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The new law removes the word "outpatient" from the description of a hospital-based "setting" and replaces it with "inpatient or emergency room setting." So physicians who treat patients in hospital-based outpatient clinics will be eligible for incentive payments under the HITECH Act. The exclusion will remain on inpatient or ER physicians as they are using the hospital resources in their settings.
As medical practices evaluate the option of outsourcing the medical billing functions verses performing the process internally, the related cost of each option should be considered. The analysis involves more than simply comparing the billing firm fee to the salary of internal billing staff. A proper analysis can illustrate a substantial price difference between the two options.