<img src="//bat.bing.com/action/0?ti=5203022&amp;Ver=2" height="0" width="0" style="display:none; visibility: hidden;">
GroupOne Health Source Blog

GroupOne Revenue Cycle Blog 

Insights to guide your practice.

Subscribe to Blog Updates

 

Are You Preventing Denials?

by Kaitlyn Houseman on November 7, 2013

Increased demand for healthcare services as a result of an aging U.S. population should make for a successful and profitable medical practice.  However, improving a practice’s cash flow has become anything but easy in today’s changing reimbursement environment. 

Read More

Topics: Revenue Cycle Management, Denial Management

EHR Incentive Programs: Important Payment Adjustment Information

by Kaitlyn Houseman on November 1, 2013

Medicare EPs participating in the EHR Incentive Program may be subject to payment adjustments beginning on January 1, 2015. 

CMS will determine the payment adjustment based on meaningful use data submitted prior to the 2015 calendar year. EPs must demonstrate meaningful use prior to 2015 to avoid payment adjustments. Determine how your EHR Incentive Program participation start year will affect the 2015 payment adjustments:

If you began in 2011 or 2012
If you first demonstrated meaningful use in 2011 or 2012, you must demonstrate meaningful use for a full year in 2013 to avoid the payment adjustment in 2015. 

If you began in 2013
If you first demonstrate meaningful use in 2013, you must demonstrate meaningful use for a 90-day reporting period in 2013 to avoid the payment adjustment in 2015. 

If you plan to begin in 2014
If you first demonstrate meaningful use in 2014, you must demonstrate meaningful use for a 90-day reporting period in 2014 to avoid the payment adjustment in 2015. This reporting period must occur in the first 9 months of calendar year 2014, and EPs must attest to meaningful use no later than October 1, 2014, to avoid the payment adjustment. 

Avoiding Payment Adjustments in the Future
You must continue to demonstrate meaningful use every year to avoid payment adjustments in subsequent years.

Read More

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

Join the Next eHealth Provider Webinar on Stage 2

by Kaitlyn Houseman on October 31, 2013

If you are an eligible professional preparing for Stage 2, you are encouraged to join the next CMS eHealth webinar on Stage 2 health information exchange requirements, which will be held on Tuesday, November 5th from 12:00 – 1:30 p.m. ET. The webinar is titled, “Exchange Criteria in Stage 2,” and will focus on three measures in Stage 2 that require the exchange of health information. CMS experts will be presenting on the following topics:

Read More

Topics: CMS, Affordable Care Act, Practice Management, Incentive Programs

Stage 1 Meaningful Use Calculator

by Kaitlyn Houseman on October 25, 2013

Stage 1 Meaningful Use Calculator Includes Updated Measure Requirements

The Stage 1 Meaningful Use Attestation Calculator can help you prepare to enter your meaningful use information into the CMS attestation system. Enter your meaningful use data into the calculator to learn if you have met all of the objectives and the associated measures prior to completing attestation for Stage 1 of the EHR Incentive Programs.

Read More

Topics: CMS, Affordable Care Act, Incentive Programs

4 Tips for Communicating the Health Exchanges with Patients

by Kaitlyn Houseman on October 18, 2013

Communicating Health Exchanges with PatientsTo the exchange, or not to the exchange, that is the question.  One of many questions actually.  Since the health insurance exchanges opened up on October 1, 2013, medical practices have been bombarded with questions ranging from “what is it?” to “which plan should I choose?”

Read More

Topics: Practice Management

Anderson Reveals “Scary” Truth About ICD-10 Test Results

by Kaitlyn Houseman on October 16, 2013

The North Carolina Healthcare Information and Communications Alliance executive director Holt Anderson revealed a ‘scary’ finding after some end-to-end ICD-10 testing.  Anderson made the announcement of their findings during the MGMA 2013 annual conference last week.

Read More

Topics: ICD-10, Medical Business, Revenue Cycle Management, Coding, Practice Management

Insurance Exchanges & Your Practice Part 2: Reimbursement & Whether to Join

by Kaitlyn Houseman on October 11, 2013

What will happen with reimbursement now that the government has opened the insurance exchanges to Americans?  Well each state chose to either set up their own health insurance exchange, have the federal government set it up for them, or chose the joint-run option. 

