Balancing ACO Objective with Physician Reimbursement Maximization

As the U.S. healthcare sector looks up the Accountable Care Organization (ACO) Concept of healthcare delivery with great expectation, physician community is quite apprehensive about their ability to garner reimbursements under a new healthcare delivery altogether. While ACO itself is not a novel concept – there have been umpteen examples of institutions operating on ACO […]

Upfront Realization as the catalyst for accelerating Physician reimbursement

“As physicians juggle with their core medical focus and issues related Upfront Collections, there would eventually be an adverse impact on their ability to afford quality medical care. Therefore, sooner or later, they would have to decide on outsourcing the competent services that can offer the best upfront Collection as part of the Comprehensive Revenue […]

Seeking Possible Solution to Intensifying Medical Billing Documentation

“Beset with spiraling Medicare expenditure amidst a rather volatile economy, the Federal Government policy of linking physician reimbursement to quality outcomes will not only test physicians’ level of quality medical care but also how they are going to document patient encounters. Therefore, physicians, required to furnish evidence-based healthcare documenting & reporting, will find it hard […]

In Retrospection: Revenue Collection Accomplishments in 2011

“While these comprehensive measures are no doubt indispensable to optimizing healthcare overheads and expenditure, physicians’ task to get their bills reimbursed could get even tougher, thereby making sustenance and growth prospects equally competitive. Although they have had, by and large, a prosperous year revenue-wise, the ensuing financial year evokes an air of apprehension. But, amidst […]

Medical Coding: from ambiguity to certainty

“As we try to analyze the staggering impact of approximated coding and deciphering, the ensuing ICD-10 with over 150,000 codes, the Systematized Nomenclature for Medicine (SNOMED) with over 11 axes for accommodating comprehensive list of codes, and the HIPAA 5010 Compliance for Medical Reporting should come as much the needed relief for the vested interests […]

Unbalanced Equilibrium: US States Facing Shortage of Medical Coders in Spite of High Supply

As if hospital shortages of nurses and pharmacists were not enough, the shortage of medical coders has risen to high levels in some areas in the US and physicians need to act fast least they lose millions of dollars in unbilled charges. American Health Information Management Association (AHIMA) has reported a nationwide shortage of certified […]

Billers and Coders to Gear up for ICD- 10 – Despite Physician Community Pushing the Deadline

ICD-10’s implementation on October 1, 2013, according to AAPC – will alter everything from the way health care providers document services to the way codes are selected, reported, and reimbursed, however it will be coders who will play a vital role to achieving success in ICD-10 implementation. AAPC’s vice president of ICD-10 education stated that […]

Medical Billing Professional’s Career Prospects Brighten

Growth in Employment of medical record and health information technicians is expected to accelerate much faster than the average field according to the United States Bureau of Labor. The Bureau of Labor Statistics reported health information technicians are one of the 10 fastest-growing allied health occupations, being a challenging interesting career where you are compensated […]

Hospital Billing and the Ghost of Imminent Medicare-cut Impact

Hospital billing serves the role of invoicing for the medical services delivered by hospitals or healthcare organizations, both for in-patient and out-patient care. Hospitals, which hitherto could evade the backlash of the Sustainable Growth Rate (SGR) fix, face an imminent 27.4% reduction to their Medicare fees starting this January unless the Federal Government decides otherwise. […]

Is Accountable Care Organization (ACO) Model Viable?

“Given the situation, although the Accountable Care Organization (ACO) model of medical care seems a safer option, yet the initial clinical & operational realignments and adhering to CMS compliance measures may seem a bit exhausting for physicians. But, sooner or later, ACO can become mandatory requiring radical realignments amongst practitioners. Therefore, rather being forced into […]

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