Despite such indicators from time to time, the incidence of legal errors has only been destined to move upwards. Physicians, whose core-concern being medical efficiency through best medical practices, cannot be expected of too much in this regard. Yet, because of it being integral to their practices’ sustenance and growth, its significance cannot be underestimated. […]
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Implementing an Ideal EMR System for Your Practice
“Judging from the evidences of successful EMR implementation, customization has been the pivotal element, and will hold good for future also. Taking cue from such references, practices can benefit immensely, and successfully mitigate the probability of misadventure” More than the mandatory obligation of digitalizing/computerizing/electronically recording healthcare data, it is the overwhelming benefits over investment outlay […]
Group Appointments: A new niche for Primary Care Practice
Group appointment, also referred to as shared medical appointment, includes multiple patients seen as a group for follow-up or routine care. These visits are voluntary for patients and provide a secure but interactive setting in which patients have: improved access to their physicians, the benefit of counseling with additional members of a health care team […]
Hospitalists Registered a Pay Increase in 2010
The year 2010 has registered a hike in the median compensation for Hospitalists. The Hospitalists in adult medicine saw their compensation increase 2.6% to $220,619 from $215,000 while the Pediatric Hospitalists‘ pay rose by 7.2% to $171,617. The report, which is based on MGMA survey information, takes into account data from 4,633 hospitalists in 412 […]
Medicaid Claims Audits Sated for January
The Medicaid recovery Audit program is due to get implemented nationwide in January, carrying on in a similar vein as Medicare RAC program, as announced by CMS on 14th September, 2011. The Medicare RAC had recovered $451.3 million in overpayments and corrected $78.5 million in underpayment within six months in 2011. The Dept. of Health […]
How Crucial Will Medical Billers’ Role Be After Healthcare Reforms?
“Proactively realizing the need for preparing to face up to these challenges, many professional medical billing companies have taken up upgrading their system and human capabilities to the probable demands emanating from healthcare reforms”. A string of healthcare reforms announced by the Federal Government over a year or so have changed the landscape of the […]
Revenue Cycle Management – Prescription for Optimum Medical Claim Realization
“Despite such volatile environment, physicians have to find means to realize their each and every dollar owed them as their very sustenance and growth hinges on efficient reimbursement of medical bills” Unlike other professional services that realize their professional fees instantly, without having to rely on a third party (insurance carriers), physicians have to go […]
Under-Coding: Financial Repercussions and Solutions
Under-coding can be defined as the procedure of medical coding where the codes do not reflect the full extent of the treatment provided to a patient. This can usually happen due to many reasons but the most common are errors or misreading of codes or because of the misconception that the chances of insurers paying […]
Appealing Denied Insurance Claims: An Overview
The process of appealing a denied insurance claim is complicated but can be effective if done correctly since there are numerous reasons for claims to be denied by an insurance company. The payer or insurance company receives thousands of claims everyday and the claim can be quickly denied if there has been an error in […]
Are You Prepared to Deal with Patient Information Breach?
‘The readily available sources for implementing security-rich technology platforms should not only make your search easier but also ensure Patient Privacy Compliance by sage-guarding critical information against undesirable proliferation, and sharing information only at the behest of patients’ Although there have been sporadic incidents of patient privacy breach, yet, the recent episode reported in a […]