How Data-Driven Tools Transform...
Population health management (PHM) is undergoing a seismic shift, thanks to the power of data-driven tools. As healthcare pivots from reactive treatments to proactive, value-based care, these tools...
Population health management (PHM) is undergoing a seismic shift, thanks to the power of data-driven tools. As healthcare pivots from reactive treatments to proactive, value-based care, these tools...
In today's digital age, effective communication between healthcare providers and patients is essential for quality care. Traditional methods like phone calls and letters often fall short of patients'...
The rise of Internet of Things (IoT) technology in healthcare has transformed the way small medical practices manage chronic care. Remote Patient Monitoring (RPM) powered by IoT devices...
Medical identity theft is a growing threat that can have severe consequences for both patients and healthcare providers. Unlike financial identity theft, which primarily impacts credit and bank...
As healthcare continues to embrace digital transformation, the way providers manage billing and coding is undergoing a significant shift. The focus is now on accuracy, efficiency, and compliance to...
Ensuring accurate provider verification is critical for maintaining compliance, securing reimbursements, and preventing delays in healthcare operations. Mistakes in this process can lead to...
Medical billing and revenue cycle management (RCM) are often used interchangeably, but they serve distinct functions in healthcare financial administration. While medical billing focuses on claim...
A well-managed revenue cycle is essential for maintaining financial stability and ensuring timely reimbursements. Without streamlined processes, healthcare providers risk delayed payments, denied...
The Health Insurance Portability and Accountability Act (HIPAA) is a critical regulation that ensures the confidentiality, integrity, and security of patient information in electronic...
Medical billing denials can significantly impact a healthcare provider's revenue cycle and operational efficiency. Denied claims lead to delayed payments, additional administrative work, and...
Healthcare pricing has traditionally been static, with providers relying on predefined fee schedules and contract rates. However, the...
Revenue Cycle Management (RCM) is the backbone of financial operations for healthcare organizations. However, traditional RCM...
Healthcare can seem complex, especially when differentiating between inpatient and outpatient care. Both serve essential roles in delivering medical services, but they cater to different needs. This...
Eligibility and benefits verification is a cornerstone of effective revenue cycle management. Learn more about eligibility verification to reduce claim denials and improve billing...
Medical history refers to a comprehensive record of a patient's past and current health information, including illnesses, treatments, medications, and family medical history. It serves...
Superbills play a crucial role in medical billing, serving as a bridge between healthcare providers and insurance reimbursement. While primarily used by patients to claim reimbursement from insurance...
Managing accounts receivables (AR) is critical for the financial stability of small medical practices. Efficient AR processes ensure timely payments, reduce outstanding balances, and maintain smooth...
Efficient patient registration is the foundation of a well-functioning healthcare practice. It not only sets the tone for the patient's overall experience but also directly impacts operational...
Medical necessity refers to healthcare services or supplies needed to diagnose, treat, or manage a medical condition based on clinical standards. Payers, including...
In today’s digital healthcare landscape, patient demographicsare the foundation of effective healthcare delivery and efficient EHR software functionality. Demographic data includes essential details...
The demand for orthopedic care continues to grow, driven by an aging population and an increase in sports-related injuries. Effective practice management is essential to delivering quality care while...
The demand for mental health services is growing rapidly, placing increased pressure on mental health practices to deliver quality care while managing operational complexities. Effective...
Clinical Decision Support Systems (CDSS) have become indispensable in enhancing the efficiency and quality of healthcare delivery. By offering timely insights, automating repetitive tasks, and...
Healthcare practices today face mounting financial challenges, from managing complex billing processes to ensuring timely payments. Administrative burdens, billing errors, and payment...
In today’s healthcare landscape, patient expectations are higher than ever. Patients seek not only quality care but also seamless communication, personalized attention, and a positive...
In today’s dynamic healthcare environment, Revenue Cycle Management (RCM) is central to financial health. Technology plays a transformative role, simplifying workflows, reducing claim...
Family practice management is an essential component of running a successful healthcare practice that caters to diverse patient populations and medical needs. From operational efficiency to patient...
Managing a podiatry practice effectively requires a blend of strategic planning, technology adoption, and operational efficiency. With increasing patient demands and evolving healthcare regulations,...
