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GroupOne Health Source Practice Management Blog

      

The GroupOne Health Source Blog

 Answers and Insights Every Healthcare Professional Needs.

 

Kaitlyn Houseman

As the Marketing Specialist at GroupOne Health Source, Kaitlyn leverages the company's experience in revenue cycle management and healthcare IT to bring readers expert advice on all things healthcare practice management. Since joining the sales and marketing division at GroupOne, Kaitlyn has been able to identify the top concerns of healthcare professionals and develop content that provides answers and insights into healthcare policy, patient pay strategies, EHR optimization, and medical coding and billing.

Email: khouseman@g1hs.com

Author's Posts

Conducting a Mid-Year Checkup of Your Revenue Cycle Management

by Kaitlyn Houseman on July 1, 2016

A healthy medical practice centers around patient care and healthy revenue cycle management. You cannot have one without the other. In this day and age, no matter how good your practice is at keeping your patients healthy, if you don’t also have a healthy revenue cycle, you’re not going to be around long enough to help many patients heal.

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Topics: Revenue Cycle Management

How Can You Reduce Your Accounts Receivables? Try a CCOF Policy

by Kaitlyn Houseman on June 29, 2016

Today, high-deductible insurance plans are more and more standard for patients. According to a recent report from InstaMed, 74 percent of healthcare providers reported an increase in patient financial responsibility in 2015, which has prompted healthcare revenue cycle management strategies to focus more on consumers. This reality makes collections that much more difficult, and practices often encounter patients “forgetting” their checkbooks or credit cards at the time of service. 

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Topics: Revenue Cycle Management, Practice Management, Self-Pay

9 Medical Practice Performance Metrics to Report on During Your Next Meeting

by Kaitlyn Houseman on June 23, 2016

Tracking metrics in your medical practice can result in improved efficiency, profitability, and yield better results across your entire practice and revenue cycle management operations. Choosing what to measure and what to report is as important as deciding to start tracking measurements in the first place. In this post we will cover the 9 metrics that not only measure your RCM performance but the entire pulse of your medical practice.

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Topics: Revenue Cycle Management

How to Turn Your Patients Into Brand Advocates

by Kaitlyn Houseman on June 10, 2016

Managing a busy medical practice is at times a daunting task. You need to be professional and at the top of your game, managing the financial side of the practice, diagnosing and taking care of patients, keeping the operational side of the business well-oiled, and, yes, you also have to provide superior customer service.

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Topics: Marketing

Is Your Documentation Ready for the End of the ICD-10 Grace Period?

by Kaitlyn Houseman on May 31, 2016

Clinical documentation is at the heart of every patient encounter. It needs to be meaningful, and to be meaningful, it needs to be clear, accurate and timely. Clinical documentation isn't just critical for patient care, it is also used to share critical information with other providers while optimizing the claims process. However, with implementation of ICD-10 from October 2015, provider clinical documentation became much more complex: There are now nearly 70,000 codes, up from nearly 14,000 in the ICD-9.

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Topics: Revenue Cycle Management, ICD-10, Coding

Survey of Physicians Shows Declining Satisfaction with Electronic Health Records

by Kaitlyn Houseman on May 17, 2016

A new report from AmericanEHR Partners and the American Medical Association (AMA) based on a survey of physicians, shows that compared to five years ago, more physicians are reporting being dissatisfied or very dissatisfied with their EHR system. The survey on Physician Use of EHR Systems 2014 found that close to, or more than half of all respondents, reported a negative impact in response to questions about how their EHR system improved costs, efficiency or productivity.

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Topics: EHR

Managing the Revenue Cycle: 7 Areas for Improvement

by Kaitlyn Houseman on May 12, 2016

Did you know that an underperforming revenue cycle causes US doctors to leave around $125 billion per year on the table? Being successful in the healthcare industry requires not only outstanding patient care but also an efficient revenue cycle management process. While some practices excel at both, others are struggling to develop an RCM process that is efficient and profitable.

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Topics: Revenue Cycle Management

Top 20 Most Popular EMR Software Solutions

by Kaitlyn Houseman on May 7, 2016

EHR systems assist medical practitioners in the creation, storage, and organization of electronic medical records, including patient charts, electronic prescriptions, lab orders, and evaluations (just to name a few common features). But what is the most popular electronic health records (EHR) software?

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Topics: EHR, Practice Management, EHR Training

5 Ways to Increase Physician Referrals to Your Practice

by Kaitlyn Houseman on April 28, 2016

Independently owned clinics - particularly specialty clinics - may find the process of getting physician referrals to be daunting. There are multiple reasons for this. For one thing, the number of specialist categories has grown in the past decade, so there are more types of specialists for patients to be sent to. At the same time, there are more multispecialty groups that refer to specialists within the group, while many smaller clinics are being purchased by hospitals where internal referrals dominate.

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Topics: Revenue Cycle Management, Medical Business, Practice Management

What Is the Patient Experience?

by Kaitlyn Houseman on April 26, 2016

The concept of "patient experience" seems straightforward however, there are widely varying views among people in the healthcare industry as to what the "patient experience" really means. Nearly three-quarters of respondents (74%) to the  2013 HealthLeaders Media Patient Experience Leadership Survey expect to focus on patient experience training and education over the next three years. The patient experience is clearly a priority but what is it?

