Although healthcare data is presumably highly significant to clinical efficiency, its application is not limited to clinical circle alone – medical billing, operational efficiency, contribution to clinical research and macro healthcare policies are equally dependent on healthcare data. ... Views: 650
MBC has recently launched a job board to lessen the complexity of bringing physicians and coders together, eventually working as an easy-to-use interface between them through the facility on job listing. According to the US Bureau of Labor Statistics (BLS), Medical billers and coders are ... Views: 733
“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 ... Views: 536
Traditionally Michigan has been amongst one of the economically stronger states in the US, but in the area of healthcare this strength is often not reflected courtesy of certain inadequacies like – lack of nursing home and chronic care measures, resulting in poor access to healthcare ... Views: 646
Payer denials and delays is a cause of worry for every doctor in the US. A denied or a delayed claim leads to loss of revenue for the physician. To top it all the physicians are now looking at an uncertain future working in the Medicare program due to introduction of reimbursement cuts. In the ... Views: 824
The lack of primary care providers in the country is a topic which has been hotly debated among many circles and written about vehemently. Not many medical students are ready to enter primary care due to lack of great financial prospects in the future. This is resulting in even more shortage of ... Views: 621
Health information technicians are considered as one of the 10 fastest-growing allied health occupations according to the US Bureau of Labor Statistics (BLS), with Medical billers and coders being in high demand among the allied health occupations.
Further increase in terms of job outlook is ... Views: 1389
For over a decade, US healthcare has seen hospitals integrating with primary healthcare physicians across all the states of the US, challenging the traditional notion of primary care as a separate set of services from hospital healthcare, to provide all types of healthcare services under one ... Views: 684
Care providers operate in an environment characterized by multiple payors – Medicare, Medicaid, and a host of private health plans. The prevalence of such multi-payer is reason enough for differences in rates at which care providers are reimbursed despite the clinical procedures ... Views: 953
“Before expecting your support staff or divisional departments to contribute qualitatively into the integrated EHR system, care must be taken to identify and train them for orienting them to the mechanism of the EHR”
By now medical practices must have realized that EHR is not ... Views: 685
Some populist policies of the Obama government related to healthcare have left hospitals in all the states of the US to deal with more of what they should be doing less, preparing insurance claims and realizing payments. In fact, a survey by Thomson Reuters, in 2011, mentions hospital CEOs ... Views: 658
Despite a shortage of doctors projected to be at nearly 30,000 in the next few years, one area which is seeing an influx of new doctors is hospitals, which will eventually result in an increase in hospitalists. U.S. Bureau of Labor Statistics in February reported a rise of 61,000 jobs in ... Views: 574
There has been a rapid growth in the healthcare industry, more than any other industry, mostly in response to rapid growth in the elderly population. According to the Bureau of Labor Statistics, the healthcare industry will create 3.2 million new wage and salary jobs between 2008 and 2018. ... Views: 729
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 ... Views: 593
The adoption of Electronic Health Records (EHRs) presents numerous challenges for physicians and many practices are finding it difficult to successfully adopt EHRs. The data released by the Center for Disease Control and Prevention about EHR adoption rates in the country bears witness ... Views: 865
Contrary to single-location practices that were the norms during olden days, the recent trend has been the exploring of practice opportunities in multiple locations. It is not strange for a medical practice/clinic/hospital to expand its operations beyond the original location once it has built ... Views: 781
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 ... Views: 933
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 ... Views: 550
Nursing facilities across the U.S. have somehow endured a series of Medicare/Medicaid cuts thus far, but the latest move by CMS to reduce reimbursement for so-called Medicare “bad debt” – Medicare co-payments not made by beneficiaries or state Medicaid programs – may bring them on the threshold ... Views: 702
“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 ... Views: 603
The acute shortage of general surgeons is evident in the Occupational Outlook Handbook of the Bureau of Labor Statistics which states that only 5% of physicians were general surgeons in the year 2007, and the situation has not improved since. In fact, the shortage of general surgeons is getting ... Views: 586
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 ... Views: 947
Accountable Care Organizations (ACO) model’s popularity is growing and mirroring Medicare almost 11 states are trying ACO models for their Medicaid programs by adding initiatives resembling ACO’s to their programs, moreover various providers who initially were vary of Medicare ACO models are ... Views: 499
Practice in Thoracic and cardiovascular surgery means expensive facilities that often need to be upgraded to clinical innovations. Despite such expensive cost outlays, continued shortage of physicians may still have allowed them to see more patients, thereby garnering revenues well over capital ... Views: 684
The fact that inpatient medical coding deals with patients after they are discharged from health centers makes it widely different and much more complicated than outpatient billing and coding. Inpatient billing and coding has to account for the entire set of eventualities stemming from a ... Views: 778
The shortage of primary care physicians in the United States will soon worsen due to the added pressure on resources because of healthcare policy changes by the government. The rising numbers of elderly people in the country is also putting tremendous pressure on the services provided by primary ... Views: 711
