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Insights to guide your practice. 

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5 Ways Practices Can Prepare for New Medicare Cards

by Kaitlyn Houseman on April 5, 2018

CMS has officially started mailing new Medicare cards to Medicare beneficiaries with the new Medicare Beneficiary Identifier (MBI). During a 21-month transition period, healthcare providers will be able to use either the new MBI or old Social Security-based Health Insurance Claim Number for billing purposes. In this blog post, we'll cover how you can communicate the changes to your patients and ways to prepare your practice today.

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Topics: Revenue Cycle Management

What You Need to Know Now: Analyzing the 2018 MACRA Quality Payment Program Final Rule

by Kaitlyn Houseman on November 3, 2017

Yesterday the Centers for Medicare & Medicaid Services (CMS) issued the final rule with comment for the second year of the Quality Payment Program (calendar year 2018) as required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The changes reflect the commitment CMS has made to minimizing the burden of participation in the Quality Payment Programs while still focusing on meaningful measurement and improved healthcare delivery.

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Topics: Revenue Cycle Management, Merit Based Incentive Payment System, MACRA, Alternative Payment Models

12 Eye-Opening Patient Pay and Healthcare Payment Market Statistics You Should Know

by Kaitlyn Houseman on September 14, 2017

With the increasing number of high-deductible health plans, optimizing your revenue cycle management for patient pay collections is no longer a matter of if, but when. These 12 eye-opening patient pay and healthcare payment market statistics are sure to convince you that focusing your revenue cycle efforts on patient pay collections is worthwhile.

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Topics: Revenue Cycle Management, Self-Pay, Physician Payment, Patient Pay

5 MIPS Myths Debunked!

by Kaitlyn Houseman on September 8, 2017

 As we near October 2nd, the last day to start participating in MIPS and satisfy the 90-day minimum performance period, it's important to separate fact from fiction. According to CMS, nearly 600,000 clinicians will participate in MIPS under the Quality Payment Program but there's still some confusion surrounding participation options, eligibility, and the program in general. Here we'll clear up some common misconceptions about the MIPS program to help you better understand what MIPS is and how it affects your practice.

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Topics: Revenue Cycle Management, Merit Based Incentive Payment System, MACRA, Alternative Payment Models

CMS Proposes Quality Payment Program Rule for 2018: Here's What You Need to Know

by Kaitlyn Houseman on June 23, 2017

On Tuesday, CMS issued a proposed rule that would make changes in the second year of the Quality Payment Program. The proposed rule includes changes that would not only simplify the program, but also ensure high-quality care within Medicare is at the forefront of the Quality Payment Programs. Here's what you need to know about the proposed rule for the 2018 performance period.

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Topics: Revenue Cycle Management, Practice Management, Merit Based Incentive Payment System, Value-Based Reimbursement, MACRA

How Practices Can Start Preparing for New Medicare Cards

by Kaitlyn Houseman on June 22, 2017

CMS will issue new Medicare cards starting in April 2018 with a new unique, randomly-assigned number called a Medicare Beneficiary Identifier (MBI) to replace the existing Social Security-based Health Insurance Claim Number (HICN) both on the cards and in various CMS systems we use now. However, both the MBIs on the new cards and the Social Security­ based HICNs that exist on the cards today, can be used. Here's what you need to know to start preparing your practice for new Medicare cards.

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Topics: Revenue Cycle Management, Practice Management, CMS

How to Switch Medical Billing Services Without Losing Revenue

by Keith Lage on May 1, 2017

If your medical billing service is losing your practice revenue, you should be looking into switching your billing services provider. You know that once you find a new service and start fixing some of the errors from your current billing service, your revenue will soar. But how do you go about switching from your existing billing service to a new billing service without losing even more revenue?

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Topics: Revenue Cycle Management

Top 5 Credit Card on File Questions and Answers

by Kathy Kuhn on April 27, 2017

Today the average practice has up to 35% of their revenue coming from patient pay but 81% of self-pay revenues go uncollected. It's no wonder that practices today are turning to credit card on file programs to solve the challenges of patient pay collections. 

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Topics: Revenue Cycle Management, Patient Pay

Top 5 Practice Management Challenges and Their Solutions

by Keith Lage on March 8, 2017

While it's estimated that practices in the U.S. lose $125 billion each year due to poor medical billing operations, the challenges of practice management expand far beyond revenue cycle management. Here, we'll discuss the top 5 practice management challenges and provide resources and solutions that can assist in overcoming them.

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Topics: Revenue Cycle Management, Practice Management

5 Step Guide: Top Ways to Increase Patient Payments and Boost Practice Revenue

by Kathy Kuhn on March 1, 2017

Patient payments are a vital part of revenue cycle management, but when patients fail to take financial responsibility, doctors and their practices take a hard hit. In fact, according to a report from the American Hospital Association —  since 2000 —  U.S. hospitals have provided more than $502 billion in uncompensated care expenses. More patients are paying higher out-of-pocket costs for medical care expenses than ever before. Here are top ways your practice can increase patient payments that boost your practice's revenue.

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Topics: Revenue Cycle Management, Patient Pay

4 Common Mistakes that Lead to High Accounts Receivables

by Kaitlyn Houseman on February 7, 2017

Now more than ever, physicians need to closely monitor the impact health insurance plans have on their revenue cycle management.  The hard truth is, high AR is an indicator that RCM performance improvements should be made in your practice immediately. So what are the red flags you should look out for to lower your practice's AR? 

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Topics: Revenue Cycle Management

4 Ways Small Practices Can Best Prepare for Value-Based Care

by Jeff Jones, CPHP on January 3, 2017

When it comes to government regulations and health care, change is inevitable. In contrast to the current fee-for-service care, the value-based care model aims to compensate physicians for high-quality service, clinical performance, and patient satisfaction. It's an exciting time for the future of healthcare, and small practices are uniquely situated to thrive in the transition to value-based care.

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Topics: Revenue Cycle Management, Value-Based Reimbursement, MACRA

10 Most Popular GroupOne Health Source Posts of 2016

by Kaitlyn Houseman on December 30, 2016

What a year it has been! Thank you to all of our readers for your continued support and readership. This year, our blog subscribers doubled and we celebrated 25 years of helping practices overcome some of the most difficult healthcare reimbursement challenges. We're looking forward to another great year and will continue to publish helpful content that helps your practice succeed in a rapidly changing healthcare reimbursement environment. But before we head into 2017, let's take a look back at some of our most popular posts from 2016.

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Topics: Revenue Cycle Management, Practice Management

New Year, New Codes: 2017 CPT Code Changes Now Available

by Kaitlyn Houseman on December 20, 2016

2017 is just around the corner and with it comes a number of new CPT codes, deleted codes, and code revisions. The updates made enable providers to get paid for some work that is already being done while other updates remove barriers to providing certain services such as Chronic Care Management.

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Topics: Revenue Cycle Management, Coding

What Doctors Should Consider When Weighing Independence vs Employment

by Keith Lage on December 13, 2016

A recent Medscape study found that self-employed physicians are more satisfied in their profession than employed physicians (63% vs 55%). However, the Employed Doctors Report 20161  states that twice as many doctors (27% vs. 13%) have switched from independent practice to employed. But why?

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Topics: Revenue Cycle Management, Medical Business, Physician Payment

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