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Insights to guide your practice. 

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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

CMS Extends Meaningful Use Attestation Deadline

by Kaitlyn Houseman on February 9, 2017

The Centers for Medicare & Medicaid Services (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. PTProviders participating in the Medicare EHR Incentive Program must attest to the 2016 program requirements by March 13, 2017 to avoid a 2018 payment adjustment. 

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Topics: CMS, Incentive Programs

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

How Trump's Executive Order Impacts the Future of the Affordable Care Act

by Kaitlyn Houseman on January 26, 2017

President Donald Trump signed an executive order Friday aimed at lessening the economic burden of the Affordable Care Act (ACA) as lawmakers work on a repeal and replacement plan. Here's what healthcare experts are saying about the impact of the executive order on the Affordable Care Act.

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Topics: Affordable Care Act, Healthcare Policy

Medicare EHR Incentive Program Registration and Attestation System Now Open

by Kaitlyn Houseman on January 18, 2017

The Centers for Medicare & Medicaid Services Registration and Attestation System is now open. Providers participating in the Medicare EHR Incentive Program must attest to the 2016 program requirements by February 28, 2017 at 11:59 p.m. ET in order to avoid a 2018 payment adjustment.
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Topics: CMS, Incentive Programs

A Beginners Guide to the Merit Based Incentive Payment System (MIPS)

by Jeff Jones, CPHP on January 16, 2017

As of January 1, 2017, the first performance period for the new Merit-based Incentive Payment System (MIPS) is officially underway for eligible physicians. The new payment system aims to change how physician services are paid by moving away from fee-for-service payments to performance-based payment adjustments. Depending on the data you submit by March 31, 2018, your 2019 Medicare payments could be adjusted up, down, or not at all.

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Topics: Merit Based Incentive Payment System, MACRA

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