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GroupOne Health Source Blog

GroupOne Revenue Cycle Blog 

Insights to guide your practice.

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The Top Questions to Consider During RCM Vendor Selection

by Kaitlyn Houseman on November 20, 2018

Today's healthcare leaders understand that they must consider outsourcing revenue cycle management to reduce spending and focus on value-based care initiatives. What kinds of revenue cycle management questions should healthcare organization leadership ask before signing a new RCM vendor contract? Here we will explore just that and share the top ten questions to consider during the RCM vendor selection process.

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Topics: Revenue Cycle Management

A Review of the CMS 2019 Physician Fee Schedule and Quality Payment Program Final Rule

by Kaitlyn Houseman on November 13, 2018

The release of the Centers for Medicare and Medicaid Services' 2019 Physician Fee Schedule and Quality Payment Program final rule offered dramatic improvements for clinicians and patients. CMS is expanding the list of Medicare-covered telehealth services while also focusing on finalizing an overhaul of EHR requirements to promote interoperability. According to a CMS fact sheetCMS finalized several items designed to reduce the regulatory burden on physicians, effective January 1, 2019.  However, the controversial streamlined payment rates will be postponed to 2021 after an overwhelming amount of concern was expressed from the medical community.

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Topics: Coding, MACRA, Revenue Cycle Management

A Complete Guide to the 2019 ICD-10-CM Code Updates

by Kaitlyn Houseman on October 11, 2018

The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) released the 2019 ICD-10-CM code changes earlier this year. These codes are to be used from October 1, 2018 to September 30, 2019. With hundreds of changing, preparing for the 2019 ICD-10-CM code updates can seem overwhelming. In this post, we'll cover some of the changes taking place and share our comprehensive ICD-10-CM code guide to help you navigate all of the coding changes.

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Topics: Coding, Revenue Cycle Management

Participating in CMS Study Could Result in Improvement Activity Credit for 2018 MIPS Program

by Kaitlyn Houseman on April 18, 2018

The Centers for Medicare & Medicaid Services (CMS) is conducting the 2018 Burdens Associated with Reporting Quality Measures Study, as outlined in the Quality Payment Program Year 2 final rule (CMS 5522- FC). Clinicians and groups who are eligible for the Merit-based Incentive Payment System (MIPS) that participate successfully in the study will receive full credit for the 2018 MIPS Improvement Activities performance category. 

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Topics: MACRA, Merit Based Incentive Payment System

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

CMS Extends the MIPS 2017 Data Submission Deadline to April 3

by Kaitlyn Houseman on March 30, 2018

If you’re an eligible clinician participating in the Quality Payment Program, you now have until Tuesday, April 3, 2018 at 8 PM EDT to submit your 2017 MIPS performance data. You can submit your 2017 performance data using the new feature on the Quality Payment Program website.

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Topics: MACRA, Merit Based Incentive Payment System

15 Improvement Activities to Consider with Last Minute MIPS Reporting

by Kaitlyn Houseman on March 27, 2018

If you're scrambling to report your 2017 MIPS performance year data, you're not alone. With the deadline quickly approaching, a number of practices are looking at how to report their 2017 data in order to avoid the 4% penalty on their 2019 Medicare Part B claims. With 2017 being the transition year to MIPS, eligible clinicians must submit data for 1 Quality Measure or 1 Improvement Activity for 1 Patient over a 90 day period.

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Topics: Merit Based Incentive Payment System

How To Offer Telemedicine to Patients and Get Paid

by Kaitlyn Houseman on February 21, 2018

Because of the convenience, telemedicine may attract new patients or serve as an incentive for current patients to seek treatment more often. Simply stated, providers who are waiting to implement telemedicine services are missing out on their chance to improve quality of care while also improving patient satisfaction.

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Topics: Telehealth

Majority of Physicians Happier with eClinicalWorks Compared to Other EHR Vendors

by Kaitlyn Houseman on January 10, 2018

Ever wonder what an actual end user of an EHR software thinks of it? A recent survey by Reaction Data asked 889 physicians just that. Nearly 57 percent of respondents belong to ambulatory care facilities while the remaining 43 percent belong to acute care facilities. According to the survey data, Epic is by far the most widely used EHR but when it comes to EHR reviews and which EHR physicians are most satisfied with, eClinicalWorks takes the lead with 82% overall satisfaction.

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Topics: eClinicalWorks, EHR

A Review of the 2018 CPT Code Set Updates

by Kaitlyn Houseman on December 14, 2017

The new year is almost here meaning it is time for new Current Procedural Terminology (CPT) code changes! The 2018 CPT code set comes with a number of changes that may affect claims processing so it's time to start reviewing which codes affect your practice in order to prevent revenue cycle management disruptions. 

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Topics: Coding

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

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

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

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

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: CMS, Practice Management, Revenue Cycle Management

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