Revenue Cycle Solutions
In healthcare's dynamic and ever-evolving realm, organizations face many challenges when managing their financial health. The intricacies of revenue cycles, encompassing patient interactions, billing...
In healthcare's dynamic and ever-evolving realm, organizations face many challenges when managing their financial health. The intricacies of revenue cycles, encompassing patient interactions, billing...
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 latest blog, where we're about to dive into digital health, showcasing the top 15 types of healthcare software transforming the medical field. As the world becomes increasingly...
Compared to more commonly processed claims in pediatrics, rheumatology and other branches of medicine, OB/GYN practitioners find themselves facing an alarming percentage...
In our rapidly changing healthcare environment, technology isn't just about innovative treatment methods; it's also reshaping how health records are documented and retrieved.
Telemedicine has revolutionized the healthcare industry and offers numerous benefits to patients and providers. By leveraging technology, it provides convenient, accessible, and efficient medical...
Healthcare systems around the world operate under various payment models, each with its unique benefits and challenges. Among these, the Fee-for-Service (FFS) model stands out due to its...
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...
The capitation payment model has been used in the healthcare industry for many years, and it has evolved over time as healthcare systems have changed. The earliest forms of capitation were used in...
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. ...
Practice management systems provide medical offices with a variety of features designed to improve practice efficiency and positively impact patient outcomes. But perhaps one of the most essential...
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...
The profitability of physician practices is being squeezed by declining payer reimbursement rates and increasing operating costs. There is also a growing trend towards enhanced patient responsibility...
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 delivery model that incentivizes providers to achieve better patient outcomes and cost efficiency,...
Although the EHR adoption rate has more than doubled over the past decade, significantly bolstered by passage of the HITECH...
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) marks an entirely new era in physician reimbursement—one characterized by quality, cost...
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 two-digit code that signifies a significant, separately identifiable evaluation and management (E/M) service provided by the same physician or 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....
The comment period for the final Stage 3 rules has come and gone. But provider groups and legislative groups have been busy spreading the word...
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...
The Centers for Medicare and Medicaid Services last week released proposed final rules for its Stage 2 and 3 Meaningful Use programs. And, of...
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,...
Electronic medical records offer a number of efficiency and accuracy benefits for physicians offices, but a new study shows tech tools can also...
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...
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...
As a physician, achieving meaningful use for your EMR system is essential to its success within your practice. However, meaningful use involves more...
Now that EMR has become commonplace in most medical practices, there have been many studies done on whether or not those practices are achieving a positive return on their investments, or ROI. Many...
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...
Healthcare has always been on the cutting edge of technology and medical advancement, yet private practices are sometimes resistant to changes when they believe they have a system that serves them...
Well into the second year of The Health Information Technology for Economic and Clinical Health Act (HITECH), eligible practices are well on their way to being prepared for Stage 2 Meaningful Use...
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...
One of the biggest obstacles physicians have with integrating electronic medical records is in the stigma these systems have for being difficult to operate, train on, and utilize in the clinical...
In an effort to encourage providers to implement electronic medical records at a more rapid pace, the Department of Health and Human Services extended the deadline recently for satisfying Meaningful...
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...
The American Recovery and Reinvestment Act of 2009 (ARRA) provides $17.2 billion in Medicare and Medicaid incentives designed to facilitate widespread implementation of certified Electronic Health...
Stories abound about botched EHR System implementations and providers uninstalling EHR Systems in Arizona. But at the same time, there are many case studies which prove that achieving ROI with EMR...
*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....
Did you know that there are 1000's of searches every month on Google from people interested in ‘Free EMR Software' in different forms:
You probably spent several months in EMR vendor selection process. Right? Did you realize that you need to spend at least as much time in planning your EMR implementation, if you want to ensure a...
The definition of ‘Meaningful use of Electronic Health Records' has undergone a vast change since it was first mooted. With 2011 fast...
There are 300+ EMR and EHR companies catering to different specialties and clinical requirements. EMR Vendors are constantly innovating and adding new features and functionality to...
The American Recovery and Reinvestment Act of 2009 (ARRA) was signed into law by President Barack Obama on February 17, 2009. It specifically authorizes the Centers for Medicare and Medicaid Services...
