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Insights to guide your practice. 

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Four New MACRA Tracks Allow Flexible Attestation for Providers

by Jeff Jones, CPHP on September 12, 2016

On September 8th, Acting Administrator of CMS Andy Slavitt announced four MACRA implementation tracks that will allow eligible clinicians to pace their own transition and participation in the program. Eligible clinicians will be able to select their own pace for MACRA attestation to ensure all participants can succeed under new value-based reimbursement programs, CMS announced.

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Topics: Merit Based Incentive Payment System, Incentive Programs, MACRA

CMS Comprehensive Primary Care Plus Initiative FAQs

by Jeff Jones, CPHP on September 7, 2016

In April we published a post announcing the launch of the new risk-based primary care initiative, Comprehensive Primary Care Plus (CPC+). Now, we are nearly just one week away from applications for CPC+ being due. So what should you know before submitting your application? We've compiled a list of frequently asked questions about the CPC+ program and some answers to help you better understand it.

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Topics: Alternative Payment Models

Meaningful Use Update: Keeping Your Practice on Track for 2016

by Jeff Jones, CPHP on September 6, 2016

We welcomed the news earlier this year that the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) released a Notice of Proposed Rulemaking (NPRM) to allow for flexibility in meeting Meaningful Use this year. However, the 90-day reporting period for 2016 still has not been finalized and the final 90-day reporting period in calendar year 2016 is rapidly approaching.

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Topics: Incentive Programs

Top 5 Most Widely Used EHRs Named in Medscape EHR Report

by Kaitlyn Houseman on September 1, 2016

Epic, Cerner, eClinicalWorks, NextGen and MEDITECH have been named the most widely used EHRs by physicians, according to Medscape’s 2016 EHR Report. Epic continues to dominate the EHR market for hospitals and health systems at 28% representing 48% of users—more than three times as many as Cerner (13%), its next largest competitor. Missing from this year’s list is Allscripts, which dropped out of the top five altogether driven by its 2012 decision to drop its small practice software, My Way. 

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Topics: EHR

The Basics of Medical Code Bundling and CPT Modifiers

by Kaitlyn Houseman on August 30, 2016

Managing a healthcare practice comes with a long list of complex challenges that need to be solved on a daily basis. Anyone who is involved in the operational aspects of a medical office or healthcare facility understands that there are many situations that require making educated and rule-based decisions based on a variety of factors. Medical code bundling and the use of modifiers is one of them.

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Topics: Revenue Cycle Management, Coding

The Good, The Bad, The Ugly: Tracking and Measuring Revenue Cycle Management Metrics

by Kaitlyn Houseman on August 27, 2016

When it comes to revenue cycle management, there is a significant amount of data that you could track, but what are some of the most important metrics to measure and monitor regularly? There are 6 RCM metrics you should be tracking and measuring consistently to determine how your revenue cycle is performing. Here we will cover all 6 and give you some benchmarks to help you compare your practice's performance.

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Topics: Revenue Cycle Management

6 Social Media Guidelines for Physicians

by Kaitlyn Houseman on August 18, 2016

As a physician, you may feel that you don't have the time or energy to set up a Facebook or Twitter profile – let alone the time it takes to consistently manage these social media sites and others like them. However, social media marketing, when done right, can be a great way to communicate with your patients in a more personalized manner.

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Topics: Marketing

What are the Elements of a Highly Efficient Claims Process?

by Kaitlyn Houseman on August 16, 2016

Because there are typically multiple parties involved in a medical care claim, the process quickly becomes quite complex, which lends itself to a variety of errors caused by both humans and technology. Developing an efficient claims process is crucial to the success of your medical practice, and the process begins before any claims are even submitted.

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Topics: Revenue Cycle Management, Denial Management

The Beginners Quick Start Guide to Text Messaging Patients

by Kaitlyn Houseman on August 12, 2016

Text messaging is fully integrated into millions of people's lives and is a convenient, less obtrusive alternative to the phone call. With 97% of Americans using their phones to text, many physicians are wondering how to incorporate text message communication into their practices.

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Topics: EHR, Practice Management, Patient Engagement

Why Switching Your EHR Might be the Best Decision You Make This Year

by Nicole Laucks on August 9, 2016

The future of physician practices is electronic health records (EHRs). We can’t go back to paper and no one is rationally suggesting we do. But there is agreement that EHRs have not met the expectations set out for them: billions of dollars in savings, hours in administrative time saved, as well as enjoying tighter security and better accuracy.
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Topics: EHR

Do Patients Hate Your Website?

by Kaitlyn Houseman on August 6, 2016

Someone needs to tell you: Your website matters. It matters as much as, if not more than, your actual brick and mortar office. For many, it is their first experience of your practice. It is the first impression you make on many of your patients or patients-to-be (or not to be, depending on how that impression goes…). 

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Topics: Practice Management, Patient Engagement, Marketing

Some Health Insurance Companies Automatically Enrolling Patients In Medicare Advantage Plans

by Keith Lage on August 3, 2016

Whether to sign up for traditional Medicare or with a Medicare Advantage plan may no longer be your decision to make. It turns out that some Medicare-age people are being automatically enrolled in Medicare Advantage plans by something called "seamless conversion."

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Topics: Revenue Cycle Management, Practice Management

The Impact of MACRA on Your Practice

by Jeff Jones, CPHP on July 28, 2016

Encouraging physicians to switch to electronic health records (EHR) has been a long term effort from CMS ever since the January 2009 passage of the HITECH act. Over three-quarters of physicians and nearly all hospitals are using an EHR but the incentivizing structure has been hard to wade through, at best. Now healthcare professionals and physicians alike must focus their efforts on understanding the end of the SGR formula and the beginning of The Merit Based Incentive Payment System and Alternative Payment Models.

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Topics: Revenue Cycle Management, Incentive Programs, MACRA

Medicare Policy Changes in 2016: What You Need to Know

by Kaitlyn Houseman on July 19, 2016

Recent changes to medicare policy will impact your practice and your patients. Here's what you need to know and how you can adjust to the new payment policies.

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Topics: Revenue Cycle Management, CMS

How an EHR Software Can Improve Your Revenue Cycle Management

by Kaitlyn Houseman on July 12, 2016

Medical billing is a complicated system with one simple goal, to ensure that healthcare providers are properly reimbursed for their services. In pursuit of this goal we must take into consideration how an EHR can help practices increase their collections and be more productive. Here we'll cover some common areas where the use of an EHR impacts billing and coding and how your practice can avoid potential errors while maximizing revenue.

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Topics: Revenue Cycle Management, EHR

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