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GroupOne Health Source Practice Management Blog

      

The GroupOne Health Source Blog

 Answers and Insights Every Healthcare Professional Needs.

 

CMS U-turn on Medicare Advantage Payment Cuts

by Kaitlyn Houseman on April 4, 2013

Medicare Advantage Payments to be Increased Instead of Cut

Medicare Advantage customers need not fear the painful benefit cuts in 2014 as anticipated by Health Insurers. CMS backtracked on plans to cut Medicare Advantage payments to insurers by 2.2% in 2014 and instead decided on a 3.3% increase. 

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Topics: Medical Business, EHR, CMS

Avoiding 2015 PQRS Payment Adjustments

by Kaitlyn Houseman on March 29, 2013

Purpose

This article provides information on the 2015 PQRS payment adjustment and guidance on how individual eligible professionals and group practices can avoid the 2015 PQRS payment adjustment. Information provided in this article is based on the 2013 Medicare PFS Final Rule.
This article focuses on the PQRS payment adjustment and does not provide guidance for Value-Based Payment Modifier upward adjustment or payment adjustments from other Medicare sponsored programs. See the Additional Information section below for links to the CMS Value-Based Payment Modifier website, and the Medicare and Medicaid EHR Incentive Program website.

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Topics: EHR, CMS, PQRS, Incentive Programs

4 Secrets of the Medical Self-Pay Strategy

by Kaitlyn Houseman on March 5, 2013

With the growing costs of healthcare, patients are required to pay more out of their pockets than ever before!  Medical insurance deductibles and co-payments are on the rise while fewer necessary procedures are covered in-full by many insurance companies.  According to ACA International, 29 percent of adults reported medical debt or trouble paying medical bills, and 16 percent had been contacted by a collection agency for unpaid medical bills.   

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Topics: Revenue Cycle Management, Medical Business, EHR, Practice Management

ACA Provides New Revenue Opportunities to Some Physicians

by Kaitlyn Houseman on March 3, 2013

Why Physicians May Seek Out Medicare Patients Under New ACA Rules

Like clockwork, once again, physicians would have faced a 26.5 percent reduction in the Medicare physician payment rate on January 1, 2013, as a result of the sustainable growth rate (SGR) formula.  Congress has intervened 14 times since 2002 with a stopgap measure to prevent major cuts in physician Medicare reimbursement.  Created as part of the Balanced Budget Act of 1997, the SGR formula and has never been corrected permanently by Congress.

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Topics: Revenue Cycle Management, Medical Business, Practice Management, CMS, Affordable Care Act, Incentive Programs

New EMR Mobile App: healow

by Nicole Laucks on February 15, 2013

healow_icon.pngAs the business of healthcare IT continues to evolve, helping doctors provide access to their patients' continues to be at the forefront of the industry.  Patients are constantly looking for new ways to manage their health while doctors look for new ways to advance patient engagement.  With eClinicalWorks, providers and patients have the opportunity to fill the gap in improving health outcomes. 

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Topics: Revenue Cycle Management, eClinicalWorks, Medical Business, Practice Management

EMR Physician Practice Tips to Maximize Revenue

by Kaitlyn Houseman on February 14, 2013

Best Practices for Collecting Out-of-Pocket Patient Fees

One of the most important aspects of a medical practice’s success is collecting the money that a patient owes them. This seems like a “no-brainer,” right? Well that does not necessarily make it an easy feat. Patient out-of-pocket fees account for 30 percent of a practice’s revenue, yet once a patient walks out the door, chances of collecting that money are practically cut in half.

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Topics: Revenue Cycle Management, Medical Business, EHR, Practice Management

Do Not Ignore Medicare's Revalidation Process!

by Kaitlyn Houseman on January 31, 2013

Have you received your Medicare Revalidation Letter Yet?

Section 6401 (a) of the Affordable Care Act established a requirement for all enrolled providers and suppliers to revalidate their enrollment information under new enrollment screening criteria. This revalidation effort applies to those providers and suppliers that were enrolled prior to March 25, 2011. Newly enrolled providers and suppliers that submitted their enrollment applications to CMS on or after March 25, 2011, are generally not impacted.

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Topics: Medical Business, Practice Management, CMS, Affordable Care Act

Best Mobile Apps for Physicians Part 2

by Kaitlyn Houseman on January 25, 2013

Filtering through the thousands of medical apps now available can be time consuming and stressful.  As a medical professional we know your time is limited which is why we have compiled a list of the top 20 apps for physicians.  Some will help you organize your life and practice while others are going to assist you in building relationships with patients through top notch medical care.  

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Topics: Practice Management

SGR Fiscal Cliff Updates and Medical Practice Impact

by Kaitlyn Houseman on January 2, 2013

Yesterday, the United States Congress approved legislation that prevents most taxpayers from experiencing a tax increase; prevents the scheduled 26.5% SGR related cut in physician fee schedule payments; and delays (until early March) the 2% across-the-board cut in Medicare payments due to sequestration.

