With every business activity managed better and more efficiently on the cloud, the healthcare sector is certainly no exception. As such, certain healthcare management service providers have emerged over the time, helping the different organizations to serve the patients better in terms of pediatric medical billing, placement of claims and so on. If you are associated…
A challenge in the US Healthcare system is that there are patients that seek care, providers/physicians that want to provide quality care and receive appropriate payments for helping patients with their care and payers that establish the payment rules and want to minimize payments to providers. Payers include commercial payers (e.g. Aetna, Cigna, United, Blue…
Medical billing needs to be completed for each medical practice and the revenue cycle management process requires training, specialized skills, time and focus. Most physicians and office managers have multiple duties per day to manage that provide higher value to their practice than chasing down medical claims. High value activities for Medical Offices include strong…
Since aspects of the HITECH act started in 2009, the US Healthcare system experienced significant consolidation of independent medical practices into the Hospital Systems and/or Integrated Delivery Networks (IDNs). The incentives for our Healthcare system promote large IDNs. Once a practice system obtains a certain size, the system leverages their negotiation power to obtain higher…
It is hard to believe that it has been over one year since the United States medical system migrated from ICD9 to ICD10 Diagnosis codes. On October 1st, 2015, the new standard for diagnosis codes, ICD10, was implemented in E.H.R. systems, Medical Billing Systems, Practice Management Systems, Clearing houses and Insurance Companies. Physician Offices and…
The revenue cycle (more commonly known as medical billing) is a complicated and important aspect of any Medical practice. Patients rely on Health Insurance to pay for some of the cost of Health care. Although most patients have health insurance few understand the details of their policy. Health insurance plans have a range of coverages…
Most E.H.R and practice management web applications are different than a static web site. A web site is informational while a web application is interactive. This means that usually a web application requires transferring data between the cloud site and the local computer. Many web applications interact with a local PC and have functions/tasks that…
Due to the Affordable Care Act (ACA), the number of lives covered under Medicaid or Managed Medicaid insurance surged from 55M in 2013 to over 71M lives in 2015. Although most providers know that on average, Medicaid reimburses lower than Medicare, many providers are unaware that the rate at which Medicaid pays for a procedure,…
With the increasing complexity of the American healthcare system, medical billing companies become an even larger asset to practices across the nation. There are many companies that claim to offer the best for your practice, but what should you really be looking for? The following are essential components of the best medical billing companies in…
According to the American Academy of Pediatrics, 87% of all pediatric visits are conducted in private practices. Needless to say, there is a multitude of pediatric practices across the nation– all of which are actively trying to grow and expand their patient pool. With a fair amount of competition existing already, it is important to…
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