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Topics: Practice Management, Patient Engagement

How to Prepare for Thousands of New ICD-10 Codes

by Kaitlyn Houseman on April 19, 2016

The shift from ICD-9 to ICD-10 brought some big challenges to healthcare. To help relieve some of these transition difficulties, the CDC and CMS instituted a freeze on updates to the codes prior to the October 1, 2015 implementation date, according to the American Hospital Association. But now, CMS has lifted the freeze and announced they will be adding a host of new diagnostic and hospital inpatient procedure codes (5,000+ new codes) to ICD-10 for fiscal year 2017.

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Topics: Revenue Cycle Management, ICD-10

CMS Launches Comprehensive Primary Care Plus: Value-Based Model for Primary Care Practices, Multiple Insurers

by Kaitlyn Houseman on April 11, 2016

The Centers for Medicare and Medicaid Services on Monday launched a new risk-based primary care initiative that it hopes will accelerate the movement towards value-based reimbursement for medical practices. The five-year, Comprehensive Primary Care Plus, or CPC+, starts in January 2017 and will include up to 5,000 practices and 20,000 physicians in an estimated 20 regions.

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Topics: Value-Based Reimbursement, Incentive Programs

Communicating About Co-Pays to Patients

by Kaitlyn Houseman on April 11, 2016

Increasing plan deductibles might be a sound solution to slowing health care cost growth, but these high deductible health plans pose a new array of challenges to healthcare revenue cycle management. The number of people covered by an employer-sponsored high-deductible health plan (HDHP) is growing while almost 90% of enrollees in Affordable Care Act (ACA) in Affordable Care Act (ACA) Marketplaces have a HDHP. Communicating financial responsibilities to your patients is no longer optional, it's essential.

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Topics: Revenue Cycle Management, Practice Management

Healthcare Metrics You Need to Track in an Age of Value-Based Payment

by Kaitlyn Houseman on April 5, 2016

The incorporation of value-based payment into healthcare revenue cycle management is one of the defining narratives of this era of healthcare in the United States. The Department of Health and Human Services hopes to shift its payment system to nearly one-third value-based this year, with 50% of its payments to be value-based by the year 2018. Furthermore, it expects nearly all fee-for-service health plans to include some degree of value-based components by then.

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Topics: Revenue Cycle Management, Value-Based Reimbursement

Recognizing the Signs of Physician Burnout

by Kaitlyn Houseman on March 28, 2016

Burnout is an occupational hazard for high achievers, so it's no surprise that it is becoming more common and severe among physicians, who tend to be very high-achieving individuals. Physicians who face burnout are often the ones who are most passionate about what they do, making burnout more difficult to detect and prevent.

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Topics: Medical Business, Practice Management

Strategies to Turn Patients Into Bill-Paying Customers

by Kaitlyn Houseman on March 22, 2016

Revenue cycle management is a complex interaction of services, billing codes, benefit analysis, and successful invoicing. Historically, hospitals and most other providers received 90% of their reimbursement from insurance plans, with the patient portion receiving significantly less concern, since it was traditionally such a small part of overall revenues.
  
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Topics: Revenue Cycle Management, Self-Pay

5 Common Reasons for Claim Denials

by Kaitlyn Houseman on March 21, 2016

When a patient's insurance claim is denied, not only can your cash flow be affected, the relationship with your patient can be damaged as well. Some claim denials can be successfully appealed, but even when appeals succeed, they can temporarily leave claim status up in the air - something both your practice and your patient would like to avoid.

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Topics: Revenue Cycle Management, Denial Management

10 Disruptive Healthcare Companies to Watch

by Kaitlyn Houseman on March 10, 2016

Disruption by technology has affected more industries than it has left alone, and many involve things you do and use every day. For example, Facebook Messenger disrupted SMS messaging, Amazon disrupted eBooks, and Uber disrupted the taxi industry. Healthcare is no exception, experiencing disruption in the form of telemedicine, new devices, and new care delivery paradigms.

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Topics: Medical Business, Practice Management, Patient Engagement, Telehealth

What You Need to Know About the Medicare Overpayment Rule

by Kaitlyn Houseman on March 9, 2016

Remember in 2012 when CMS issued a rule requiring healthcare providers who discover past overpayments by Medicare or Medicaid to refund it within 60 days or risk the overpayment being labeled as a false claim? Well the final rule was published by CMS just last month (February). Here's what you need to know about the Medicare Overpayment Final Rule.

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Topics: Medical Business, Practice Management, CMS

Medicare EHR Incentive Program Attestation Deadline this Friday

by Kaitlyn Houseman on March 9, 2016

Eligible professionals, eligible hospitals, and critical access hospitals (CAHs) participating in the Medicare Electronic Health Record (EHR) Incentive Program must attest using the Medicare & Medicaid EHR Incentive Program Registration and Attestation System no later than Friday, March 11, 2016 at 11:59 p.m. EST.

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Topics: CMS, Incentive Programs