Managing the financial health of a medical practice is as critical as ensuring quality patient care. With evolving healthcare regulations and increasing patient expectations, billing...
Clinical efficiency is essential in modern healthcare, balancing the need to deliver high-quality patient care with the demands of administrative tasks. However, administrative...
Revenue cycle management (RCM) is the backbone of any medical practice’s financial health, encompassing the processes that track patient care episodes from initial appointment scheduling to final...
Electronic Health Record (EHR) Platforms consist of the necessary hardware, software, network, and infrastructure required to facilitate the management and exchange of...
The healthcare industry continues to evolve, driven by advances in technology and changing patient expectations. As a result, there is growing attention on...
Welcome to our comprehensive guide, where we delve into the transformative world of medical software, highlighting 15 key types that are reshaping healthcare delivery. In today's digital era, medical...
Compared to more commonly processed claims in pediatrics, rheumatology and other branches of medicine, OB/GYN practitioners find themselves facing an alarming percentage...
Electronic Health Record (EHR) systems have revolutionized healthcare by transforming how patient information is recorded, managed, and accessed.
EHR systems maintain a...
Fee-for-Service (FFS) is a traditional healthcare payment model in which providers are reimbursed separately for each service, procedure, or treatment they deliver. This model allows flexibility...
The Current Procedural Terminology (CPT®) code is a standardized medical code set designed to provide doctors, healthcare professionals, and administrative entities with a...
If someone asked you to give away thousands of dollars annually for no reason, would you do it? Probably not, unless you’re a wealthy philanthropist.
Physician practices of all sizes that don’t pay...
Despite rumblings about the decline of the number of small physician practices in the United States, they still comprise a substantial portion of the healthcare industry. In fact, the most recent...
Capitation is a payment model in healthcare where a provider receives a predetermined, fixed amount per patient for a set duration, regardless of the number or type of services...
Science has given us many gifts, including significant advances in the healthcare industry; EHR systems have enabled healthcare services to become cheaper and faster than before. ...
Medical offices rely on practice management systems to streamline operations, enhance efficiency, and improve patient outcomes. One of the most vital components of these systems is Medical Scheduling...
When the federal government implemented its meaningful use initiative as part of the American Recovery and Reinvestment Act of 2009,...
Successful implementation of medical EHR software can only be achieved by following a sound and comprehensive process for evaluating potential...
A medical billing clearinghouse converts billing data into standard formats, checks claims before submission, and facilitates electronic transactions between physicians and payers, simplifying...
The transition to ICD-10 forced many healthcare organizations to take a long, hard look at their claim processing practices. While that...
Value-Based Care (VBC) is a healthcare model that prioritizes quality of care, provider performance, and the patient experience by aligning provider...
Although the EHR adoption rate has more than doubled over the past decade, significantly bolstered by passage of the HITECH...
EHRs provide physicians with many benefits; however, there are also compliance risks inherent in the technology. Physicians must be aware of these risks and take steps to address them, said Sandy...
If you find an overpayment, don’t expect to keep it. That’s because physicians must report and repay Medicare overpayments within 60 days of identifying them, according to a final rule that took...
Modifier 25 is a critical component in medical billing, allowing providers to report significant, separately identifiable Evaluation and Management (E/M) services performed on the same day as another...
Many practices are struggling to do more with less revenue, due in part to changes in the Affordable Care Act, shifts in reimbursement models, and an increase in consumerism in the health care...
‘Denial’ and ‘rejection’ are two words that no physician wants to hear. Yet, the unfortunate reality is that many physician practices lose money every day to claims that fail to meet payer...
MIPS or Merit-Based Incentive Payment System is a program that falls under the Quality Payment Program (QPP) and incentivizes eligible...
After years of physician payment cuts based on a flawed Medicare sustainable growth rate, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) establishes two payment tracks...
It’s a fact: Without an effective—and efficient—revenue cycle, physician practices cannot weather the storm of ongoing reimbursement changes in today’s healthcare environment. ICD-10, for example,...
With more than 41,000 attendees and 1,200 exhibitors in attendance, there was no shortage of activity at the annual Health Information Management Systems Society (HIMSS) Annual Conference and...
