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…
In-network and out-of-network are terms often found in the promotion of health insurance services, and there is very little explanation of their meaning, to be smart with the decision of having an in-network contact or an out-of-network contract, it is important to understand what they mean and what the medical policy covers. Those terms in…
In the age of rapid innovation, one can often feel out of sync with the ever-changing technology in the present moment. With the rise of technology in the medical world, physicians, nurses, and other pertinent medical staff can feel left in the dust when it comes to the new features and processes introduced to them.…
It is important that each Pediatric group utilize proper billing techniques. With a wide variety of billing codes and techniques out there, it is very easy to become confused on the proper billing techniques. This is why this article takes a look at some of the different choices in Pediatric Medical Billing Code and protocols…
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