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Insights to guide your practice. 

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Complete Survey: Help End the Underpayment of Med Insurance Claims

by Kaitlyn Houseman on May 8, 2012

Are your claims underpaid by private payers?  Do you have any way of checking the accuracy? 

According to the 2011 AMA Health Insurer Report Card, 1 in 5 claims are processed incorrectly.  In addition to measuring overall claims processing accuracy, the report card examined how accurately insurers reported the correct contract fees to physicians. Contracted fees were correctly reported 62.08% on low side (Anthem BCBS) to 98.91% on high side (Medicare).  For more information, read this.   

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

Pay For Performance/Value Based Purchasing Initiative Heats Up

by Kaitlyn Houseman on May 7, 2012

Thousands of physicians received a sneak-peek at their future recently when CMS sent them quality reporting data that could be used to determine Medicare payments. 

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

Top 5 ICD-10 pitfalls

by Kaitlyn Houseman on December 12, 2011

A panel of ICD-10 experts spoke last week at a conference co-hosted by the New England Health Information and Management Systems Society and Maine Healthcare Financial Management Association in South Portland, Maine, giving advice about the five ‘gotchas’ that can wreak havoc on the best-laid plans for implementing the new coding system.
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Topics: Revenue Cycle Management, EHR, ICD-10, EHR Training

Cuts in Medicaid Pay to Physicians by State

by Kaitlyn Houseman on November 11, 2011

According to a report released by the Kaiser Commission on Medicaid and the Uninsured, almost every state is cutting costs related to Medicaid.  Many states are implementing cost-cutting initiatives, such as restricting Medicaid benefits, implementing new and higher copayments for beneficiaries, and/or enacting provider rate restrictions. In fact, since July 1, 2010, 22 states have already slashed physician pay rates.

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Topics: Revenue Cycle Management, EHR, CMS

eClinicalWorks Video Demonstration - PM and Billing Tips

by Kaitlyn Houseman on September 19, 2011

In depth demo of eClinicalWorks’s practice management features with EHR billing tips.

GroupOne's eClinicalWorks revenue cycle management experience has helped thousands of physicians with claim management and revenue cycle management. With an end-to-end solution customized for eClinicalWorks users, we help our customers overcome eCW RCM challenges such as declining reimbursement, low cash flow, and lack of EHR optimization. 

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Topics: Revenue Cycle Management, eClinicalWorks, GroupOne, EHR, Practice Management, Denial Management

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

by Keith Lage on September 19, 2011

Walked Into a Lamppost? Hurt While Crocheting? Burn Due to Water Skis on Fire? – There’s a Code for that. This is an article from the Wall Street Journal that was posted on Sept 13, 2011 regarding ICD-10. Some may find this interesting/amusing. ICD-10 is a good reason for medical practice to partner with a professional billing service firm like GroupOne Health Source.

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Topics: Revenue Cycle Management, ICD-10, Coding

4 Tips for a Strong Post-Recession Medical Practice

by Kaitlyn Houseman on August 22, 2011

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Topics: Revenue Cycle Management, eClinicalWorks, EHR, Denial Management

Maui Memorial Renews GroupOne’s eCW OneRate Medical Services Package

by Kaitlyn Houseman on August 10, 2011

    As part of physician integration strategy, one of the largest hospitals in Hawaii extends partnership with medical billing and EMR specialist to implement electronic health records software and billing services combination package.

Jefferson City, MO - August 10, 2011 – GroupOne Health Source, a medical consulting and billing firm, and Maui Memorial Medical Center (MMMC) agreed to renew and extend GroupOne’s OneRate platform of medical services for its growing group of affiliated health providers.  Located in Wailuku, the hospital originally opened in 1884 and is currently the largest facility run by the Hawaii Health Systems Corporation and the only acute care hospital on Maui.

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Topics: Revenue Cycle Management, eClinicalWorks, EHR, EHR Training, Incentive Programs

Medical Practice Doubles Revenue with GroupOne

by Kaitlyn Houseman on June 29, 2011

    Within three months, GroupOne’s eClinicalWorks Billing Center more than doubles community health practice’s collections. 

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Topics: Revenue Cycle Management, eClinicalWorks, EHR

GroupOne's 2010 Medical Net Collection Rate Exceeds 99.9%

by Kaitlyn Houseman on June 27, 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, EHR

The Effects of the ICD-10 Transition on Provider Practices

by Kaitlyn Houseman on June 27, 2011

Posted by Dana Deardorff 

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

AMA: Inaccuracy in Medical Claims Payment Increases to 20%

by Kaitlyn Houseman on June 23, 2011

How Do These Errors Affect Your Revenue?

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Topics: Revenue Cycle Management, EHR

Seeking Additional Revenue? Utilize a Medical Billing Firm

by Kaitlyn Houseman on June 21, 2011

     
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Topics: Revenue Cycle Management, EHR

7 Tips to Maximize Your Collections on an EHR

by Kaitlyn Houseman on June 20, 2011

Submitting claims and following up on them effectively through the use of an electronic health records software can be time consuming and often complex. If your practice is switching to a new EHR with minimal training on the practice management module, the medical billing collections can suffer. Here we'll discuss 7 tips to help your practice optimize and maximize your revenue cycle collections using an EHR software.

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Topics: Revenue Cycle Management, eClinicalWorks, EHR, Denial Management

Analysis: Internal vs. Outsourced Medical Billing Functions

by Kaitlyn Houseman on June 10, 2011

Cost of Medical Practice Billing Functions - Internal vs. Outsourced Billing Analysis

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Topics: Revenue Cycle Management, EHR

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