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 outsourcing 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 …

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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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Outsourcing as a Solution for Revenue Cycle Management (RCM) Continues to Grow at a Rapid Pace

Posted in Business Process Outsourcing (BPO), Coding Outsourcing, Offshore Medical Billing, Offshore Medical Coding, Offshore Revenue Cycle Management, Outsource Coding, Outsourced Coding, Outsourced Medical Coding, RCM Solutions, Revenue Cycle Management (RCM)

Facing lower reimbursements and shrinking margins, hospitals are exploring ways to capture more revenue. This has led an increasing number of hospitals across the nation to outsource their Revenue Cycle Management to professional outsourcing companies. This trend was identified in a recent Black Book™ survey, which included responses from 1,309 hospital CFOs and business office …

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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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The Climb to Conquer “Mount ICD-10” Is Going to Get Steeper

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

The climb to conquer Mount ICD-10 is going to get steeper and more difficult. Be sure you have an experienced guide to help you on this perilous journey. The ICD-10 transition difficulties were lessened by CMS by not dropping all of the thousands of new codes on the healthcare industry at one time. That is …

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CMS Chronic Care Management (CCM) Initiative Can Help Improve Bottom Line for Physicians

Posted in Business Process Outsourcing (BPO), Coding Outsourcing, Medical Coding BPO, Medical Coding Outsourcing, Offshore Medical Billing, Offshore Medical Coding, Offshore Revenue Cycle Management, Outsource Coding, Outsourced Medical Billing, Outsourced Medical Coding, Remote Medical Coding

In today’s healthcare delivery environment, physicians are constantly looking for new ways to earn and increase their bottom lines. For example, the 2015 Medicare Physician Fee Schedule (PFS) will pay for non-face-to-face services for CPT code 99490 — Chronic Care Management (CCM), which reimburses practices on an average of $42 per patient, per month. Of all …

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Medical Coding Outsourcing is More Than Staffing

Posted in Business Process Outsourcing (BPO), Coding Accuracy, Medical Coding BPO, Medical Coding Outsourcing, Offshore Medical Billing, Offshore Medical Coding, Offshore Revenue Cycle Management, Outsource Coding, Outsourced Medical Billing, Outsourced Medical Coding, Remote Medical Coding

Outsourced medical coding’s traditional approach has been staff augmentation. It has been typically used to meet short-term gap needs due to turnover, extended absences, or electronic medical record (EMR) changes. In other words, it has been used when a healthcare provider needed temporary additional resources to supplement its existing resources. However, from our experience, this …

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New Year’s Resolutions Can Be Achieved If You Have a Plan

Posted in Business Process Outsourcing (BPO), Explanations Of Benefits (EOBs), Medical Coding Outsourcing, Offshore Medical Billing, Offshore Medical Coding, Offshore Revenue Cycle Management, Outsource Coding

A new year presents a fresh opportunity to set annual goals and create a plan to achieve them.  Many people make New Year’s resolutions where they strive to do better than they have in the past.  Often the most successfully attained resolutions are the ones that are documented and backed-up with a plan to achieve …

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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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