Read More

3 Months of Meaningful Use in 2014 For Medicare Providers

by Kaitlyn Houseman on October 10, 2013

CMS Permitting a One-Time 3-Month Reporting Period in 2014 

In order to allow for adequate time for providers to upgrade to 2014 Certified EHR technology, CMS is permitting this one-time three-month reporting period in 2014 for eligible hospitals and eligible providers.  Eligible Hopsitals have until July 1, 2014 and Eligible Providers have until October 1, 2014 to begin their three month reporting period with 2014 Edition software. Therefore, some providers will be able to achieve Meaningful Use in the first quarter, rather than the last, and receive incentives earlier.

Read More

Topics: Medical Business, EHR, Practice Management, CMS, Affordable Care Act, PQRS, Incentive Programs

Insurance Exchanges & Your Practice Part 1: What to Expect

by Kaitlyn Houseman on October 9, 2013

Health Insurance Exchange Impact on Medical PracticesBy now you have probably read a number of articles and blog posts regarding the exchanges created by the Patient Protection and Affordable Care Act (ACA).  In case you have been hiding under a rock the past couple of days, the federal government opened the exchanges on October 1st to Americans which will offer them four tier levels of health insurance plans.  The lower monthly premiums will come with substantially higher deductibles however the exchanges will ultimately provide Americans with healthcare plans at a low cost.  On top of the low costs, some Americans will be eligible for tax credits and subsidies.

Read More

Topics: Practice Management, Affordable Care Act, CMS

Effect of Government Shutdown on Medicare

by Kaitlyn Houseman on October 1, 2013

The federal Fiscal Year runs from October 1 through September 30th.  This means that Fiscal Year 2014 begins today on Tuesday, October 1.  In order for the government to operate, the Congress must pass and the President must sign appropriations bills that release the money necessary to fund the operation of the federal government. 

Read More

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

There's an ICD-10 Code For That?

by Kaitlyn Houseman on September 29, 2013

Burn Due to Water Skis on Fire? - There's an ICD-10 Code For That!

Struck by a Turtle? Walked Into a Lamppost? Hurt While Crocheting? Burn Due to Water Skis on Fire? – There’s a Code for that.

Read More

Topics: CMS, ICD-10, Practice Management, Coding, Denial Management

Is Your EHR Your Certified Professional Coder (CPC)?

by Kaitlyn Houseman on September 26, 2013

The key to successful Electronic Health Record (EHR) adoption is not only selecting the right system, but ensuring you have the right people involved in the process. Many EHR’s pledge the reduction of coding staff because the EHR will allow you to swiftly document, accurately code your progress notes, and auto generate your coding. Sounds easy enough, right? What you might want to consider when listening to the sales demonstration is who is giving the demonstration. As a software vendor, do they have the experience of medical coders and reimbursement staff that have lived the tricks of the trade? Do they understand that sometimes submitting a clean claim requires more than automated claim creation and filing?

Read More

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

Telemedicine: How It Can Work for Your Medical Practice

by Kaitlyn Houseman on September 25, 2013

As a child, I never dreamed I would be able to communicate with a person several thousand miles away while looking at their face via video. Now, we can not only communicate via video with our family and friends, we can receive medical treatment from our providers.

Read More

Topics: Practice Management, Telehealth

New CMS Eligibility Fact Sheet Available

by Kaitlyn Houseman on September 24, 2013

New Eligibility Fact Sheet Helps Health Care Professionals Determine eHealthProgram Participation

CMS released a new resource that will help you as a health care professional determine your eligibility for eHealth programs. The tool outlines eligibility for eHealth programs based on your area of practice.

Read More

Topics: CMS, PQRS, Incentive Programs

EHR Satisfaction and Profitability Study Results

by Kaitlyn Houseman on September 21, 2013

EHRs with Integrated Billing Solutions Key to EHR Satisfaction and Improved Practice Profitability Reveals Black Book RCM study

In this segmented survey of healthcare financial leaders, over 8,000 respective CFOs, CIOs, administrators and support staff of US hospitals and physician practices contributed their perceptions to Black Book™ between April 2013 and August 2013.

Read More

Topics: EHR, Practice Management, Revenue Cycle Management, Incentive Programs

Subscribe to Updates
Browse by Blog Topic
HEALTH IT
HIPAA
RCM
MACRA
SELF PAY
CODING
MARKETING