Revenue Management & Being Vigilant amidst the impending Medicare backlash

“Although, physicians can expect their Medicare reimbursements to be unhindered at least for another year or so, they need to equally vigilant with their medical billing, coding, submission, realization, and the Revenue Cycle Management so as to be sure of not letting their Account Receivables (A/Rs) beyond the expiry of the current window for Sustainable […]

Making ICD-10 transition easier, efficient and meaningful

By now medical practices must have realized that the transition to ICD-10 means more than just learning a new code set and upgrading the existing software. As medical practices embark on the transition to a more radical system of clinical and operational regimen, the deadline for which is set at October 1, 2013, they are […]

Addressing Challenges in Medical Billing for Chronic Patients

“As physicians deliberate on the efficacy of outsourcing medical billing companies services for chronic disease management services, they also need to be mindful of the credibility of their prospective service providers. In a medical billing environment, characterized by heterogeneous players, choice of a service provider can get as significant as the decision to go for […]

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 […]

A case of seasoned physicians’ affinity to EMRS

As seasoned physicians clinical schedule becomes more intense and time-consuming, EMRS may well become indispensable to complementing clinical, operational and medical billing Revenue Cycle Management Cycle (RCM). Because of this necessity and the ability to afford EMRS related expenditure, mature physicians see value in adopting EMRS in their practices. Contrary to the popular perception of […]

Private practices withstanding healthcare reforms: Revenue Management

Private practices are facing many challenges and gone are the days when physicians could easily start their own practice in a small office. The complexities in the form of changing policies, added administrative work and changes in Healthcare IT has made it very difficult for physicians to start or maintain a small or solo practice. […]

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 […]

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