The shortage of primary care physicians (PCPs) in the United States has been a well publicized and well documented issue. However, the solutions to the various issues faced by primary care in the country have been obscure even after the implementation of the Affordable Care Act. The ... Views: 713
The role of Physician assistants (PAs) is accentuated in a country such as United States where the physician to patient ratio is very low. The recent health reforms have added to the responsibilities of physician assistants due to numerous changes in policies and technologies. The implementation ... Views: 556
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, ... Views: 862
Medicare, which continues to remain as the nation’s largest public health insurance scheme covering nearly half the United States’ population in its health insurance ambit, has gone through considerable reforms over the years. In fact, the evolution of Medicare can be defined ... Views: 820
The front office desk executive in a physician’s practice has numerous functions to carry out such as understanding the patients’ information related to demographics and finance which is needed for effective billing, the responsibility of communicating the financial policy, and ... Views: 1036
Staff turnover in any medical practice or hospital can have detrimental repercussions financially as well as qualitatively when it comes to providing healthcare. However, it cannot be denied that staff turnover or attrition would always be present in any practice or hospital; keeping it in ... Views: 1002
Medical Coders prepare for this change…
Learning New Codes and getting specific: According to the Centers for Medicare and Medicaid Services (CMS), the transition to ICD-10 is occurring because ICD-9 produces very limited data about patients’ medical conditions and hospital ... Views: 484
Medical Coders prepare for this change…
Learning New Codes and getting specific: According to the Centers for Medicare and Medicaid Services (CMS), the transition to ICD-10 is occurring because ICD-9 produces very limited data about patients’ medical conditions and hospital ... Views: 574
‘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 ... Views: 591
Physicians and healthcare provides across the country are slowly but surely adopting EHRs or Electronic Health Records as a part of the recent health reforms in the United States. Moreover, it has been reported by the Centers for Disease Control and Prevention (CDC) that there has been a ... Views: 633
Health practitioners often find themselves dealing with a variety of records – from records pertaining to practice license and credentialing documents to financial and compliance records. But none of them are as significant as ‘health care records’ (often known as ‘patient records’) simply ... Views: 756
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 ... Views: 595
The recent dynamism in the healthcare industry has not just revolutionized the way in which various medical processes are carried out but have also led to an explosive information boom due to new policies, regulations and a complete overhaul in the health care industry. The ability of providers ... Views: 580
Radiologists are playing an ever increasing role in hospitals and these deeper involvements are due to numerous factors. The outcomes of such an ever increasing involvement of radiologists in hospitals can bring about positive outcomes not just in the core aspects of medicine and for patients ... Views: 1796
“As HIT systems provide timely access to patient information and encourage collaborative exchange of health information with other providers, patients, and insurers, small practices can look to benefit in terms of effective and efficient medical care delivery, optimized operational ... Views: 462
Cardiology is one those specialties that generally perform high-cost diagnostic and curative services, and getting reimbursed for such significant services means conclusive and convincing cardiology medical billing – adhering to cardiology codes, compliance standards and coding rules. ... Views: 832
Any revision in Medicare reimbursement rates will have a direct impact on physicians’ medical billing, and cardiologists are not immune to the effects of frequent changes in Medicare reimbursement rates, announced by The Centers for Medicare and Medicaid Services (CMS) from time to time. ... Views: 652
In an industry characterized by the highest level of professional integrity and honesty, it is strange yet true that health insurance related fraud and abuse have reached alarming heights. While the incidence of fraud and abuse are equally spread across the health insurance continuum, it’s ... Views: 772
While this rapid transformation means ample business opportunities for competent technology providers, some of whom are already introducing second generation technology platforms; there also lies a challenge in aligning and customizing EHR platforms in congruence with individualistic needs of ... Views: 581
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 ... Views: 792
The persistent appeal for pushing back the ICD-10 compliance date has finally paid off for physicians; the US Department of Health and Human Services (HHS) has made it official that physicians would have time till October1, 2014 (revised from the current deadline of October1, 2013) to comply ... Views: 1101
Physicians who are part of DME services now face an important operational decision: whether to persist with in-house billing staff or entrust to external sources. The long-held belief that in-house billing staff would manage DME-related billing complexities seems to have failed them ... Views: 1055
Optimizing Fee Schedules for Physicians: An Overview
The fee schedule for any physician practice is an important pecuniary factor that affects not just your revenue but also the way in which healthcare is delivered to the patients. Many practices fail to update their fee schedules on a ... Views: 605
The doctor-patient ratio has woefully been disproportionate across the 50 states in the U.S., and researchers believe that it may continue to be far from ideal and even worsen in the coming years: Researchers have estimated that even in the absence of the health care reform law, the shortage of ... Views: 708