Gauging your Medical Billing Company on ICD-10 compliant resource-capability

“As much as the intrinsic competencies of your medical billing companies, their ability to advise on EHR/EMR implementation for efficient clinical and operational management should equally hold prominence. As HIPAA 5010 compliant EHR/EMR is the prerequisite to medical billing under ICD-10 system, your practices needs to be equipped with EHR/EMR that meets HIPPA 5010 standards […]

Health reforms and its Effect on Medical Billing in Hospitals and in Small Practices

The processes carried out in hospitals are very different from those carried out in small practices or solo settings. The difference does not just stop at the volume of care that is provided but is also related to the quality and the difference in the processes that are carried out. Although about thirty percent of […]

The Role of Medical Billing Companies amidst Healthcare Reforms

Medical billing is one of the most important factors in a physician’s practice and can be the reason for the financial affluence of the practice. Medical billing services are not just limited to billing and submission of claims for payment to insurance companies and government payers. Such services usually entail numerous other responsibilities such as […]

Physicians Strive to Strike a Balance between Managing HIPAA 5010 and Medical Billing

The financial and data-centric nature of the healthcare reforms in the US has left healthcare organizations in all the states of the US to do more data care than healthcare – to manage their finances, maintain data integrity and be complaint with regulatory standards. Health Insurance Portability and Accountability Act (HIPAA) is an example, which, […]

Measuring the Impact on Physician Reimbursements With Upsurge in Retail Clinics

“As medical service providers try to adapt themselves to these altering equations, their ability to manage clinical and operational functions would invariably involve the next level of efficiency. While there is ample scope for revenue augmentation amidst a booming health insurance scenario, there is also the issue of keeping the quality of medical services on […]

Private insurers leaning towards Medicare and Medicaid to maintain profitability amidst healthcare reforms

Over the past 3 years, rise of 36% to 42% has been depicted in the share of large insurers’ revenues due to federal programs – Medicare and Medicaid. According to the research division of Bloomberg- insurers are likely to further increase their reliance on federal government post the implementation of the health-care law in 2014, […]

Uninsured Population Rate Percentage vs. Physician’s Density Ration in Texas, Mississippi & Oklahoma

Physicians work scope is expected to change with millions of Americans to gain health insurance through the Affordable Care Act in 2014. On the upside Physicians especially primary-care provider will experience higher demand transforming to higher reimbursements and job security. However, on the other hand other healthcare reform initiatives would require better quality patient care […]

Dispelling Hospitals’ Reluctance in Adopting Alternative Therapy & Medical Billing

“As much as its popularity amongst larger population of patients, Alternative Therapy may well become a viable alternative in ensuring hospitals’ uninterrupted sustenance and growth. And, judging by its popularity, it may well become an integral part of comprehensive medical services offer by majority of hospital” Many a times, proven medical treatment or intervention may […]

Making physicians’ knowledge transition to ICD-10 and HIPAA 5010 easier, efficient and meaningful

Physicians requiring to upgrading their coding knowledge to a more exhaustive ICD-1O system More than any other clinical or operational entity that needs to realize the affinity to the ICD-10 and HIPAA compliant medical data filing and processing, it is your physicians that require show the lead. As physicians are the first-contact of clinical encounter, […]

The nexus between workload induced stress and diminishing revenue in hospitals

‘As if the accountability is not enough, they will also content with diminishing patient inflow and revenue generation. The sum of total of these two reactions would eventually tell on hospitals ability to sustain and grow amidst a highly competitive healthcare industry. And as health insurance becomes pervasive in healthcare industry, physicians will have to […]

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Medical Billing