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Welcome to GroupOne's Blog 

Insights to guide your practice. 

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4 Steps to Preventing Medical Claim Denials

by Kaitlyn Houseman on November 21, 2016

It's no secret that the relationship between health care providers and insurance companies is complicated. Healthcare providers are spending a significant amount of time and energy with patients just to find out that an insurance company will fight them on paying for the services provided. Preventing claim denials helps ease the complications but denial management doesn't come so easy to every medical practice.

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Topics: Revenue Cycle Management, Denial Management

What Top Performing Practices Know About Analytics That You Don’t

by Kaitlyn Houseman on November 17, 2016

Wondering what it takes for your medical practice to reach true financial success? Two words: data collection. A top performing medical practice can be defined as one that achieves profitability, month after month. Not only to pay the bills but to invest in the right people, proper clinical tools and business assets to maintain their financial success. Here's what these practices know about analytics that you possibly do not.

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Topics: Revenue Cycle Management

2016 Physician Compensation Survey Results

by Keith Lage on November 9, 2016

This year's Physicians Practice Physician Compensation survey revealed some interesting insights into the financial burdens physicians are experiencing. The survey not only gathered insight into things like overhead costs and personal income but also touched on how practices have been affected by high-deductible insurance plans.

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Topics: Revenue Cycle Management, Medical Business, Physician Payment

Quiz: What's Your Medical Billing Monster?

by Kaitlyn Houseman on October 31, 2016

Medical billing monsters are some of the worst. They can cause you to lose time, money, and sleep. Take our short quiz this Halloween to find out which medical billing monster is haunting your revenue cycle management.

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Topics: Revenue Cycle Management

5 Things Your Medical Billing Company Should Be Doing

by Kaitlyn Houseman on October 11, 2016

Whether you already have a medical billing company taking care of your revenue cycle management, or you are in search of one to help you improve your revenue, there are many things to consider. Partnering with a billing service can often be a long term agreement that will have a lasting impact on the financial health of your practice. Here we'll cover the 5 most important things your medical billing company (if you choose to outsource) should be doing for your practice on a regular basis to help you accelerate your revenue cycle.

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Topics: Revenue Cycle Management, Medical Business

4 Ways Independent Practices Can Thrive in the Face of Changing Reimbursement

by Arun Murali on September 29, 2016

Independent health care providers are facing more challenges today than ever before. With changes in payment models and reimbursement methods, competition with a large group of employed physician practices, and changes in patients’ insurance coverage, a practice can be at risk for decreased revenue and increased financial instability. Having an efficient Revenue Cycle Management (RCM) process and integrated electronic health records (EHRs) software can help mitigate financial risk of course, but there are also other key areas that independent clinics can focus on in order to drive success in the face of changing reimbursement.

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Topics: Revenue Cycle Management, Medical Business, Practice Management

5 Ways to Improve Your Practice's Front Desk Collections

by Kaitlyn Houseman on September 27, 2016

Although it's considered best practice to collect co-payments at the time of service, things don't always happen that way. Sometimes your office is understaffed, or the patient doesn't have the co-payment required, or another issue may arise that prevents collections from happening on the date of service. If this becomes a habit, however, then you are setting yourself and your practice up for long term collection and medical billing issues.

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Topics: Revenue Cycle Management, Medical Business, Self-Pay

Is Your Healthcare Organization Ready for Clinical and Financial Business Intelligence?

by Keith Lage on September 20, 2016

In the next few years, the existence of clinical and financial business intelligence is expected to grow significantly, according to the HIMSS Analytics 20161 Clinical & Business Intelligence (C&BI) Essentials Brief. And rightly so, seeing that clinical and business intelligence is essential for healthcare organizations looking to reduce costs and move to data-driven healthcare improvements.

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Topics: Revenue Cycle Management, Medical Business, EHR

Patients Won't Pay? How to Select a Medical Collection Agency

by Kaitlyn Houseman on September 16, 2016

Unfortunately, there are going to be situations where you may need to send your patients to collections, and it's important to understand when it is time to utilize a third party to collect past due payments. Although it's not something you want to have to worry about as a healthcare practice, it is sometimes necessary to send patients to a collection agency.

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Topics: Revenue Cycle Management

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

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

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

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