In an era of electronic health records (EHR), patient-generated data has become a buzz phrase in healthcare. This data—often collected via medical devices such as pacemakers, glucose monitors, blood...
Your EHR investment should produce results for your small practice—better patient care, increased provider productivity, fewer process redundancies, lower operating costs, and improved revenue cycle...
Major workflow disruptions are every practice manager's greatest nightmare and a poorly planned EMR implementation offers many opportunities to fail....
Just because your practice has survived the EHR go-live doesn’t mean that you’re in the clear. To fully reap the benefits, practices must continually evaluate their...
The ICD-10 transition has gone surprisingly well for many physician practices nationwide. However, the industry is bracing for what could...
You can’t stop with the stethoscope. Physicians now need to embrace all kinds of technologies to improve care – and...
We all know the tragic story of Thomas Duncan, the Texas patient who died of Ebola in October 2014. According to the Washington Post, the...
After what seemed like endless delays and difficulties with the launch of the new ICD-10 implementation, it's still on schedule to launch on...
Many practices have been busy attesting to Meaningful Use (MU) objectives, many of which pertain to HIPAA privacy and security. Privacy- and security-related MU...
The transition to ICD-10 continues to challenge many physicians even despite the fact that CPT coding will remain unchanged. The most effective way to approach the implementation is...
In 2012 a five-physician practice in Arizona was fined $100,000 for not complying with HIPAA regulations. That’s a frightening amount of money for a small group, but the government is making it...
Even despite auditor scrutiny, decreasing reimbursements, and more stringent regulatory requirements, physician practices do have opportunities to enhance revenue if they look hard enough to find...
In today’s healthcare environment, patients have significant financial responsibility, including higher deductibles and greater out-of-pocket expenses....
Although electronic health records (EHR) have gained traction over the last few years due to Meaningful Use incentives, more rapid adoption will occur only when physicians see the value in using...
Electronic health records (EHR) sometimes get a bad reputation due to the high cost of implementation as well as the operational challenges they pose. However, it’s...
EHR replacement can feel like a leap of faith. After all, how can you be guaranteed of a return on investment if you have no means of predicting positive financial outcomes? Most experts agree: the...
A full 30 percent of “new” EHR purchases are actually replacements, according to a 2013 Black Book Rankings survey. If your organization has decided to make the switch to another vendor, change...
There’s no doubt that mobile healthcare—often referred to as mHealth—has the ability to transform healthcare as we know it. Mobile health technology, such as mobile phones, patient monitoring...
With a push for electronic healthcare records from many agencies--as well as vendor promises for efficiency and increased cash flow--many providers now find themselves married to EHR systems that...
Patient portals increase communication between providers and patients and can even improve the quality of care that patients receive. This technology that...
Selecting the best EHR system for your medical practice is crucial in order for you to comply with new HIPAA requirements for coding, billing and documentation of services provided. It is also...
All medical service providers were keying up for the transition from ICD-9 billing codes to the new ICD-10 codes when, earlier this year, the president signed legislation which postponed the...
The decision is made; it’s time to replace the EHR system, but how difficult will the transition be and what are the issues should you be aware of? EHR Intelligence states that implementing a...
With over 50 percent of physicians actively using EHR systems, is it time to start thinking replacement? A 2013 Black Book poll shows that 81 percent...
According to a study from Baylor Health Care System and the Institute for Health Care Research and Improvement, it takes approximately 134 hours per physician for medical practice end-users to...
In a high-compliance environment, outsourcing medical billing functions seems like a loss of control for some medical practices. In reality, outsourcing claims billing with the right provider...
CPT modifiers let payers know something specific about a procedure, sometimes resulting in additional payment for the provider. Among other things,
So, are you going to survive a meaningful use audit? Attesting to receive an EHR incentive payment puts a physician at risk of audit, but managing your documentation is all it...
According to Center for Health Information Technology director Dr. Jason Mitchell, EHR training is a crucial element in successful electronic health record implementation in any medical...
As healthcare delivery systems have evolved, in part due to incentives in the PPACA, the need for anytime-anywhere access to patient health information has grown...
EMR & Medical Billing Best Practices Series: #6
According to RemitData, two of the top five claim denial reasons for 2013 were insurance-coverage...
