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Insights to guide your practice. 

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Office Manager Embezzles $1.2M Over 11 Years

by Kaitlyn Houseman on June 9, 2011

A news story out of North Carolina proves that regular audits may not be enough to prevent embezzlement, and that longtime medical office employees aren't necessarily trustworthy. According to The Star newspaper, Marlene Rice Hoyle, 45, has been charged with embezzling $1.2 million from Jones Family Practice, where she worked for nearly 20 years, most recently as office manager.

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Topics: Revenue Cycle Management, EHR


by Kaitlyn Houseman on June 2, 2011

HIPAA HAPPENS is a film produced by the Clinical Simulation Center of Las Vegas to highlight the pitfalls many health care professionals make in violating HIPAA laws. HIPAA is the Health Insurance Portability and Accountability Act of 1996. For more information about HIPAA please visit http://www.hhs.gov/ocr/privacy/

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Topics: EHR, CMS

Benefit of Outsourced Medical Billing: Increased Cash Flow

by Kaitlyn Houseman on May 19, 2011

Medical practices seeking additional revenue should consider partnering with a professional medical billing firm.

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Topics: Revenue Cycle Management, EHR, Denial Management

Meaningful Use Changes: #1 Patient Interaction

by Kaitlyn Houseman on May 9, 2011

Patients Will Be More Involved in Their Care

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Topics: Patient Portal, Incentive Programs

Series: 5 Ways Meaningful Use Will Change Your Practice

by Kaitlyn Houseman on May 3, 2011

Complying with Meaningful Use regulations can earn additional revenue for your practice through the Medicaid or Medicare Stimulus programs -- but it also can change the way your office operates and the way you interact with patients.  Over the next  few weeks, GroupOne will look at 5 important ways that the Meaningful Use criteria will alter the future of your practice.

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Topics: CMS, Incentive Programs

Five Meaningful Use Helpful Hints

by Kaitlyn Houseman on April 14, 2011

Below is information on Meaningful Use that might be of interest to you and your practice:

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Topics: Incentive Programs

Differences between the Medicare & Medicaid EHR Incentive Programs

by Kaitlyn Houseman on April 6, 2011

Stimulus payments have begun but do you understand the differences between the Medicare and Medicaid Stimulus programs?  Consult the following chart to make sure you sign up for the correct stimulus program. 



Federal Government will implement

(will be an option nationally)

Voluntary for States to implement (may not be an option in every State)

Payment reductions begin in 2015 for providers that do not demonstrate Meaningful Use

No Medicaid payment reductions

Must demonstrate MU in Year 1

A/I/U option for 1st participation year

Maximum incentive is $44,000 for EPs

(10% bonus for EPs in HPSAs)

Maximum incentive is $63,750 for EPs

Meaningful Use definition is common for Medicare

States can adopt certain additional requirements for Meaningful Use

Last year a provider may initiate program is 2014; Last year to register is 2016; Payment adjustments begin in 2015

Last year a provider may initiate program is 2016; Last year to register is 2016

Only physicians, subsection (d) hospitals and CAHs

5 types of EPs, acute care hospitals (including CAHs) and children’s hospitals

Please note: AIU = Adopt, Implement and Upgrade

CAH = Critical Access Hospital

HPSA = Health Professional Shortage Area

For any questions regarding the Medicare or Medicaid EHR Stimulus Programs do not hesitate to visit the GroupOne Stimulus section of the website or send an email to services@g1hs.com.  Learn more about these Meaningful Use Stimulus programs by registering for a free eClinicalWorks Demonstration.

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Topics: CMS, Incentive Programs

Half of Insurance Claims Appeals Are Successful

by Kaitlyn Houseman on March 17, 2011

As many as half of all health insurance claim rejection appeals are successful, according to a Government Accountability Office report that studied insurer rejection rates, the AP/Washington Post reports.

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Topics: Revenue Cycle Management, Denial Management

EHR Medical Billing Checklist - Should I Outsource?

by Keith Lage on March 2, 2011

Many medical practices focus on cost when evaluating options. In many cases, the fees charged by a larger medical billing firm will be less than the cost of the in-house option. However, the real focus should be placed on the success of the billing process. Because of the amount of money involved in the average medical claim, even a slight 5% improvement in collections means exponentially more to the bottom line than a 5% reduction in billing fees. For the average provider:

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Topics: Revenue Cycle Management, eClinicalWorks, Practice Management

Top 7 Tax Tips for Physicians in the 2011 Tax Season

by Jessica Graham on February 28, 2011

The last Congress was actually very good at making new laws.  As the result, there are many tax law changes that have come into effect. I asked the tax specialist in my wealth management network to give me a list of tax law changes in 2010. As I went through the list, I identify these seven that are relevant to physicians and their practices.

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Topics: eClinicalWorks, Medical Business

2010 Medical Net Collection Rate Exceeds 99.9%

by Jessica Graham on February 11, 2011

For medical practices that were with GroupOne for all of 2010, GroupOne’s overall net collection rate for 2010 exceeded 99.9%. Based on industry survey reports, the average net collection rate for all medical practices is slightly better than 96.3%. The rate for the better performing medical groups according to industry criteria is slightly more than 99.7%.

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Topics: Revenue Cycle Management, eClinicalWorks, GroupOne

GroupOne Is Your Guide to the Stimulus

by Jessica Graham on July 20, 2010

GroupOne Health Source wants to announce that last week on July 13th; the Centers for Medicare & Medicaid Services (CMS) released the final rules for "Meaningful Use" of EHR technology under the HITECH Stimulus Program.  This program is part of the multibillion dollar American Recovery & Reinvestment Act of 2009 (ARRA). The CMS announcement has cleared up the uncertainty surrounding the eligibility requirements for stimulus payments and GroupOne is ready to answer your questions.

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Topics: eClinicalWorks, GroupOne

Hospital based physicians get new definition for HITECH incentives

by Jessica Graham on May 6, 2010

HR 4851, the Continuing Extension Act of 2010 was signed into law in April. It extends unemployment benefits, delays Medicare reimbursement cuts for physicians, and amends the definition of hospital-based eligible professionals for the HITECH incentives. It is apparent that the lobbying and commenting, especially from provider organizations, to the current CMS rules initiated the change of definition.

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Topics: eClinicalWorks, GroupOne, Affordable Care Act

Cost of Medical Practice Billing Functions - Internal vs. Outsource

by Jessica Graham on November 24, 2008

By Keith Lage, CPA

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Topics: Revenue Cycle Management, Practice Management

Will Your Patients Have a New Diagnosis on October 1st?

by Jessica Graham on September 5, 2008

The National Center for Health Statistics (NCHS) and the Centers for Medicare & Medicaid Services (CMS), have issued a record number of new diagnosis and procedure codes for the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9- CM) every year since 1986.

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Topics: eClinicalWorks, Patient Portal

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