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: 657
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: 655
“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: 654
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: 641
Clinical documentation is a need that threads through the entire lifecycle of an inpatient treatment episode. The clinical documentation specialist checks the documents of a patient before or within 24 to 28 hours of admission to assess various aspects of the patient’s condition, reviews ... Views: 636
Enforcement of HIPAA 5010 transactions on March 15, 2012, was delayed for the second time for another 3 months by the government, with the Centers for Medicare & Medicaid Services’ Office of E-Health Standards and Services (OESS) pushing the date further to June 30, 2012, in order to ... Views: 633
Hospitals that hitherto have been troubled with in-patient operational losses may just have found a solution in outpatient mode. Contrary to stagnant inpatient volumes and revenues, outpatient volumes seem to have picked up in recent years. As a result operational revenues at hospitals seem to ... Views: 622
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: 620
Medical data has significant utilities – as vital source of reference for subsequent follow-ups, collaborative clinical management across the clinical network, Medical Billing, information bank for clinical research, and macro health care policies. While most of the practitioners may have ... Views: 615
The U.S. Department of Health and Human Services (HHS) predicts that the proposed Medicaid expansion will bring an estimated 16 million more Americans into the health-care safety net. The prediction comes even as some twenty-six states are against such expansion.
Although the proposed ... Views: 614
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: 613
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: 613
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: 605
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: 603
“As the application service provider (ASP) hosting model increasingly becomes popular amongst lone-standing and small clinical practices, EHRs hardware manufacturers have begun to offer EHRs platforms that are quite capable of hosting multiple clients at the same time without the ... Views: 594
Ever since Sustainable Growth Rate (SGR) began overshooting budgeted Medicare spend, physicians have been under the constant threat of Medicare cut. While Congress’ intervention has delayed the inevitable thus far, it may be a little tougher this time – Centre for Medicare ... Views: 594
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: 583
The use of Electronic Medical Records (EMRs) or Electronic Health Records (EHRs) in pediatric practices presents numerous challenges due to the dynamic nature of this particular specially. The reasons for these challenges are myriad and range from the changing nature of the body of ... Views: 579
The excessive administrative work healthcare organizations are having to deal with due to reforms in the US healthcare has begun to take its toll on the revenue of healthcare organizations across all the states of the US due to several reason, like claim denials by insurers and hospitals ... Views: 579
“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: 579
“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 ... Views: 578
Over the years, Credentialing has become an indispensable thing to medical practitioners’ sustenance and growth; so much so that it is impossible to think of undertaking medical practicing without a valid credentialing from the authorized health agencies. Today, credentialing, as much as a ... 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: 574
The EHR adoption rates in the United States are definitely increasing and this fact is corroborated by a report released by the CDC (Centers for Disease Control and Prevention) which states that – “American Hospital Association’s Survey of IT adoption, 15.1 percent of acute ... Views: 573
If the insurance-driven nature of US healthcare is leaving care providers to sort out administrative issues to ensure successful claim submission and reimbursement is one side of the problems US healthcare providers face, the other side is patients unwilling or unable to pay the share of the ... Views: 570
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: 570
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: 567
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: 565
The shortage of physicians, the health reforms, the skyrocketing costs of health care , the Medicare cuts worry and the influx of health IT into the health industry has created a bit worrying albeit a dynamic environment. Although there are critics who oppose the health reforms and suggest other ... Views: 561
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 ... Views: 554
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: 553
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: 552
“Irrespective of the decision, it may be fool-hardy to assume that cardiologists themselves will be able to elevate their practices to the requisite demands of Meaningful Use Criterion. Therefore, it is becomes imperative that they avail proven services from credible sources for medical ... Views: 551
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: 550
“And when clinical and operational efficiency suffers on account of whatsoever reason, it gets reflected in terms of dwindling revenues. As if this cause and relationship is not enough, physician practices will have to contend with direct expenditure associated with sourcing learning ... Views: 548
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: 545
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: 544
In all the states of the US, healthcare is becoming an integrated affair with hospitals combining traditional healthcare services like surgical treatments with primary health care activities responsible for elementary requirements of a treatment cycle from blood tests to coordination of various ... Views: 537
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 ... Views: 537
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: 535
Social Media is developing into a tool not just for communication and entertainment but is also emerging as a powerful instrument for marketing and efficient coordination. Hospitals, group practices, clinics and even solo practices have started to reap the benefits offered by social media ... Views: 533
“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 ... Views: 527
“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: 522
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 ... Views: 491
Various factors playing a role in altering the salary of a medical biller and coder including work experience, geographic location and type of employer, the job outlook for medical billers and coders in Idaho is very optimistic according to the United States Bureau of Labor Statistics (BLS), ... Views: 489
“Consequently, physician reimbursements would largely depend on their ability to seamlessly process medical claims with either Medicare or private insurance carriers. But, with the reimbursement environment promising to be more vigilant and stringent than ever, physicians would find their ... Views: 488
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: 485
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, ... 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: 468
“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: 451