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GroupOne Health Source Practice Management Blog

      

The GroupOne Health Source Blog

 Answers and Insights Every Healthcare Professional Needs.

 

Payment Disputes: What Are Your Next Steps?

by Keith Lage on October 10, 2015

Payment disputes are a fact of life for most medical practices. With the increasing number of high deductible health plans, Americans are struggling over medical debt and putting more of their take-home pay into medical costs than ever. A survey by NerdWallet found out that Americans pay three times more for third party collection of medical debt than for credit card and bank debt combined. In 2014, around 20% of American adults were contacted by debt collection agencies because of medical bills.

Even when Americans expect sizable medical bills, they're often surprised by just how sizable they are. The NerdWallet survey found that 63% of Americans say they've received medical bills that were higher than they expected. From 2010 to 2013, American median household income fell by $2,300, yet healthcare expenses during that time increased by $1,814, and out-of-pocket healthcare spending is expected to experience annual growth of double the GDP growth for the next several years. It's no wonder billing disputes between medical practices and patients are so common. Here's what you can do to prevent and cope successfully with billing disputes.

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Topics: Revenue Cycle Management

7 Tips to Help Your Practice with Flu Season

by Ricki Ransom on October 8, 2015

In the United States, flu outbreaks can start in October and last until May. The official "flu season" arrives when certain key indicators rise and remain elevated for several weeks. Though it varies from year to year, flu activity in the US usually peaks from December to February.

By preparing both your practice and your patients for flu season, you can keep your practice running efficiently and make sure your medical billing stays on track, even if you experience a large influx of patients during flu season. Here are 7 tips to help your practice with flu season.

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Topics: Practice Management

CMS and ONC Release Final Rules for EHR Incentive Programs

by Kaitlyn Houseman on October 7, 2015

The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) recently announced the release of final rules for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs and the 2015 Edition Health IT Certification Criteria. The rules will be published on October 16, 2015, and are currently on display in the Federal Register. 

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Topics: CMS, Incentive Programs

Lost in Translation: Reducing Errors in Medical Transcription

by Kaitlyn Houseman on October 6, 2015

The process of medical transcription is how the files representing patient histories, diagnoses and treatments are built. To perhaps oversimplify, healthcare practitioners dictate the particulars of their interaction with patients and medical transcriptionists may transcribe the oral dictation or edit reports that are generated by speech recognition software.

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Topics: Revenue Cycle Management, Practice Management

Collecting from Patients in a Difficult Economy

by Ricki Ransom on October 2, 2015

Despite the fact that more Americans have health insurance, many still struggle to pay their medical bills due to the increasing number of high deductible health plans.  Collecting from self-pay patients can be also be costly for a medical practice since it typically takes more time and hassle. 

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Topics: Revenue Cycle Management, Patient Engagement, Self-Pay

Protecting Against Credit Card Fraud at Your Practice

by Kathy Kuhn on October 1, 2015

One way healthcare providers increase medical billing collections is by allowing multiple payment options, including credit cards. But it's important that medical billing professionals understand credit card fraud and know how to prevent it. Credit card fraud costs credit card issuers millions of dollars each year, because consumers generally aren't responsible for fraudulent use of their cards.

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

Post ICD-10: What to Expect After October 1st

by Keith Lage on September 30, 2015

Tomorrow ICD-10 will replace the current classification system, ICD-9. Whether you're ready or not, ICD-9 codes will no longer be accepted on claims. Claims with ICD-9 codes after October 1 will be denied without payment. While surveys indicating readiness for the ICD-10 transition vary, one thing is for sure: ICD-10 will dramatically impact medical billing and cash flow. 

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Topics: Revenue Cycle Management, ICD-10, Coding

Be Wary of the ICD-10 Grace Period

by Toshya Griffin, CPC on September 28, 2015

With ICD-10 just 3 days away, healthcare providers and practices should be gearing up for the biggest change in healthcare to occur in decades. However, there seems to be a lot of debate and confusion surrounding the CMS announcement of a “grace period” with ICD-10. If you haven’t yet heard of the “grace period” it is intended to alleviate some of the concern surrounding the additional time physicians will need to spend on documenting with the new ICD-10 code set.

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Topics: Revenue Cycle Management, ICD-10, Coding

Retail Medical Clinics: How they Affect Your Private Practice

by Kaitlyn Houseman on September 27, 2015

The first retail medical clinics started opening about 15 years ago, and by the end of 2015, there will be an estimated 2,800 of them in the United States. The largest chain of retail clinics is CVS's Minute Clinic chain, with over 800 locations in CVS pharmacies. By the end of 2013, more than one-third of medical patients had visited a retail clinic at some time.

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Topics: Practice Management

What Will ICD-10 Do To Your Cash Flow?

by Toshya Griffin, CPC on September 26, 2015

The change from the ICD-9 coding standard to ICD-10 will affect healthcare provider cash flow from several different angles. In fact, you could do everything "right" in the lead-up to ICD-10 and still face problems with revenue cycle management. But knowing where and how ICD-10 will make an impact can help you prepare and do your best to minimize problems.

