Yearly Archives: 2012

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Affordable Care Act Brings Changes to Neurosurgery Revenue Cycle Management

2012-12-15T17:10:48+00:00

In this new era of healthcare – and payment – reform, neurosurgeons are faced with many decisions. Among them is how to maintain the financial health of their Neurosurgery revenue cycle management. It's becoming a daunting task to stay abreast of current developments in Neurosurgery medical coding and billing. A myriad of changes in Neurosurgery revenue cycle management loom over head as the Affordable Care Act begins to transform our healthcare system. In June 2012, the MGMA-ACMPE released the results of a questionnaire that ranked members' most pressing practice management challenges. No. 2 was: Preparing for reimbursement models that place a [...]

Affordable Care Act Brings Changes to Neurosurgery Revenue Cycle Management2012-12-15T17:10:48+00:00

Affordable Care Act Brings Benefits and Changes to Family Medicine Revenue Cycle Management

2012-12-15T16:26:52+00:00

When is the Family Medicine medical billing and coding process at its most critical crossroad? Right now, because the Affordable Care Act (ACA) is here and impacting Family Medicine revenue cycle management. The ACA has its benefits, especially for Family Medicine practices. According to Melinda Abrams with the Commonwealth Fund, one "hidden" benefit [to Family Medicine practices] of the ACA is its potential to make primary care more accessible. She adds that "Health care reform aims to expand and train the primary care workforce, improve provider reimbursement and patient incentives for primary care services, and support innovative approaches to delivering care." [...]

Affordable Care Act Brings Benefits and Changes to Family Medicine Revenue Cycle Management2012-12-15T16:26:52+00:00

Affordable Care Act Emerges with Changes to Emergency Medicine Revenue Cycle Management

2012-12-15T16:24:01+00:00

The role of Emergency Medicine is an essential and complex component of the Affordable Care Act and its focus on wellness and disease management. Yet Emergency Medicine revenue cycle management faces a future of mounting regulatory constraints, compliance issues, multi-faceted documentation...and changes in reimbursement models that impact medical coding and billing. In June 2012, the MGMA-ACMPE released the results of a questionnaire that ranked members' most pressing practice management challenges. No. 2 was: Preparing for reimbursement models that place a greater share of financial risk on the practice. Within the next five years, many Emergency Medicine physicians will be adopting this [...]

Affordable Care Act Emerges with Changes to Emergency Medicine Revenue Cycle Management2012-12-15T16:24:01+00:00

Affordable Care Act Brings Revenue Changes to Diagnostic Radiology Revenue Cycle Management

2012-12-15T16:08:45+00:00

It's simply a matter of time before all aspects of the Affordable Care Act's (ACA) provisions are implemented, and we should expect the spread of payment models emphasizing bundled care, shared risk and quality driven reimbursement for Diagnostic Radiology groups. Rarely has there been a defining time for radiologists than right now, when the survival of Diagnostic Radiology practices is squarely placed on the shoulders of the most efficient Diagnostic Radiology revenue cycle management procedures. It's survival of the fittest. "The Affordable Care Act has a 'growing profound effect' on radiology, according to Cindy Moran, assistant executive director for the American [...]

Affordable Care Act Brings Revenue Changes to Diagnostic Radiology Revenue Cycle Management2012-12-15T16:08:45+00:00

Affordable Care Act Impacts Cardiology Revenue Cycle Management

2012-12-15T15:32:38+00:00

Proponents of the Affordable Care Act (ACA) are hoping the ruling may provide the tools for both combating CVD and improving the health care system. But what about the health of your cardiology practice? How will your Cardiology revenue cycle management be impacted? Along with healthcare reform, payment reform is here and with it come the pressures to understand and implement new policies and procedures in Cardiology medical coding and billing. In June 2012, the MGMA-ACMPE released the results of a questionnaire that ranked members' most pressing practice management challenges. No. 2 was: Preparing for reimbursement models that place a greater [...]

