New Payment Model for Ambulance Services: ET3

The Department of Health and Human Services had launched a new payment model for ambulance services that federal officials believe could lower out-of-pocket costs for Medicare fee-for-service beneficiaries. The Emergency Triage, Treat, and Transport Model—ET3—allows ambulance companies to deliver on-the-scene or telehealth services to Medicare FFS patients, and transport them to alternative care venues, such […]


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Received Payer Request for Medical Records? Keep Calm and Take These Steps

If a letter were to arrive at your organization in an innocuous-appearing envelope, you may be afraid to open it. It’s unsettling for a payer to request medical records for claims that have already been paid. It is becoming more and more common for providers to receive what appear to be innocuous medical records requests […]


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Are you aware of Medicare Billing Fraud and Abuse?

Most physicians strive to work ethically, provide high-quality medical care to their patients, and submit proper claims for payment. Trust is at the core of the physician-patient relationship. The Federal Government also places enormous trust in physicians. Medicare and other Federal health care programs rely on physicians’ medical judgment to treat patients with appropriate, medically […]


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Claim Reimbursement as per various Health Care Plans

There are a number of ways in which health insurance carriers provide coverage. Health Care plans insurance coverage can be quite complex, as it involves the coordination between a healthcare provider, the health insurance provider, and the actual person receiving care. Some of the methods of coverage include managed care, indemnity policies, and high-deductible plans. […]


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Benefits of Health IT Implementation for Small Sized Practices

Numerous Small and solo practices have been impacted in a positive manner by the implementation of Health IT (HIT) and this trend is not just limited to Electronic Medical Records (EMRs). Physicians are utilizing smartphones and tablets for accessing and using EMRs. Moreover, the incentives paid by the Federal Government have added to the actual […]


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Improve your Revenue by Overcoming Hurdles in EMR Implementation

There has been a definite improvement in the United States in the adoption of Electronic Medical Records (EMR) and its implementation in the last decade (2001-2011). A report by the Centers for Disease Control and Prevention (CDC) states that 57 percent of office-based physicians in the country have adopted EMRs. However, 34 percent of physicians only […]


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Electronic Health Records Spurring Hiring of Staff Besides Adding to Costs at Physicians Practice

Electronic Health Records (EHRs) are complex systems and a dedicated team of professionals are required for handling and maintaining these systems for smooth operation of such records. The drawbacks of paper based records, the projected advantages of EHRs, and the incentives offered along with the penalties for non-adoption of EHRs are driving hospitals and small […]


Read More.. Electronic Health Records Spurring Hiring of Staff Besides Adding to Costs at Physicians Practice

The Role of EHRs towards Physician Productivity and Medical Billing

Electronic Health Records (EHRs) definitely have an impact on physician productivity; however, little research has been carried out in this field compared to the other sectors such as the manufacturing sector where IT implementation has proven to be a successful booster of productivity. Measuring the impact of EHRs or EMRs on physician productivity and billing […]


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