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GroupOne Health Source Blog

GroupOne Revenue Cycle Blog 

Insights to guide your practice.

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Five Healthcare IT Leaders Adopt Carequality Interoperability Framework

by Kaitlyn Houseman on January 21, 2016

Athenahealth, eClinicalWorks, Epic, NextGen Healthcare and Surescripts First to Adopt Enhanced Data Sharing Practices

MCLEAN, VA--(Marketwired - January 21, 2016) - Carequality, an initiative of The Sequoia Project, today announced initial implementers of the Carequality Interoperability Framework released in December 2015. The companies are athenahealth®, eClinicalWorks, Epic, NextGen Healthcare and Surescripts.

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Topics: Medical Business, EHR, Interoperability

10 Reasons a Physician Should Seek an MBA

by Keith Lage on December 29, 2015

More doctors are pursuing the Masters of Business Administration (MBA) degree on top of their medical qualifications. Should you? It can be a wise career move whether or not a doctor is interested in transitioning to the management side of healthcare. But do the pros outweight the cons?

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Topics: Medical Business, Practice Management

Preventing Revenue Cycle Disruptions When Acquiring a Practice

by Kaitlyn Houseman on November 24, 2015


In recent years, hospital systems have been buying up physician practices, expanding their networks and preparing for managed health approaches to reimbursement. With meeting cost and outcome goals as the long term objective, hospitals are coping now with the inevitable shocks to the revenue cycle that result from these acquisitions.

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Topics: Revenue Cycle Management, Medical Business, Practice Management

15 Things to Know About the 2016 Medicare Physician Fee Schedule

by Kaitlyn Houseman on November 12, 2015

On Friday, the Obama administration issued its final rule for the 2016 Medicare Physician Fee Schedule that includes several health IT provisions.  The fee schedule – the first since repeal of the Sustainable Growth Rate (SGR) formula and enactment of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) – includes changes to payment policies, modifications to misvalued codes, and updates to quality performance metrics under the PQRS, the Medicare Shared Savings Program, and Physician Compare, among others. (Internal Medicine News, 10/31)
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Topics: Revenue Cycle Management, Medical Business, PQRS, CMS

Bipartisan Budget Act of 2015 Signed Into Law

by Keith Lage on November 10, 2015

On Monday, November 2, President Obama signed into law the Bipartisan Budget Act of 2015. Among its provisions, the two-year budget deal sets 2016 Medicare Part B premium rates, changes Medicaid rebate policy, repeals the ACA auto-enrollment requirement, and provides for a new Medicare payment policy for new outpatient providers.

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Topics: Revenue Cycle Management, Medical Business, CMS, Incentive Programs

Top 15 TED Talks for Doctors

by Kaitlyn Houseman on October 17, 2015

Have you ever felt discouraged or uninspired? Maybe you feel overwhelmed with the small amount of time you have to learn about new advances in science and technology. If you don't have much time these days to explore new ideas in the health care, science, and technology fields then you're in for a real treat.

We've rounded up 15 TED talks surrounding some of the most remarkable ideas behind the advances in science and how they're shaping health care. Each TED talk is under 30 minutes so you can favorite them and listen later using the TED app. They're great for some quick inspiration and learning during lunch, on your way home or even when trying to squeeze in some cardio at the gym.

Did we miss one that you've found inspiring? Let us know in the comments below.

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Topics: Medical Business, Practice Management

H.R. 2 Reauthorization Act of 2015 to Replace SGR Formula

by Kaitlyn Houseman on March 27, 2015

By a vote of 392 – 37, the House of Representatives passed H.R. 2, the Medicare Access  and CHIP (Children's Health Insurance Program) Reauthorization Act of 2015, which, among other things, would permanently repeal and replace the SGR formula. 

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Topics: Medical Business, Revenue Cycle Management

[Infographic] All I Want for Christmas is a Billing Service

by Kaitlyn Houseman on December 24, 2014

With Christmas just around the corner, many physicians and practice managers are  adding billing services to their wish list. In fact, 71% of physician practices are considering a combination of new software and outsourcing services to improve their RCM systems.

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Topics: Medical Business, Revenue Cycle Management

Healthcare Spending Escalates in First Quarter

by Kaitlyn Houseman on May 5, 2014

New federal data finds that health care spending increased by 9.9 percent in the first quarter of 2014. According to data released Wednesday by the Bureau of Economics Analysis the recent rise in healthcare spending is the biggest jump since the third quarter of 1980.

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Topics: Medical Business, Affordable Care Act

The Consequences of Employee Turnover in Medical Practices

by Kaitlyn Houseman on April 23, 2014

Whether a practice is small or large, employee turnover seems to be a main concern facing medical practices today.  Not only is employee turnover in medical practices increasing the operating expenses, but it is also creating a damper on your patients’ relationships with your practice.

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Topics: Medical Business, Practice Management

5 Must Know Medical Billing Measures at Your Medical Practice

by Kaitlyn Houseman on April 18, 2014

A successful medical practice needs a variety of reports and metrics to measure performance and make improvements as needed. GroupOne understands that many practices are facing financial challenges due to the changes that continue to take place in the healthcare industry. Monitoring the 5 measures mentioned below will provide insight into your practice’s performance.

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Topics: Revenue Cycle Management, Medical Business, Practice Management

EHR Training Tips for Success: Before, During, and After

by Kathy Kuhn on January 17, 2014

When providers purchase an electronic health record (EHR) system, they are hoping to benefit from features within the system that will increase efficiency and produce cost-savings while improving patient care. Most physicians fear a productivity loss during the implementation process that could eventually lead to a reduction of their practice’s profitability. However, when paper processes are replaced with an electronic solution, productivity tends to increase, along with overall profits.

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Topics: EHR, Medical Business, EHR Training, Practice Management

Outsourced Billing: Percentage of Net Collections vs. Flat Rate Fee

by Adrienne Schrimpf on January 2, 2014

Are you considering outsourcing your medical billing? Which pricing option is better for your practice? As a medical billing sales rep, I am often asked by practices why the standard fee structure for GroupOne clients is based on a percentage of the total revenue generated by the practice instead of a per claim basis or a base monthly rate charge. Not sure which option is best for your practice? Let’s take a look at each these revenue cycle management scenarios.
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Topics: Revenue Cycle Management, Medical Business, Practice Management

7 Reasons to Purchase an EMR in 2013

by Kaitlyn Houseman on December 12, 2013

  1. Expiring Favorable Tax Law – Tax Savings
  2. Patients Prefer Patient Portals and EHRs
  3. Free iPad 3 promotion through 12/31/2013
  4. Deferred financing on license fees by 12/31/2013
  5. 2014 is Final Year to Qualify for Medicare EHR Incentives
  6. No down payment required with GroupOne
  7. Become a Modern and Paper Free Practice in 2014 – New Year’s Resolution

1. Expiring Favorable Tax Laws – Tax Savings

There are several tax law changes pending for 2014 that will significantly revise favorable business tax provisions for medical practices.

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Topics: Medical Business, EHR, CMS, Affordable Care Act, Practice Management, Incentive Programs

CMS Phase 2 Denial Edits Will Begin January 6, 2014

by Kaitlyn Houseman on November 14, 2013

Several years ago, CMS mandated that payment for referral services would only be paid if the referring provider were properly enrolled in Medicare.  Due to industry pressure, the effective date for this policy was continually delayed to allow providers sufficient time to meet the enrollment criteria.  According to the following announcement, CMS intends to instruct their Contractors to turn on the ordering and referring edits on January 6, 2014.  

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Topics: Medical Business, Coding, Denial Management, Practice Management, Revenue Cycle Management, CMS

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