given the time and the resources that such monitoring and reporting eventually consumes, physician practices can find it hard to take up such intensive scrutiny amidst the overriding challenge of keeping their medical service quality benchmarked to the perennially raising medical standards. All such apprehensions point towards outsourcing medical billing […]

Shortage of Chiropractic physicians in US

Chiropractic Physicians in the US: A Brief Analysis and Outlook Chiropractors in the United States currently face numerous challenges and the recent health reforms have made a profound impact on this occupation. Moreover, the competition that it faces from other alternative medicinal specialties such as acupuncture, physical therapy, and massage therapists has brought forward many […]

Dermatologists’ Shortage in the US – a Medical Billing Perspective

Contrary to mounting demand, US healthcare industry continues to be plagued by shortage of dermatologists – the physician-patient ratio has grown to be so unhealthy that patients have to wait as long as 38 days just to have an appointment with their physicians; there have even been extreme cases of waiting being stretched to 73 […]

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