Healthcare is perhaps one of those few professions which are exception to the general rule of eight hour-a-day duty – professionals are required to stretch beyond their usual duty hours, and may even have to be on a 24×7 vigil. As a result work-related fatigue has been more common, ... Views: 739
There is a distinctive difference between billing for Durable Medical Equipment (DME) services and other clinical procedures – durable medical equipment services are ancillary to the primary clinical purpose, and their admissibility is subject to certain conditions. Physicians ... Views: 1035
Recent estimates conclude there are various specialists in the EMR market who rather than using specialty EMR, usually follow the trend of using a general EMR which has a few extra functions; however user views suggest that general EMRs with extra functions/templates are usually not sufficient ... Views: 892
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: 610
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: 640
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: 500
“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: 588
“Reigning superiority over its closet competitors in every aspect of compliant and secure EHR performance, AltaPoint EHR/EMR Version 11 has built an enviable reputation in the EHR/EMR market. The qualitative features that lend AltaPoint competitive edge over its immediate competitors ... Views: 946
“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: 561
Filing claims has become more complicated as health insurers tighten eligibility requirements, and the chances of claims being denied have increased substantially
Hence when a claim is filed, there is a fair possibility it will be denied and most providers are struggling to balance their busy ... Views: 991
Ascertaining Cardiologists’ Medical Billing Needs Even as They Migrate From Private Practices to Hospitals
Till recently, cardiologists who were happy with their private practices have suddenly started exploring avenues to align themselves with hospitals. The change has been so dramatic that ... Views: 701
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: 591
The necessity of Durable Medical Equipments (DMEs) had never been so high – in U.S. 30% to 54% of those over 65 years have some form of disability; around 75% to 90% of such disabled require some form of DME to keep them mobile or enabled. It is also estimated that around 1.5 million ... Views: 1728
The hurdles faced by physicians in 2012 are not just limited to core medical issues but are also spread across almost all the facets of the health care delivery system. The changing nature of medical practices, changes in Information Technology and in other departmental processes is ... Views: 1057
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: 652
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: 629
“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: 496
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: 541
“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: 538
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: 641
From seemingly innocuous platforms for personal interaction amongst registered community members, social media (comprising Face Book, Twitter, and other interactive sites) has emerged as a powerful channel for marketing. In fact, its business-utility has grown to so much that it has evolved to ... Views: 807
Insurance denials are one of the major factors that affect a physician’s revenue even though health reforms do address some issues faced by patients and physicians in dealing with insurance companies, the denial rate of claims has not significantly altered due to such reforms. These ... Views: 778
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: 583
Electronic Health Records (EHRs) are complex systems and a dedicated team of professionals are required for handling and maintaining these systems for smooth operation of such records. The drawbacks of paper based records, the projected advantages of EHRs, and the incentives offered along with ... Views: 757
Medical billing for Skilled Nursing Facilities has undergone metamorphic changes ever since the Balanced Budget Act of 1997 came into effect 1998. One of the significant requirements under the new legislation is that Skilled Nursing Facilities are not permitted to unbundle services that are ... Views: 792
While the recent healthcare reforms ushered in by the Federal Government promises to elevate clinical and operational efficiency across the nation’s healthcare continuum, it is also going to induce physicians into a more accountable and responsible quality clinical regime. The imminent ... Views: 815
There has been an increasing trend in the healthcare industry where physicians are opting for hospital employments and the reasons and repercussions of these seem numerous. It cannot be argued that there are many positives for ‘being your own boss’ in a private practice. However, due ... Views: 1193
Various options in Medical Billing and coding jobs provide ideal opportunities to billers and coders to choose from an array of different types of work environments giving them several opportunities along with flexibility in the rapidly growing health care field. According to a study by the ... Views: 790
“As much as the intrinsic competencies of your Medical Billing Companies, their ability to advise on EHR/EMR implementation for efficient clinical and operational management should equally hold prominence. As HIPAA 5010 compliant EHR/EMR is the prerequisite to medical billing under ... Views: 704
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: 501
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: 552
“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: 609
Notwithstanding the importance of flawless coding in maximizing healthcare insurance reimbursements from insurance carriers, it is the Account Receivable (A/R) Management that proves decisive in either making or breaking your chances of mitigating denial or delay of your medical bill claims. ... Views: 1285
Physician shortages is a growing concern and is pushing various states to keep doctors trained in medical schools and residency programs from crossing state lines to practice medicine. According to new statistics from the Assn. of American Medical Colleges- nationwide, there were 258.7 active ... Views: 787
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: 654
Over the last few years the healthcare system in the United States has witnessed modifications in policies and regulations, in order to make healthcare facilities cost effective and accessible to people from all income groups. However, a substantial percentage of the population still ... Views: 728
While it is true that payment posting is merely an exercise of recording the actual claim realized against patient account concerned, in reality its scope extends beyond that. Far from just being an accounting exercise, payment posting has evolved into an indispensable tool for analyzing ... Views: 878
Hospitals, healthcare organizations and dentists have long been occupied with the issue of medical filing. The process of medical claim filing is overtly complex, requiring paper work, filing and adjudication. Moreover, with the introduction of new reforms in the system every other day, which is ... Views: 848
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: 585
The intense competition in the healthcare industry is triggering unprecedented benefits to the patient fraternity. While the quality of medical care has improved by leaps and bounds, patients now, have choices and alternatives just in case they feel deterioration in the perceived level of ... Views: 859
How Rising Usage of Thoracic Ultra-Sonography Would Prompt Physicians to Opt for External Medical Billing The safety and precision factors associated with Thoracic ultrasonography have made it a more indispensable and preferred imaging modality to the traditional radiology imaging procedures ... Views: 845
Even as the Department of Health & Human Services’ in order to reduce regulatory burdens, announced last month it would consider delaying the ICD-10 implementation deadline for certain entities, subsequent industry reactions depicted healthcare professionals being primarily not in ... Views: 700
“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: 563
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: 589
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: 592
Various providers despite being paid lesser by government than by commercial insurers believe that Medicare and Medicaid reimburse more fairly than commercial payers. Findings from a recent survey depicted that 93% of respondents feel that Medicare is fair always or frequently while 62% felt the ... Views: 907
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: 569
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: 497
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: 571
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: 545