There is a 20% chance that you as an eligible provider may get audited and will be required to substantiate every single measure, eligibility requirement, or even ownership of a certified EHR.
What's the first thing you do as you plan a trip to a new destination? Most people look at a map or consult Google directions. You want to know how to...
With meaningful use entering Stage 2, there is one word popping up on the horizon for practitioners participating in this EHR metric system – audit. Meaningful use comes with some significant...
Organization is an essential component of a successful medical office, and we've spent the last two weeks discussing how organization in billing and...
With all the hype that went into the launch of ICD-10, there is a lot of debate on how the delay, signed into law by President Obama on April 2, will affect the healthcare community. The 10th...
Last week's blog in the Best Practices Series covered the need for organization in your medical practice. This week, we'll look at how a strong EHR...
According to Department of Labor estimates, around 200 million healthcare claims are denied each year. The agency estimates one in seven submitted...
The benefits of switching to an Electronic Health Record system are clear: more accurate records, less paperwork, a reduced environmental footprint and an...
Do you know where resources such as time and money are being used best in your medical practice and where they might be wasted? Chances are, even the most organized and efficient office isn't...
On October 1, 2014, all health care providers will switch from ICD-9 coding to ICD-10 coding when they bill private insurance, Medicare and Medicaid . To understand how large this move is, there...
Implementing electronic health records, or making upgrades to existing systems, presents challenges for any type or sized medical practice....
As healthcare providers across the country implement electronic health record solutions, there's a lot of advice being handed out online and in professional...
Whether you're moving to implement electronic medical records or simply trying to ensure that your current system is up to code, it's important to remain updated on the practices, standards and...
Patient medical debt is a growing trend in the United States. Surveys conducted by the Commonwealth Fund indicate that around 41 percent of working-age Americans were in medical debt as of 2012,...
Today, more and more physician offices and hospitals have digitized their medical records by implementing Electronic Medical Records or Electronic Health Records. Is there any difference between the...
Electronic health records are becoming an industry standard, and are being way of storing healthcare data. The overall utility of electronic health records can be...
In all the upheaval about dropped insurance and online healthcare markets, one piece of the Affordable Care Act that impacts healthcare providers may have been lost. Section 1104 of the ACA, which...
This post has been contributed by Alan Edwards who holds an MBA in Health Care and is a former hospital CEO and group practice administrator. He continues to be active in the field and often writes...
Established in 2005, RevenueXL of Cupertino, California (Silicon Valley) is a leading provider of healthcare solutions and EMR software, providing CCHIT and ONC-ATCB Certified...
One of the key performance indicators that drives the success of any medical-related practice or organization is Days in AR, Accounts Receivable Days, or AR days in medical billing. AR days...
Like any new office policy integration process there exists a learning curve. One well worth the time investment...
The American Medical Association publishes a PDF guide to collecting denied claims called Appeal That Claim. The handbook, in the Overview section notes that many practices do not make the effort...
It's tempting to put the business of your small medical practice on the back burner to concentration on patient care. While patient care should always be the first priority of medical staff, you...
Attracting new customers can be expensive. According to Lee Resource Inc., it can cost over five times as much to gain a new customer as it...
Most experts agree that small medical offices should aim for an average days in AR of under 30. This means that it takes an average of 30 days or...
One mistake many offices make when converting files to electronic health records is to attempt to do everything at once. If your medical office isn't ready for a full-scale EHR implementation, a...
"Denial" and "rejection" are two words that no physician wants to hear. Yet, the unfortunate reality is that denied claims still occur. Many physician practices lose money...
EHR training is vital to the success of your EHR software. Regardless of your specialty, it is important for every member of your staff to receive adequate training to ensure that your...
If you build an EMR app for the iPad, will they come? Maybe, if doctors can be convinced that the technology is secure and able to carry out the sometimes complex tasks associated with managing...
Implementing a new Electronic Health Record (EHR) system is a transformative step for any healthcare practice. For smaller healthcare settings, where resources and staff are often limited, effective...
The hunt for a fitting electronic health record (EHR) system is a difficult one, with many health care providers hitting multiple snags along the way. Ideally, a provider's EHR will be secure, easy...