Affordable Care Act Impacts Cardiology Revenue Cycle Management2012-12-15T15:32:38+00:00

Prepare Now to Mitigate Potential Compliance Risks in Urology Revenue Cycle Management During 2013

2012-11-16T16:47:11+00:00

The Office of Inspector General (OIG) Work Plan for 2013 was released in October. Are you ready to implement the myriad of updates about potential risks in your Urology coding, billing and collections? Was that a faint "yes" or a resounding one? With the New Year fast approaching, the time is now to make sure your practice is fully prepared and your compliance plan is up to date. It is helpful for your compliance plan to include answers to the following questions: What is the OIG Work Plan process? What compliance areas should your practice address? What issues will be investigated [...]

Prepare Now to Mitigate Potential Compliance Risks in Urology Revenue Cycle Management During 20132012-11-16T16:47:11+00:00

2013 OIG Regulations and CMS Rulings Impact Radiation Oncology Revenue Cycle Management

2012-11-16T16:44:02+00:00

With changes in compliance regulations for Radiation Oncology revenue cycle management and Centers for Medicare and Medicaid Services (CMS) reimbursement cuts looming in 2013, it's a critical time for practices to ensure their Radiation Oncology coding, billing and collections is optimized. As reported by Radiation Therapy Alliance in a HeraldOnline.com article on Nov. 5, changes for Radiation Oncology practices include CMS reimbursement cuts of 7 percent (considered to be 15 percent at one time). Excerpts from the article include: "The reimbursement cuts to Radiation Oncology in 2013 will equate to approximately $140 million compared to 2012 rates. Though this amount is [...]

2013 OIG Regulations and CMS Rulings Impact Radiation Oncology Revenue Cycle Management2012-11-16T16:44:02+00:00

Plastic/Reconstructive Surgery Revenue Cycle Management Regs Require a New Look in 2013

2012-11-16T16:41:18+00:00

The Plastic/Reconstructive Surgery profession is continuing to experience growth in the market. Your revenue should reflect the full extent of all your hard work to build a successful Plastic/Reconstructive Surgery practice. As 2012 draws to a close, it's time to look ahead to 2013 and new compliance regulations that will impact your Plastic/Reconstructive Surgery revenue cycle management. Yet, understanding the new world of ever changing regulations in compliance and all the complexities of your Plastic/Reconstructive Surgery medical coding, billing and collections can become a job in and of itself. Preparations include creating or updating your Plastic/Reconstructive Surgery practice compliance plan to [...]

Plastic/Reconstructive Surgery Revenue Cycle Management Regs Require a New Look in 20132012-11-16T16:41:18+00:00

Healthcare Industry Regulation Changes Impact Orthopedic Surgery Revenue Cycle Management

2012-11-16T16:38:15+00:00

With all the compliance regulations today, it's a struggle to optimize Orthopedic Surgery revenue cycle management, particularly when compliance needs to be upheld, denied claims need to be appealed and grueling technical questions about diagnoses and procedures need to be answered. You know that having a compliance plan is critical to the health of your practice overall and your Orthopedic Surgery coding, billing and collections process specifically. But is your plan up to date? Does it fully identify areas of risk and key areas to correct? Who has time to keep abreast of all of the changing regulations, document policies and [...]

Healthcare Industry Regulation Changes Impact Orthopedic Surgery Revenue Cycle Management2012-11-16T16:38:15+00:00

Emergency Medicine Revenue Cycle Management Requires a Plan to Address Unique Compliance Issues

2012-11-16T16:32:33+00:00

As experts in Emergency Medicine, you're ready to spring into action at a moment's notice. But are you ready to prepare and respond fully to compliance issues, and all the complexities of hospital based Emergency Medicine medical coding, billing and collections? You already know that having a compliance plan is of the utmost importance to the integrity and profitability of your Emergency Medicine practice. OIG recently released its 2013 work plan to help you identify areas of risk and key areas to avoid unintentional fraud, waste and abuse. To help you understand some of the changes on the horizon, the following [...]

Emergency Medicine Revenue Cycle Management Requires a Plan to Address Unique Compliance Issues2012-11-16T16:32:33+00:00
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