er visits

New England Journal of Medicine: 22% of Surprise Medical Bills occur in ER Visits

Have you ever experienced a situation when you have been made to pay a bill twice for the same product? This is exactly what is happening in the healthcare industry. Accordin...
apm vs mips

MACRA – APM vs. MIPS

The latest in a series of steps taken by the Centers for Medicare and Medicaid Services (CMS) to incentivize care quality over volume; MACRA was signed into law in 2015 and r...
Hcc Coding Mistakes

10 Common HCC Coding Mistakes

In response to the demand for improving the capture of chronic illness diagnoses for reimbursements, the Center for Medicare and Medicaid Services (CMS) mandated the developm...
Hcc Documentation

Risk Adjustment and HCC Documentation Basics

With healthcare reform and system changes underway, accurate medical documentation and coding is critical to the financial health of your practice and to the health of your p...
know about the macra final rule

Things You Need to Know about the MACRA Final Rule

Representing a departure from the volume based, fee-for-service model, MACRA replaces the SGR (sustainable growth rate) formula to control Medicare costs. Linking Medicare re...
tips on physician credentialing

10 Tips on Physician Credentialing

Your credentialing process needs to start well in advance if you are planning to start your own practice or bring in new doctors to your existing practice. It is important to...
key revenue cycle metrics

Are You Monitoring These Key Revenue Cycle Metrics?

Revenue cycle management throws up tons of data for tracking. However, not everything requires regular tracking and measuring. While it is important to look at all the data d...
integrated care

JAMA: Integrated Care Improves Patient Outcomes & Reduces Costs

A worldwide trend in healthcare reforms and new organizational arrangements, integrated care (also known as comprehensive care, transmural care, co-ordinated care or seamless...
pre planning in patient care

Pre-planning In Patient Care Can Save Your Practice Money

Physicians educate and train themselves to practice medicine and impart health care to the populace. However, a large part of their daily lives is spent tending to administra...
customer service top

Patients Top Complaint: Customer Service

Identifying keywords from about 35,000 Google+ reviews of physicians that were most commonly associated with the rating levels given, a marketing and public relations firm fo...