Change Medical Billing Provider

Do you need to change your Medical Billing Company?

Healthcare practices typically outsource their billing for two reasons – lack of resources and/or lack of time. While outsourcing your billing has many advantages, there are ...
Prep Tips for MACRA

7 MACRA Preparation Tips

Replacing the much-maligned sustainable growth rate formula and in an effort to increase quality while bringing down costs, the Congress last year passed the Medicare Access ...
Flexibilities to end October 1st

ICD-10 Flexibilities to end October 1st

After ICD-10 went live on October 1, 2015; CMS (Centers for Medicare and Medicaid Services) allowed a one year grace period for ICD-10 flexibility, to overcome the strong opp...
Revenue Cycle Analytics

Revenue Cycle Analytics Improves Claims Submissions

Healthcare revenue cycle management has undergone a radical and drastic change in the last decade. From days when most patients had $20 or so as co-payments and insurance com...
False Claim Act And The Healthcare Industry

False Claim Act And The Healthcare Industry

Starting August 1, 2016, the penalties under the False Claims Act (FCA) along with the Anti-Kickback Act, The Program Fraud Civil Remedies Act and a host of other Acts have n...
Outpatient Practices

Outpatient Practices & The Fear Of RAC Audits

Ever since the RAC audit has been introduced, there is an element of fear amongst healthcare facilities with regards to the RAC program. Fuelled by rumors and myths, most of ...
HIPAA Breach Notification

HIPAA Breach Notification Rule

The risk of personal identifiable information falling into the wrong hands or even finding its way into the public domain is a fear that we constantly live with, in this age ...
HHS Survey One third Clinicians

HIMSS: One-third Clinicians still use manual Claims Denial Management

Claim submission and denial management are critical components to the revenue cycle of healthcare facilities.  As regulations are getting more stringent with the transition t...
MACRA

MACRA – What Is It All About?

April 28, 2016 witnessed the release of the proposed rule that is intended to guide the implementation of MACRA (Medicare Access and CHIP Reauthorization Act of 2015) which a...
RAC Audit

RAC Audit Preparation Tips

The increase in audits has made them more of a rule than an exception.  Each year, approximately 9% of physicians undergo a RAC audit.  According to projections, wi...