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 […]

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 […]

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