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GroupOne Health Source Practice Management Blog

      

The GroupOne Health Source Blog

 Answers and Insights Every Healthcare Professional Needs.

 

2013 Physician Survey | Outlook for the Future Includes EHR

by Kaitlyn Houseman on July 9, 2013

Deloitte's 2013 Survey of US Physicians finds they believe the profession's future is decidely different than its past. Their view: the future is practicing in larger organizations using health information technologies (HIT) and team-based models.

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

Learn How the New ACA Benefit Leads to Boost in Practice Revenue

by Kaitlyn Houseman on July 1, 2013

The Medicare Annual Wellness Visit Simplified - Free Webinar

Find Out How the Underutilized Program Can Increase Medical Practive Revenue Significantly 

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Topics: Medical Business, Practice Management, CMS

EHR Adoption Leads to Cost Savings in Canada

by Kaitlyn Houseman on April 30, 2013

The increased use of electronic health record systems helped reduce costs in Canada's health care system by about 1.3 billion Canadian dollars -- or about $1.27 billion -- over six years, according to a new study by PricewaterhouseCoopers, EHR Intelligence reports (Bresnick, EHR Intelligence, 4/22).

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Topics: Revenue Cycle Management, Medical Business, Practice Management

Meaningful Use: Pre-Payment Audits in 2013

by Kaitlyn Houseman on April 12, 2013

It’s not just about demonstrating Meaningful Use in 2013.  CMS will now be performing pre-payment audits in addition to the post-payment Meaningful Use audits.  Before mailing out some bonus checks, CMS says the audits (which will affect 5-10% of incentive applications) will be random and start with attestations submitted during and after January 2013.

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Topics: Medical Business, EHR, Practice Management, CMS, Incentive Programs

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

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

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

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

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

Medical Claims Payments via EFT: No Brainer

by Keith Lage on August 16, 2012

doctor_money.pngElectronic Funds Transfer (EFT) is a payment method utilizing electronic means (as contrasted with paper checks) to transfer monies between parties. EFT payments can be nearly instantaneous (avoiding postal delays) and reduce personnel costs associated with depositing payments. Many practices already use EFT to transfer employees’ wages electronically into each employee’s designated bank account, reducing administrative payroll expenses.

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Topics: Revenue Cycle Management, Medical Business, Denial Management

Mastering EHR after Rollout Is Key to Productivity Gains

by Kaitlyn Houseman on August 2, 2012

The fear of lost productivity — as in seeing fewer patients — ranks as a major barrier to implementing an electronic health record (EHR) system, yet among healthcare groups that have mastered their use, productivity is far more likely to rise than fall, according to a new survey by the Medical Group Management Association (MGMA).

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Topics: Medical Business, EHR, Practice Management, EHR Training

EMR Incentive Program Updates

by Kaitlyn Houseman on July 18, 2012

CMS and ONC Announce Over 100,000 Providers Have Been Paid Under the EHR Incentive Programs

The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) announced that over 100,000 health care providers have been paid under the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs.

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Topics: Medical Business, CMS, Incentive Programs

In-House vs. Outsourced Medical Billing Services Analysis - Surgery

by Kaitlyn Houseman on June 21, 2012

8 Points on Whether In-House Billing or Outsourcing Services Makes More Sense for ASCs

Industry experts discuss different situations when either outsourcing billing services or creating an in-house billing department makes more sense for surgery centers.

Outsource billing services

1. High volume centers. In some situations, it makes sense for high volume surgery centers to outsource billing services because you don't want to fall behind on collections. "If you are a high volume surgery center and you constantly have dirty claims and you aren't making headway on your accounts receivable, it's usually a direct effect of your staff," says Kelly Grier, vice president of business operations for ASD Management.

Michael Pankey, RN, administrator of Ambulatory Surgery Center of Spartanburg (S.C.), runs an outpatient surgery center where physicians have about 10,000 patient visits per year. "The larger a center gets, the more beneficial outsourcing becomes because the more people your vendor can put on your account," he says.

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Topics: Revenue Cycle Management, Medical Business, Practice Management

Save the Date: Certified EHR Technology Call on June 27

by Kaitlyn Houseman on June 19, 2012

Register for CMS and ONC's Joint National Provider Call on Using Certified EHR Technology to Meet Meaningful Use

CMS and ONC are holding a joint National Provider Call on Wednesday, June 27, from 2:00 – 3:30 pm ET for eligible professionals (EPs) and eligible hospitals to hear an overview of the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs, and learn about the use of certified EHR technology to meet meaningful use. 

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Topics: eClinicalWorks, Medical Business, Practice Management, CMS

Medical Billing Changes Coming Soon

by Kaitlyn Houseman on June 9, 2012

Starting July 1, 2012, Medicare Fee For Service Will Reject 4010 Transactions: Are You Ready?

Effective July 1, 2012 only ASC X12 Version 5010 (Version 5010) or NCPDP Telecom D.0 (NCPDP D.0) formats will be accepted by Medicare Fee-For-Service (FFS). Providers that are still conducting one or more of the Version 4010 transactions electronically, such as submitting a claim or checking claim status, or rely on a software vendor, billing service or clearinghouse to do this on their behalf, are affected by this change. Now is the time to contact your software vendor, billing service or clearinghouse, when applicable, if you have not done so already to ensure you are ready. Transactions conducted by Medicare Administrative Contractor (MAC), fiscal intermediary (FI) or carrier telephone interactive voice response (IVR) systems, Direct Data Entry (DDE) and Internet Portals, for those contractors with Internet Portals, are not impacted.

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