Let’s imagineyou are watching a re-run of Law and Order, andyou are following along with how the investigation and proceedings take place. The key that makes or breaks each case is… you guessed it – evidence. The quality and quantity of the evidence, how well the story fits the evidence, and where the evidence leads
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As you already must be aware, a big change is coming to the healthcare industry, now that the U.S. government is requiring us to switch from ICD-9 to ICD-10. Version 10 of the International Classification of Diseases has already been adopted by many countries around the world, but our government has granted a few extensions
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Organizations that manage population health are only as good as their data. And as more of the healthcare industry moves to an ACO model, the limits of clinical data are becoming more apparent-it’s not standardized, it doesn’t go through a rigorous review for accuracy, and it’s not easily sharable across disparate systems. It’s also limited
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For physicians and other healthcare providers, the healthcare revenue cycle management (RCM) function for patients can be an administrative nightmare. To help your practice do a better job of collecting on patient accounts, you must place a priority on educating patients and helping them understand the insurer’s payment policies, as well as their own billing
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The percentage of insured patients who have high-deductible health plans (HDHPs) is set to increase significantly in the coming years–both because more patients are selecting these plans from their available options, and because employers are increasingly offering these plans as the only option available to employees. And although the number of uninsured patients appears to
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Have you ever been solicited by a billing company? If so, you probably have noticed that the pitch is usually the same: “We can do your billing for a lower fee (typically a lower percentage) than you are paying now.†The focus of these pitches is usually on cost savings. The company compares the amount
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Medical billing can be a demanding and challenging task for small medical practices. For this reason, many physicians or practice managers make the choice to outsource their medical office billing to a professional medical billing company. There are many advantages to outsourcing medical billing. It saves time and money and eliminates the burden of concentrating
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