Averting common operational & legal pitfalls at your medical practice

Medical practice and legal issues have long been inseparable. History is full of examples wherein practices have run into legal hassles, and eventually been penalized with criminal as well civil charges. Barring some strange cases that have been intentional, physicians have had to pay for what is known as negligence or reluctance to avail medico-legal […]

The Growing Shift from Private Practice to Hospital Employment

There seems to be something really interesting as far as the shift from private practice to hospital based employment recently: A consistent 2% annual decline in private practicing by physicians, which is expected to be at 5% annually by 2013 An upsurge in hospital employment accounting for nearly 51% of the physicians employed last year, […]

Exodus to Hospital-Based Employment and its Effect on Healthcare Industry

While the recent healthcare reforms ushered in by the Federal Government promises to elevate clinical and operational efficiency across the nation’s healthcare continuum, it is also going to induce physicians into a more accountable and responsible quality clinical regime. The imminent Accountable Care Organization Model, Medicare cuts, the fear of Sustainable Growth Rate (SGR) backlash, […]

The Financial Importance of Timely Medical Claim Submission

The importance of timely claims submission is not lost on physicians or their staff and is an integral part of the revenue cycle management (RCM). The dynamic nature of the health industry and the reforms has further exacerbated the already volatile situation when it comes to claim submission, denials, and re-submissions. There are numerous factors […]

Predicting the Scope of Medical Billing Consultants after 2014 and beyond

Although it has been quite a while since the Federal Government announced a series of far-reaching healthcare reforms, we are yet to experience their full impact across the healthcare continuum. And, with the Senate bill deferring a major chunk of the reforms further, it is expected that we may have to wait as late as […]

Hospitals Expand to Attract Well-Insured Patients Despite Pressures of Healthcare Reforms

Several hospitals are looking for well-insured patients beyond traditional market boundaries, both in prosperous suburbs and in nearby areas with growing, well-insured populations. According to a study by the Center for Studying Health System Change (HSC) hospitals seeking a competitive edge in the marketplace are targeting geographic expansion into new markets which are well-insured. The […]

How are States Retaining Physicians in Times of Shortage?

Physician shortages is a growing concern and is pushing various states to keep doctors trained in medical schools and residency programs from crossing state lines to practice medicine. According to new statistics from the Assn. of American Medical Colleges- nationwide, there were 258.7 active physicians per 100,000 people and in individual states, ratios range from […]

Simplify EHR Systems by Restructuring Your Medical Billing

EHR systems have changed over the last decade and the health reforms have given new meaning to such systems by making rules regarding ‘Meaningful Use” (MU) of such systems. Older versions of EHRs were simple digitized versions replacing paper based records and did not have the specific guidelines in MU to be implemented for the […]

Effects on Physicians Reimbursements: Insurance Denials and Uncertainty of Health Reforms

Insurance denials are one of the major factors that affect a physician’s revenue even though health reforms do address some issues faced by patients and physicians in dealing with insurance companies, the denial rate of claims has not significantly altered due to such reforms. These insurance denials are avoidable especially as they create problems for […]

US Healthcare Adapting to Reforms: Hospitals to Ease Physician Shortages

The health reforms have affected every aspect of the health care delivery system in the United States and smaller and solo practices in the country are finding it difficult to cope with the changes on almost every level of health care delivery. The changes in health IT sector, policies in government intervention, and changing reimbursement […]

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