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Topics: Revenue Cycle Management, ICD-10

Will ICD-10 Cause the Extinction of Paper Superbills?

by Kaitlyn Houseman on August 26, 2015

Paper superbills have been as much a part of many medical practices as stethoscopes and blood pressure cuffs over the past few decades. And despite increasing prevalence of electronic health records (EHRs), more than half of physician practices today still use paper superbills. That's because they're flexible and powerful and do their job well.

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Topics: Revenue Cycle Management, ICD-10

What the Twitter-Google Partnership Means for Physicians

by Kaitlyn Houseman on August 25, 2015

Earlier this year, Google and Twitter announced that Tweets would be integrated into Google's search engine real-time results. This may give you a feeling of déjà vu, and that's because Tweets used to be integrated into search results until a few years ago, when Twitter stopped allowing it. With a change of heart, Twitter is giving Google more real-time content and in return Google is likely giving Twitter more traffic as well.

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Topics: Practice Management, Marketing

4 Ways an EHR Can Improve the Efficiency of Your Practice

by Nicole Laucks on August 19, 2015

Adoption of electronic health records (EHRs) is continuing apace as medical providers cope with a dizzying array of new regulations and demands from third party payers. Some healthcare providers have resisted implementing EHRs for fear of lower productivity, which they believe will lead to a reduced patient load and revenue.

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Topics: Revenue Cycle Management, EHR

Code Confusion: What to Expect With ICD-10

by Kaitlyn Houseman on August 10, 2015

Reactions to the looming changeover from ICD-9 coding standard to ICD-10 scheduled to take place October 1 range from general confidence to serious worry. There is little debate that ICD-10 is better. It will make codes more meaningful, allowing medical practices to pack more information into a simple code. This will make it easier to track individual health problems as well as societal health trends.

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Topics: Revenue Cycle Management, ICD-10

Banner Health Selects eClinicalWorks Cloud-Based Care Coordination Technology

by Kaitlyn Houseman on August 7, 2015

The project outfits a percentage of BHN’s community providers with a Cloud-based EHR solution that will streamline processes between practices.

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Topics: eClinicalWorks, Care Coordination Medical Record, EHR Training

Will ICD-10 Make Your Staff Less Productive?

by Toshya Griffin, CPC on August 6, 2015

Change is difficult, even if it is ultimately a positive change. ICD-10 is one of the biggest changes to hit healthcare in decades and the deadline is getting closer and closer. The upcoming transition from the ICD-9 coding standard to ICD-10 will lead to more accurate tracking of individual and population health trends, and will allow much greater specificity in medical coding. But there's no question that the transition will be challenging.

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Topics: Revenue Cycle Management, ICD-10

eClinicalWorks P2POpen Network Exchanges 1.5 Million Medical Referrals

by Kaitlyn Houseman on July 30, 2015

WESTBOROUGH, Mass.--(BUSINESS WIRE)--eClinicalWorks®, a leader in ambulatory healthcare IT solutions, today announces its free, electronic health record (EHR) vendor-neutral network, P2POpen, has exchanged one and a half million referrals between medical providers utilizing a variety of systems. Total communications to date is two million referrals, consults and messages for this network that ensures healthcare providers can connect with each other for patient care regardless of what EHR system is in use or if the practice is using paper records. The company has taken an additional step by receiving full accreditation as a health information service provider, or HISP, from EHNAC-DirectTrust for eClinicalWorks’ eClinicalDirect.

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Topics: eClinicalWorks

Why ICD-10 Has More Than 150,000 Codes - And What You Can Do About It

by Kaitlyn Houseman on July 27, 2015

Use of the ICD-10 coding standard will no longer be optional after October 1. After that time, medical claims submitted without the correct ICD-10 codes will be rejected. Learning ICD-10 is comparable to learning a new language, one that is much more complex than ICD-9.

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Topics: Revenue Cycle Management, ICD-10

Finding the Right EMR for Pediatrics

by Kaitlyn Houseman on July 21, 2015

An increasing proportion of physician practices, hospitals, and other healthcare businesses have adopted electronic health records (EHRs) to store the health information of their patients and improve efficiency. While some practices still make use of paper, pen, and clipboard, that method of keeping track of patients' health is going away due to the benefits that come with an electronic health records software.

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Topics: EHR

eClinicalWorks Named a Leader in Health Information Exchange Report

by Kaitlyn Houseman on July 17, 2015

In a recent report by IDC Health Insights, and after careful evaluation for its eClinicalWorks Health Information eXchange (eEHX) solution, eClinicalWorks® placed in the Leader Category. This report, titled IDC MarketScape: U.S. Health Information Exchange Packaged Solution 2015 Vendor Assessment (Document #HI256010, July 2015), focuses on the health information exchange (HIE) vendor landscape.

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Topics: eClinicalWorks