Author Archives: admin

28 Jul

Does creating the U.S.’s biggest insurer help patients?

By Scott Tong June 20, 2016 There are reports that federal antitrust regulators may challenge insurance giant Anthem’s proposed $48 billion acquisition of Cigna. The combined company would be the country’s largest, representing more than 50 million patients. Large deals like this often bring out powerful business interests ostensibly speaking on behalf of consumers. The argument

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04 Jul

Wearables Will Soon Be Part of Major Shift In Medical Practice

For most doctors in private practice, the astonishing growth of health wearables has all but passed them by. According to a leading health IT group, the use of health and fitness apps is growing 87% faster than the entire mobile industry. That’s pretty astonishing for a product category most of us hadn’t even heard of

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27 Jun

2016 Medicare Deductibles and Premiums

The Centers for Medicare & Medicaid Services (CMS) announced the 2016 premiums and deductibles for the Medicare inpatient hospital (Part A) and physician and outpatient hospital services (Part B) programs. Part B Premiums/Deductibles As the Social Security Administration previously announced, there will be no Social Security cost of living increase for 2016. As a result,

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20 Jun

2016 CPT Code Changes

The 300 new, deleted, revised, and converted CPT codes for 2016 are here and you will need to make sure they are loaded in your billing and EMR system(s) on or before January 1, 2016. This is also a great time to upload the 2016 Medicare allowables for your locality and for any payer contracts

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06 Jun

The Right Way to Do Write-offs

A write-off is an amount that a practice deducts from a charge and does not expect to collect, thereby “writing it off” the accounts receivable or list of monies owed them by payers or patients. There are lots of reasons why write-offs are taken, and it is common practice to divide write-offs into two major

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23 May

How Patient Billing and Collections Play Into Patient Engagement

By Stacy State With high-deductible health plans (HDHPs) continuing to be the plan-of-choice for employers and those purchasing insurance on the state exchanges, providers continue to need consumer-focused solutions and strategies. Patients now owe more out of pocket than ever before, and the challenges of effective, sustainable patient billing and collections are real—research shows that

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16 May

Clean Claims Through Revenue Cycle Process Transparency

By Stacy State Discovering opportunities for improvement is among the most essential uses of RCM technology, and Baptist Health Medical Group (BHMG), one of the largest not-for-profit healthcare systems in Kentucky, was able to uncover areas for improvement and capitalize on them using several of ZirMed’s solutions. Upon initially forming BHMG, in which hundreds of

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09 May

UnitedHealth starts pulling out of Obamacare, but will anybody notice — or care?

By Michael Hiltzik The giant health insurance company UnitedHealth inspired lots of hand-wringing and hyperventilation last year when it announced that it had lost hundreds of millions of dollars on Affordable Care Act exchanges and was considering withdrawing from the market in 2017. Although that news prompted numerous Obamacare critics to declare the impending death of the

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