Exploring Possibilities of Merger Among Hospitals

While people managing healthcare setups have largely been successful in elevating the quality of medical care, the task of orchestrating mergers might seem altogether a different proposition for them – successful management of mergers require bringing together diverse resources, styles, culture, and financial structures into one harmonious unison. Although collaborative clinical management is not a […]

Reimbursement Cuts: Texas Doctors Using Personal Resources

Small private practices struggle to survive, even as Texas Medical Association (TMA) President reported a significant worsening of the practice environment with various physicians using money from their personal reserves or secured bank loans to keep their practices going. According to AMA news nearly 51% of Texas doctors dug into personal funds. Various national reports […]

Analyzing Revenue Management Techniques for Ophthalmologists

“While Ophthalmologists seek to reinvent their clinical and operational model, the booming prospect of patient influx – 43 million by the year 2020 comprising age-related eye diseases, including cataracts, diabetic retinopathy, glaucoma and age-related macular degeneration– should also be encouraging to their hearts. But, the issue of realigning their clinical and operational model to the […]

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 […]

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 […]

Physician Credentialing: Worth Getting Right to Get Paid

Physician Credentialing Physician credentialing is the process of organizing and verifying the professional records that qualify a doctor to practice medicine. As physicians, despite your reputation for benchmarked medical services, you could be losing out when it comes to realizing medical bills reimbursed fully by respective health insurance carriers. And when you start to analyze […]

Revenue Cycle Improvements for Physicians and Clinics: An Overview

The revenue cycle management process starts even before the patient visits a physician’s office or a clinic or hospital and ends when full reimbursement is realized. The scope for improvements in the revenue cycle management process has been accentuated in the recent times due to changes in the health care industry and the health policies […]

Dealing with overpayments in your practice

“Simple it might seem, yet given the time and the resources that such monitoring and reporting eventually consumes, physician practices can find it hard to take up such intensive scrutiny amidst the overriding challenge of keeping their medical service quality benchmarked to the perennially raising medical standards. All such apprehensions point towards outsourcing medical billing […]

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