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Topics: Revenue Cycle Management, Medical Business, Practice Management, CMS, Affordable Care Act, Incentive Programs

Tip To Boost Medical Practice Revenue | Patient Education

by Kaitlyn Houseman on December 13, 2012

Increase Your Medical Practice's Revenue - Educate Your Patients on Free Preventative Care

The Affordable Care Act passed by Congress and signed into law on March 23, 2010 has made preventative care services free for 47 million women.  The U.S. Department of Health and Human Services (HHS) released this information back in July of 2012 detailing eight new prevention-related services that must be covered by health plans allowing women to take control of their health.  Insurance companies did not cover these services before under their health plans which made women responsible for the co-pays and deductibles for the care they need to stay healthy.

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Topics: Revenue Cycle Management, eClinicalWorks, Medical Business, Practice Management, Affordable Care Act

GroupOne Helped These Practices Raise Monthly Revenue By 32%

by Kaitlyn Houseman on November 9, 2012

According to a recent study, GroupOne Health Source’s staff of medical billing experts, which includes certified coders and reimbursement specialists, has helped numerous medical practices of various specialties and sizes generate, on average, a 32% increase in monthly collections.

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Topics: Revenue Cycle Management, EHR, Practice Management

5 Ways EMRs Can Boost Profitability

by Nicole Laucks on November 9, 2012

Since the electronic medical records (EMR) market continues to boom, we thought it'd be helpful to dig into ways that physician practices can use an EMR to boost their profitability. Here are five tips to help you understand how an EMR can contribute to bottom line growth. 

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Topics: EHR, Practice Management

eClinicalWorks Customer Coastal Medical Receives HIMSS Davies Award

by Kaitlyn Houseman on October 31, 2012

Washington, DC, October 26, 2012 – eClinicalWorks, a leader in ambulatory clinical systems, today announced that eClinicalWorks' customer Coastal Medical, founded in Providence, R.I., has received a 2012 Ambulatory HIMSS Davies Award of Excellence. The award, recognizing outstanding achievement in the implementation and value from health information technology, specifically electronic health records (EHRs), will be awarded at the 2013 Annual HIMSS Conference & Exhibition in New Orleans, La. on March 3-7, 2013.

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EHR System Increases Quality Care

by Kaitlyn Houseman on October 24, 2012

Study from the Journal of General Internal Medicine Finds Higher Care Quality Linked with EHR Use

Having trouble making up your mind about EHRs? In a new study published by the Journal of General Internal Medicine (JGIM), providers' use of EHRs was shown to lead to significantly higher care quality scores for certain health conditions compared to scores from providers using paper records. The study looked at the association between EHRs and ambulatory quality in a community-based setting, finding that EHR use led to:

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Topics: EHR, Practice Management

7 Reasons to Purchase EHR by end of 2012

by Kaitlyn Houseman on October 18, 2012

  1. Expiring Favorable Tax Law – Tax Savings
  2. Patients Prefer Patient Portals and EHRs
  3. Free iPad 3 promotion thru 12/31/2012
  4. Deferred financing on license fees by 12/31/2012
  5. $39,000 - $63,750 stimulus payment
  6. No down payment required with GroupOne
  7. Become a Modern and Paper Free Practice in 2012 – New Year’s Resolution

1. Expiring Favorable Tax Laws – Tax Savings

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Topics: eClinicalWorks, Medical Business, EHR, Incentive Programs

5 EMR Shortcuts: eClinicalWorks EMR Saves You Time

by Nicole Laucks on October 12, 2012

If you could design the perfect EMR and PM software for you practice, what features would it include?

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Topics: eClinicalWorks

Recovery Auditors Aim at EHR Medical Practices

by Kaitlyn Houseman on October 11, 2012

Recovery auditors (RACs), which had been primarily focused on the billing activities of hospitals, will expand their scrutiny to examine physician practices, reported American Medical News.

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Topics: Revenue Cycle Management, Medical Business, Coding

EHR Adoption Continues to Rise

by Kaitlyn Houseman on October 5, 2012

Physician adoption of ambulatory electronic health records is on an upswing, with 69 percent of physicians surveyed owning an EHR, up from about 61 percent in 2011 and 42 percent in 2010, according to a new survey published by CapSite.

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Topics: EHR, Incentive Programs

EHR Meaningful Use Stage 2 New Core Objectives

by Kaitlyn Houseman on September 17, 2012

With the HITECH Stage 2 Meaningful Use Criteria release a few weeks ago, doctors have been scrambling to learn what the Stage 2 criteria mean to their individual practice.  Many are asking, how does Stage 2 differ from Stage 1?  The experts at GroupOne Health Source have reviewed the legislation and have provided some key changes between the Core and Menu Set criteria of Stage 2 when compared to Stage 1.

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EHR Patient Portal: Vital to Your Practice?

by Kaitlyn Houseman on September 14, 2012

Not only are patient portals a necessity for Stage 2 Meaningful Use compliance, an increasing number of patients are expecting web-based access to their health information.

With the Stage 2 rules for the Medicare/Medicaid EHR Incentive Programs recently announced, it is obvious that a patient portal will be vital to many practices.  Patient engagement technology will make it easier for physicians to meet the new objectives proposed by CMS including providing patients online access to health information and secure messaging between patient and provider.  Stage 1 may have required a patient portal to be in place but Stage 2 will be enforcing the use not only by physicians but also their patients.

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