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GroupOne Health Source Blog

GroupOne Revenue Cycle Blog 

Insights to guide your practice.

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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

10 Most Popular Physician Rating and Review Sites

by Kaitlyn Houseman on June 1, 2017

Gathering online reviews hasn't always been a priority for healthcare providers and clinics, but in today's cyber-connected world, you can't afford to miss what patients are saying about your practice online. When it comes to medical practice or even physician online reputation management, there are ten main review sites you should be monitoring and using to collect reviews from patients.

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Topics: Practice Management, Marketing

Happy Staff, Happy Patients: Improving Healthcare Staff Happiness

by Kaitlyn Houseman on May 27, 2017

Unhappy staff at your practice? Now, more than ever, having happier and more engaged employees is crucial to your practice's success. The shift to value-based care is placing a new kind of importance on patient satisfaction and with the reputational effects coming with the Merit-based Incentive Payment System, practices can't afford to ignore patient experience and satisfaction. 

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Topics: Practice Management, Patient Engagement

Are You Exempt from the Merit-Based Incentive Payment System?

by Kaitlyn Houseman on May 11, 2017

Still wondering if you need to participate in the Merit-based Incentive Payment System? You're not alone. The transition from Meaningful Use, PQRS, and VBM programs all seemed to happen rather quickly and the MIPS scoring methodology has a number of healthcare professionals wondering if participating is even worth the headache. Fortunately, CMS announced that the official Quality Payment Program participation letters will be sent to eligible clinicians in late April through May to inform clinicians if they are required to participate.

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Topics: MACRA

House Passes Measures to Repeal and Replace the Affordable Care Act

by Kaitlyn Houseman on May 4, 2017

The House on Thursday approved a bill to repeal and replace major parts of the Affordable Care Act. The vote, 217-213, came on President Trump's 105th day in office and dismantles key ACA provisions such as essential health benefits and pre-existing condition protections.

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Topics: Affordable Care Act

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

CMS Announces New Educational Initiative to Raise Awareness of Chronic Care Management

by Kaitlyn Houseman on March 15, 2017

Today, the Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH) and the Federal Office of Rural Health Policy at the Health Resources and Service Administration (HRSA) introduced Connected Care, an educational initiative to raise awareness of the benefits of chronic care management (CCM) services for Medicare beneficiaries with multiple chronic conditions and to provide health care professionals with support to implement CCM programs.

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Topics: CMS, Value-Based Reimbursement

HIMSS17 Highlights and Quality Payment Program Presentations Now Available

by Kaitlyn Houseman on March 9, 2017

Not able to attend the HIMSS conference this year? No worries. We've put together a list of some highlights from the conference and some newly posted resources from CMS that provide even more information on one of the many hot topics this year at HIMSS, the Merit-based Incentive Payment System.

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Topics: Medical Business, Practice Management, Health IT

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

A Cheat Sheet to the Merit-Based Incentive Payment System [Infographic]

by Jeff Jones, CPHP on February 17, 2017

Are you eligible for MIPS? With 2017 being the first performance year, it's imperative that you know how the Merit-based Incentive Payment System could affect your revenue cycle management.  We put together a cheat sheet to help you understand your participation options with MIPS in 2017 and the financial impact it could have on your revenue cycle in the coming years.

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Topics: Merit Based Incentive Payment System, Incentive Programs, MACRA

Important Upcoming CMS Deadlines

by Kaitlyn Houseman on February 16, 2017

CMS has extended the attestation deadline for providers participating in the Medicare EHR Incentive Program to Monday, March 13, 2017, at 11:59 p.m. PT. As a quick reminder, if you received a letter from CMS that said you are subject to the 2017 Medicare EHR payment adjustment and you believe this payment adjustment is in error, you must submit a reconsideration application for the 2017 payment adjustment by February 28, 2017. Here are more details and resources on both of these upcoming deadlines.

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Topics: CMS, Incentive Programs

5 HIPAA Items that Practices Should Focus on in 2017

by Jim Johnson on February 15, 2017

With all the recent turbulence in healthcare surrounding Meaningful Use, ICD-10 and now the transition to the Merit-based Incentive Payment System, HIPAA has flown under the radar, in a sense, for some practices. However, in 2017 it's important that practices make HIPAA compliance a priority. Here are five things we covered in a recent webinar on what all practices should focus on in regards to HIPAA compliance in 2017.

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Topics: HIPAA

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