Each phase of EHR implementation is vital to the success of the EHR itself. Now that you've done an assessment of your practice for EHR readiness, you're ready to move on to the next step in the...
A successful EHR implementation is foundational to the success of your EHR system. For most practices who have dealt with problems with their EHR, those problems stem back to difficulty with their...
When EMR was first developed, it was assumed that these systems would replace certain jobs within the medical office. One of...
In this day and age, when providers are switching EMRs right and left, we all know that they went wrong in one crucial part of their EMR purchase: vendor selection. While there are...
Just when you think your office is working well with your new EMR system in place, ICD-10 comes along and starts to put you into a panic. Are you prepared for the changes that will take place when...
Modifier 25 is frequently used in the wrong context -- sometimes mistakenly but more often as a result of purposeful attempts to increase a practice's level of reimbursements. The...
Electronic medical records have come a long way since physician Lawrence L. Weed first conceived of the concept in the 1960s. Actually, the healthcare industry was one of the last industries to...
Are you experiencing EMR dissatisfaction with your current system? Perhaps it's not living up to your expectations, or you're having issues with it that make charting more difficult. Many physicians...
Electronic Health Records (EHR) systems have been around for quite some time, but looking forward to 2013 and beyond, these systems are now providing the medical community with much needed assistance...
The healthcare world continues to change right before our eyes, with constant technology improvements in turn improving healthcare procedures and delivery for billions of...
Choosing the right electronic medical records (EMR) software for your organization can revolutionize your practice and lead to improved delivery of care, increased patient confidence and...
EHR implementation refers to the process of setting up an electronic health record system for a healthcare organization. This implementation process involves selecting the...
Choosing to integrate an Electronic Medical Records (EMR) system into your practice signifies a major change in the way you manage patient records and workflow. Comprehensive systems are designed to...
Electronic medical records (EMRs) were not only implemented in an attempt to save the health care industry money, but to improve standards of care, effectiveness and further enhance a hospitals’...
Electronic medical records are nothing new; they became a standard part of the medical industry over 20 years ago. Nevertheless, a number of myths surrounding EMRs persist. These myths may serve to...
We are in the midst of a constantly evolving healthcare landscape, and it is becoming necessary to take advantage of every tool at your disposal if your...
Curious to know how electronic medical records can benefit your practice? While providers can list any number of features and benefits on their sales content, it pays to see how other physicians...
A new survey shows that more physicians are embracing mobile technology, from smartphones to tablet PC’s, for professional use. With that growth however, many believe that we’re still too early into...
This guest post is written by Katie Matlack of Software Advice.
Physicians across the United States have spoken. While electronic medical records software provides a laundry list of features and benefits, data compiled over the course of 2011 by Capterra shows...
Larger practices and organizations in the health care industry are readily switching over to electronic medical records and reaping the rewards, but small to mid-sized practices are much slower to...
There's a vast array of technology available to help move a clinic into the future with electronic medical records software. While some is optional based on cutting edge technology, there are...
A physician researching electronic health records systems in order to improve the efficiency of their practice will typically find they have one of two options; the first choice is to implement a...
This time I decided to write this post about a slightly different topic - Coding Compliance. As we discuss below, when physicians implement EMR or EHR, the need for a good compliance plan will not...
The world of healthcare is changing especially so in the light of an estimated 30 million new patients that will be added to the healthcare system. Most of them will be tended to by Family Doctors...
*Having a medical practice website is imperative to your practice. Why? Perhaps the best answer is, “Can Patients find your Medical Practice Online?”Try this, ask the next 10 people you see if they...
Here's a multiple-choice quiz with an answer that may surprise you:
What's the most expensive cost element when you implement new Electronic Medical Records?
a. EMR Softwareb....
The appeal of Free EMR Software is undeniable, especially for smaller practices and independent healthcare providers aiming to reduce operational costs. At first...
Implementing an electronic medical record (EMR) system is a crucial step for healthcare practices looking to enhance efficiency, improve patient care, and streamline workflows. However,...
What are the Best EHR/EMR Systems for your practice?
Not all Electronic Health Record software is created equal, and it’s critical to recognize that EHR solutions must align with the specific needs...
