Merit-based Incentive Payment System (MIPS) is part of Quality Payment program, which implements provisions of the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA). For radiologists, participating in the first performance year evolves three options – test, partial, and full. MIPS will begin to take effect for Medicare physician reimbursement in 2019 but those payment adjustments will be determined by performance reported forRead More
Clinical workload is increasing. Clinicians are seeing more patients and radiologists are having to read more scans in a day. Also, as the electronic health record system gets more sophisticated and detailed, we have access to unprecedented amounts of data. This is a scenario where doctors have more patients to see, more data to consume and better results to aim for. It’s a challenge and an opportunity. EHR’s are getting smarter. They are no longerRead More
There is a wide range of errors that take can take place in both the clinical and the nonclinical realms of healthcare. There have been a lot of interest in applying Artificial intelligence in these areas to see if it can be leveraged to reduce medical errors. Let’s review these potential opportunities: Patient identification errors: This is because of real concern. Every day, hospitals, pharmacies and offices face discrepancies inRead More
Physicians and healthcare facilities are continuously battling decreasing reimbursement rates from insurance companies and rising operational costs. All these factors make medical billing critical for a physician or a healthcare practice. While some practices keep the billing process in-house, an increasing number of practices are outsourcing the medical billing to a company that has expertise in medical coding and billing. Here are 3 reasons why outsouRead More
Many persistent medical billing and revenue cycle issues are detrimental to a medical practice’s bottom line. Most in-house billing staff simply reacts to problems instead of proactively preventing them. However, if your billing staff’s focus is on fighting urgent issues, they may be unable to identify the source of these issues. This would prevent building an efficient revenue cycle management system. From processing first time claims to denial manRead More
The financial health of your medical practice depends upon the doctors, nurses, other staff and your image as a leading healthcare practice. Good practice management also needs to take into account whether there is any money drain due to scheduling issues, unpaid claims, or ineffective technology solutions. Unfortunately, a large number of medical bills contain errors. You obviously want to keep them away from your practice. Billing errors can cost you a great deRead More
A medical practice that doesn’t understand the degree of patient engagement and satisfaction will not be able to reproduce the positive experience and improve their practice. Here are 4 great ideas to make it easier for you to measure your practice’s patient engagement.
Ambulatory Surgery Centers (ASCs) or outpatient surgery centers provide same-day surgical care. This may include diagnostic and preventive procedures. However, ASCs may face problems related to physician reimbursement and accurate pain management billing. Staying viable can pose a challenge to ambulatory surgery centers. If you run an ASC and want to stay competitive and profitable, you need to overcome in-house billing challenges while staying compliant in the cRead More
If you are a physician who runs a medical practice, you certainly understand the importance of medical billing in your business. Patient care is your number one priority but it could be comprised with in-house medical billing. This is why medical billing services are imperative.
Radiologists and radiology practices are a critical component in medical diagnosis and treatment. In other words, radiology findings can save lives. Unfortunately, despite efforts, radiology report documentation does not adhere to a fixed standard. This may make analysis of incidental findings quite difficult. To solve this problem, radiology practices need an integrated clinical analytics system, that can achieve the following –