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GroupOne Health Source Blog

GroupOne Revenue Cycle Blog 

Insights to guide your practice.

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Common EHR Myths Debunked

by Adrienne Schrimpf on April 7, 2016

EHRs have come a long way in the past couple of years. We've seen vendors exit the market while others have gained market share and in the cloud has become a common theme. Of course we're all counting down to the day when interoperability is solved and we can easily communicate patient information regardless of organizational, geographic, or vendor boundaries. In the mean time, I want to put an end to some common EHR myths I encounter during the sales process.

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Topics: EHR

Healthcare Metrics You Need to Track in an Age of Value-Based Payment

by Kaitlyn Houseman on April 5, 2016

The incorporation of value-based payment into healthcare revenue cycle management is one of the defining narratives of this era of healthcare in the United States. The Department of Health and Human Services hopes to shift its payment system to nearly one-third value-based this year, with 50% of its payments to be value-based by the year 2018. Furthermore, it expects nearly all fee-for-service health plans to include some degree of value-based components by then.

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Topics: Revenue Cycle Management, Value-Based Reimbursement

Should You Be Participating In PQRS?

by Jeff Jones, CPHP on March 29, 2016


For the first few years of PQRS, practices were eligible for incentive payments for PQRS reporting. In 2015, however, EPs that did not report on specific quality measures are facing downward adjustments to Medicare payments in 2017. Here's how you know whether you should be participating in PQRS (if you aren't already).
 

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Topics: PQRS, Incentive Programs

Recognizing the Signs of Physician Burnout

by Kaitlyn Houseman on March 28, 2016

Burnout is an occupational hazard for high achievers, so it's no surprise that it is becoming more common and severe among physicians, who tend to be very high-achieving individuals. Physicians who face burnout are often the ones who are most passionate about what they do, making burnout more difficult to detect and prevent.

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Topics: Medical Business, Practice Management

5 Mistakes to Avoid When Hiring a Medical Billing Service

by Adrienne Schrimpf on March 24, 2016

Your healthcare practice holds a great deal of responsibility in providing quality care to your patients. Making the strategic decision to outsource your billing is supposed to make your practice run more effectively, not generate more stress and administrative oversight.

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Topics: Revenue Cycle Management

Strategies to Turn Patients Into Bill-Paying Customers

by Kaitlyn Houseman on March 22, 2016

Revenue cycle management is a complex interaction of services, billing codes, benefit analysis, and successful invoicing. Historically, hospitals and most other providers received 90% of their reimbursement from insurance plans, with the patient portion receiving significantly less concern, since it was traditionally such a small part of overall revenues.
  
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Topics: Revenue Cycle Management, Self-Pay

5 Common Reasons for Claim Denials

by Kaitlyn Houseman on March 21, 2016

When a patient's insurance claim is denied, not only can your cash flow be affected, the relationship with your patient can be damaged as well. Some claim denials can be successfully appealed, but even when appeals succeed, they can temporarily leave claim status up in the air - something both your practice and your patient would like to avoid.

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Topics: Revenue Cycle Management, Denial Management

Fee Schedule Dos and Don'ts

by Kaitlyn Houseman on March 17, 2016

What if I told you that your practice is missing out on revenue because of an outdated fee schedule? Would you know how to fix it? Unfortunately, many practices are losing revenue because of their fee schedule and they don’t know that updating it would improve their bottom line.

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Topics: Revenue Cycle Management

4 of the Top Challenges Healthcare CFOs Face (And Their Solutions)

by Keith Lage on March 16, 2016

Does any other industry face the extreme financial pressures healthcare providers routinely take on? Add to those pressures the Medicare and Medicaid cuts, healthcare IT changes, and new reimbursement methodologies, and the healthcare CFO has more on their plate than ever. Not only must CFOs deal with budget crunches and shrinking reimbursement, they have to do what every business CFO does and ensure their hospital or healthcare facility remains financially healthy.

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Topics: Revenue Cycle Management

10 Disruptive Healthcare Companies to Watch

by Kaitlyn Houseman on March 10, 2016

Disruption by technology has affected more industries than it has left alone, and many involve things you do and use every day. For example, Facebook Messenger disrupted SMS messaging, Amazon disrupted eBooks, and Uber disrupted the taxi industry. Healthcare is no exception, experiencing disruption in the form of telemedicine, new devices, and new care delivery paradigms.

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Topics: Medical Business, Patient Engagement, Telehealth, Practice Management

What You Need to Know About the Medicare Overpayment Rule

by Kaitlyn Houseman on March 9, 2016

Remember in 2012 when CMS issued a rule requiring healthcare providers who discover past overpayments by Medicare or Medicaid to refund it within 60 days or risk the overpayment being labeled as a false claim? Well the final rule was published by CMS just last month (February). Here's what you need to know about the Medicare Overpayment Final Rule.

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Topics: Medical Business, Practice Management, CMS

Medicare EHR Incentive Program Attestation Deadline this Friday

by Kaitlyn Houseman on March 9, 2016

Eligible professionals, eligible hospitals, and critical access hospitals (CAHs) participating in the Medicare Electronic Health Record (EHR) Incentive Program must attest using the Medicare & Medicaid EHR Incentive Program Registration and Attestation System no later than Friday, March 11, 2016 at 11:59 p.m. EST.

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Topics: CMS, Incentive Programs

How Medical Transcription is Bridging the ICD-10 Documentation Gap

by Kaitlyn Houseman on March 8, 2016

It's been several months since the ICD-10 transition deadline, but that doesn't mean that every practice and hospital is fluent in ICD-10 just yet. With the number of codes increasing considerably from ICD-9 to ICD-10, and with longer codes that include far more specificity, it will take time for ICD-10 codes to become free-flowing and automatic, even among experienced coders.

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Topics: Revenue Cycle Management, ICD-10, Transcription

Tips for Monitoring and Managing Your Practice's A/R

by Kaitlyn Houseman on March 7, 2016

Managing accounts receivable (AR) is challenging, and will be even more complicated as more people obtain coverage under high-deductible healthcare plans. Outstanding balances are growing, and collecting these balances is essential when it comes to increasing your practice's cash flow

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Topics: Practice Management, Denial Management

5 Most Effective Ways to Increase New Patient Referrals

by Kaitlyn Houseman on March 2, 2016

Referrals offer a connection a little more solid than a new patient who finds you via Google search or in the Yellow Pages. When you get a word-of-mouth referral, your existing patient is acting as a "salesperson," and it costs you very little compared to the cost of advertising your practice. Increasing the number of referrals from patients can help fill your schedule and in turn grow your practice.
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Topics: Medical Business, Practice Management, Marketing

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