Electronic Health Record system (EHRs), which is the next order in clinical and operational documentation, is perhaps one of the significant technology additions to have happened to the health care industry. While care providers seem to have been convinced of its ability to elevate clinical and operational efficiency to a new level, they may still […]
Although healthcare data is presumably highly significant to clinical efficiency, its application is not limited to clinical circle alone – medical billing, operational efficiency, contribution to clinical research and macro healthcare policies are equally dependent on healthcare data. Therefore, the primary raw data collected needs to be processed and tailored-made to serve these diverse purposes. […]
The success of health care has always been determined by how best care providers are able to coordinate the care processes across the clinical cycle – right from the time patients are admitted till they are pronounced cured. While clinical decision often lies with the primary physicians, clinical management may be divided among several departments […]
Hospitals that hitherto have been troubled with in-patient operational losses may just have found a solution in outpatient mode. Contrary to stagnant inpatient volumes and revenues, outpatient volumes seem to have picked up in recent years. As a result, operational revenues at hospitals seem to be firming up. It is also worthwhile to be informed […]
Every year physicians in the U.S. lose thousands of dollars in the form bad debts. These so called bad debts are Account Receivables that have surpassed the admissible time limit or deemed impossible to be followed up. Once Account Receivables are allowed to languish for more than 120 days, it is difficult, if not impossible, […]
Medical data has significant utilities – as a vital source of reference for subsequent follow-ups, collaborative clinical management across the clinical network, medical billing, information bank for clinical research, and macro health care policies. While most of practitioners may have a system for storing, retrieving, and sharing the data across the health care eco-system, they […]
Care providers operate in an environment characterized by multiple payors – Medicare, Medicaid, and a host of private health plans. The prevalence of such multi-payer is reason enough for differences in rates at which care providers are reimbursed despite the clinical procedures more or less being the same. Adding to this heterogeneous payor-environment is the […]
Physicians who are part of DME services now face an important operational decision: whether to persist with in-house billing staff or entrust to external sources. The long-held belief that in-house billing staff would manage DME-related billing complexities seems to have failed them recently – most of the in-house-staff-managed DME billing are reported to have high […]
The necessity of Durable Medical Equipments (DMEs) had never been so high – in the U.S. 30% to 54% of those over 65 years have some form of disability; around 75% to 90% of such disabled require some form of DME to keep them mobile or enabled. It is also estimated that around 1.5 million […]
There is a distinctive difference between billing for Durable Medical Equipment (DME) services and other clinical procedures – durable medical equipment services are ancillary to the primary clinical purpose, and their admissibility is subject to certain conditions. One of the best ways to overcome the DME billing challenges is outsourcing the DME billing services and […]
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