It must not have come as a surprise to professional billers and coders that the complexities around OBGYN are beginning to take a toll on OBGYN care providers’ finances. Understanding the complexities of OBGYN, any expert will admit, is not easy as there are various rules as well as exceptions together with multiple codes for […]
The American healthcare sector is slowly and steadily welcoming value based care. It stresses on the importance of providing the best quality services to patients but at limited costs. However, this shift to value based care is not going to be very easy. Several obstacles stand in front of it as of now. From the […]
From a long period of time, the healthcare industry has followed the traditional model of payment for claims settlement – fee-for-service model – where specified amount has to be paid for the healthcare service. Recently, the health insurance companies are adopting to new payment models, and they have actively begun considering and testing the new […]
An ACO (Accountable Care Organization) is formed by a group of healthcare providers in coordination to provide treatment and care for a certain group of patients. The main aim of an ACO is to maximize quality and simultaneously reduce costs for Medicare patients, in keeping with the numerous medical reforms that are set to sweep […]
The transition to newer payment models is a key issue in the healthcare industry. These reforms are focusing on increasing value, by offering high quality at low costs. We will take a look at few payment models, and then analyze the multiple challenges that the healthcare sector will face during the transition to value based […]
Compensation surveys in the medical world have seen several specialties dominate, with certain physician specialties becoming more high-paying than others with each passing year. The specialty of Neonatology holds the distinction of having a far greater increase in average compensation which stands at 11.9%. Plastic surgeons finished second, and saw an increase of 8%. Intensivists, […]
Many will tell that gynecology has benefited from being part of OBGYN as it helps gynecology to operate closely with obstetrics, a natural partner when it comes to pregnancy. But gynecologists may argue that while it may be true from a medical standpoint, when seen from a financial point of view, one can get a […]
Workers compensation is a special kind of medical insurance program which covers the treatment costs for any injuries experienced by workers on the job. Employers may choose to purchase the policies for workers compensation. Certain states in America administer the policies to workers themselves. Unlike other forms of reimbursement in the medical field, the claims […]
Best treatment at reasonable cost is always favorable. Value based healthcare (VBHC) is an optimum strategy which focuses on cost and quality and most importantly on outcomes. The benefit of VBHC lies in that it not only focuses on the actual dollars being spend but also on how the dollars are spend to improve the […]
Healthcare reforms have not changed the goals and responsibilities for physicians but it has certainly increased medical billing and coding complexities. Significant changes like HIPAA, EMR and ICD-10 have imposed additional responsibilities on small as well as large practices, which has been elaborated further- Reforms in HIPAA have increased privacy requirements. The compulsory implementation of […]
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