Five-Year Growth Explosion Anticipated for Medical Billing Outsourcing

Posted in Coding Outsourcing, GeBBS Healthcare Solutions, Medical Coding, Medical Coding Outsourcing, Offshore Medical Billing, Outsource Coding, Value-Based Care

The administrative costs associated with medical billing within a physician practice are becoming unmanageable for independent and major health-system affiliated practices alike. A 2018 research study was conducted by experts at Duke University and Harvard designed to examine the administrative costs specific to large academic medical centers using electronic health record (EHR) technology – and …

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Encounter Data…Why Getting It Right is More Important Than Ever

Posted in Coding Accuracy, Medical Coding, Remote Medical Coding

Earlier this month, CMS announced changes to future payments for Medicare Advantage plans that will take effect in 2020. While a pay raise is part of the plan, what’s causing a stir is that payment will now be based on a higher percentage of patient encounter data (up to 25% from 10%). Many (especially payers) have argued that encounter data is often incomplete and inaccurate when compared to diagnoses, since encounter data relies on provider documentation.

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Offshore vs. Onshore Coding—Does it Make a Difference?

Posted in Best Practices, Medical Coding, Medical Coding BPO, Medical Coding Outsourcing, Offshore Medical Coding, Outsource Coding, Outsourced Coding, Outsourced Medical Coding

The main issue that needs to be considered regarding offshore vs. onshore coding is not where the support comes from, but the technology, training, and expertise of the coders. With high-speed connectivity, security, and coding workflow software, the location of the coder is not as important as the expertise of the coder. Facing lower reimbursements …

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Specificity of ICD-10 Coding Can Improve Reimbursements for Vaccine Administration

Posted in ICD-10, Medical Coding, Medical Coding BPO, Outsourced Coding, Outsourced Medical Coding, RCM Solutions, Revenue Cycle Management (RCM)

Administration of vaccines is an important part of healthcare delivery, and a critical contribution to preventive public healthcare. However, risings costs are making it difficult to align vaccine administration expenses with revenues. There may be some relief to these rising costs and it comes from something that was once seen as a burden for medical …

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Coding Denials “Wait and See What Happens” Will NOT be a Good Strategy When the ICD-10 Grace Period Ends!

Posted in Medical Coding, Medical Coding BPO, Outsource Coding, Remote Medical Coding

The Centers for Medicare & Medicaid Services’ (CMS) grace period for denials of claims under ICD-10 will end on October 1, 2016. Healthcare providers and billing companies must be prepared for this deadline and its financial effects. When CMS instituted the new ICD-10 program last year, it announced that Medicare claims would neither be denied …

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CMS and AHIP Move to Improve Healthcare Quality Measures

Posted in Business Process Outsourcing (BPO), HIPAA, Medical Coding, Medical Coding BPO, Offshore Medical Coding, Outsource Coding

The Obama administration and health insurers took steps recently to standardize and improve the measures that are intended to gauge the quality of healthcare. The CMS and trade group America’s Health Insurance Plans (AHIP) have announced an agreement to adopt a core set of quality measures for the nation’s doctors. Officials say the measures are …

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Survey Shows About 80 Percent of Hospital CFO’s Consider Outsourcing RCM to be the Best Stop-Gap Measure

Posted in Business Process Outsourcing (BPO), Healthcare BPO Companies, Healthcare Revenue Billing, Knowledge Process Outsourcing (KPO), Medical Coding, Medical Coding Outsourcing, Offshore Medical Billing, Offshore Medical Coding, Offshore Revenue Cycle Management, Outsource Coding, Remote Medical Coding, Revenue Cycle Management (RCM)

By Nitin Thakor, GeBBS President & CEO According to a recent survey reported in Healthcare Finance, 83 percent of hospitals now outsource some accounts receivable and collections, 58 percent of hospitals outsource some contract management, 55 percent of hospitals outsource some denials management and 68 percent of physician groups with more than 10 practitioners now …

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Top 10 Reasons Why You Should Outsource Your Revenue Cycle Activities

Posted in Affordable Care Act, Business Process Outsourcing (BPO), Insurance Billing Solutions, Medical Billing BPO, Medical Coding, Medical Coding BPO, Offshore Medical Billing, Offshore Medical Coding, Offshore Revenue Cycle Management, Remote Medical Coding, Revenue Cycle Management (RCM)

In today’s healthcare environment of shrinking reimbursements, due to governmental mandates and Medicare policy changes, the importance of maintaining a healthy revenue cycle is second only to providing the best patient care possible. Without an adequate margin there can be no medical mission. One way to ensure your revenue cycle remains as healthy as possible …

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ICD-10 Rollout Forecast is “Rocky”

Posted in ICD-10, Medical Coding, Revenue Cycle Management (RCM)

In a recent Modern Healthcare article, long-time IT editor, Joseph Conn, predicted a “rocky” ICD-10 roll-out according to a survey conducted by the magazine. Even though the majority of respondents were optimistic, chaos is the predicted descriptor of the Oct. 1 deadline for nationwide conversion to the ICD-10 codes, according to the survey. CMS Administrator …

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