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As we move further into value-based care, the analytics and reporting segments of EHR will play an ever-larger role in collecting and analyzing data. Analysis and correct interpretation of reports give providers actionable choices for improving quality of care and remaining compliant while boosting revenue as they grow their practices. However, depending…
RAC Audit, as physicians know, are part of the government’s program to reduce fraud, waste, and errors in medical billing practices, especially Medicare and Medicaid. Many providers are aware that CMS has increased its RAC audits and commercial payers are also taking a closer look at billing and coding usage.…
Telemedicine refers specifically to processes and secure technology used to provide clinical services and care to patients such as evaluation, diagnosis, treatment, care follow-up, chronic condition and medication management, specialty consultations with direct communication between a provider and patient via the Internet or other communication portal taking the place of an…
What is Clean Claims? A clean claims has no defect, impropriety or special circumstance, including incomplete documentation that delays timely payment. A provider submits a clean claim by providing the required data elements on the standard claims forms, along with any attachments and additional elements, or revisions to data elements,…
Financial metrics not only help to track the performance of your practice but also can be used to increase accountability of your in-house staff. A metric is a verifiable measure stated in either quantitative terms (e.g. financial ratios) or qualitative terms (e.g. patient satisfaction surveys). Metrics are important for a…
MACRA Challenges in 2018. 71% of specialty physicians feel they have a long way to go to reach MACRA objectives. Shocking? This infographic based on a recent survey reveals how medical practices are struggling to meet MACRA guidelines. Has MACRA sent your healthcare organization into sticker shock? You are not alone.…
This year is set to be another challenging year for medical practices, with several difficulties facing practitioners. However, three of those challenges are proving more difficult to overcome than ever before. Here, we look at the way in which government mandates, utilizing big data and eliciting healthcare patient payments, are…
The Fast Healthcare Interoperability Resource, commonly known as FHIR, has quickly become one of the most popular protocols for joining disparate systems together and holds great promise for the development of an application-based approach to interoperability and health information exchange. As health data interoperability becomes an increasingly pressing concern for…
Medicare Card Changes are coming soon. By April 2019, your card will be replaced with one that no longer shows your Social Security number. The Centers for Medicare & Medicaid Services is no different. Realizing its use of the social security number as a member identifier could potentially put its…
Whether you’ve just started your own medical practice or have been a leader in your respective field for years, it’s important to recognize that revenue cycle management is one of your foremost concerns. When you own medical practice, you have to wear several different hats (as the saying goes). Sure, you obviously…