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In medical practice, credit balances occur when improper payments or adjustments are made that exceed the related posted charges. Physicians and practices often face this problem due to the complexity of billing and payment processes.  Le's see Is it Risky to have Credit Balances in Medical Billing.   Credit balances are not really an asset for practice since they belong to the patient or the state. In fact, they expose the practice to several business a

Merit-based Incentive Payment System (MIPS) is part of the Quality Payment program, which implements provisions of the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA). Let's take a look at MIPS considerations for a Radiology practice.   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 t

An imaging suite/department has many moving parts.  Let's see how Imaging suite workflow optimization with AI works. There are several steps involved:

• patient scheduling
• protocol selection and patient preparation
• tracer/agent administration
• image acquisition & processing
• RIS/PACS
• image interpretation & reporting
• radiologist performance analytics

The 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. Let's review how the Clinical Context & Synopsis Gene

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 how AI can help reduce medical errors :   Patient identification errors: This is because of real concern. Every day, hospitals, pharmacies and offices face discrep

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. Let's take look at the reasons to outsource medical billing.   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

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. Let's take a look at revenue cycle issues you can’t ignore

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. Let's review how we can avoid expensive medical billing errors. Unfortunately, a large number of medical bills contain errors. You obviously want to keep them

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. So, you need to Check Patient Engagement in your practice. Here are 4 great ideas to make it easier for you to measure your practice’s patient engagement.

Happy Staff = Satisfied Patients

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. We need to know how ASC can improve pain management billing. If you run an ASC and want to stay competitive and profitable, you need to overcome