Hospitals, Are Your Acquired Practices’ Coding Practices Up to Code?

Posted in Gebbs Healthcare

Hospitals are acquiring physician practices left and right – with consolidation increasing exponentially over the past decade. In fact, in just the four years between 2012 and 2016, there was a 63 percent increase in the percentage of hospital-employed physicians, in addition to thousands of practice acquisitions. Most of this consolidation is due to the …

Continue Reading »

Reducing Administrative Burden – Hospitals’ Wish List for CMS

Posted in Gebbs Healthcare

U.S. hospitals have a long list of requests for CMS in helping to reduce administrative burdens that make it difficult for healthcare organizations to maintain profitability during a time of healthcare reform. Earlier this summer, CMS issued a request for information from stakeholders as part of its Patients Over Paperwork project. Looking for input on …

Continue Reading »

Three True Realities of CAC

Posted in Gebbs Healthcare

Computer-assisted coding (CAC) has been around since before ICD-10 was introduced – and was developed approximately 15 years ago as a tool to enhance manual coding processes with many promises of grandeur. Today, it’s a growing and emerging market – estimated to reach $4.1 billion globally by 2025, but the realities of what CAC can …

Continue Reading »

The Five Foundational Elements of an Effective Inpatient Coding Compliance Program

Posted in Gebbs Healthcare

Developing and maintaining a strong inpatient coding compliance program is critical for health systems of all sizes. Constantly changing guidelines, regulations, policies and standards make it important to have a comprehensive process in place for continuing to monitor your organization’s compliance. Failure to do so can have lasting implications on your revenue cycle and could …

Continue Reading »

Why ‘Audit’ Isn’t a Four-Letter Word When It Comes to Medical Coding

Posted in Gebbs Healthcare

Just the sound of the word “audit” may leave some leaders feeling uneasy, but the value of an effective medical coding audit strategy can’t be underestimated for healthcare organizations of all sizes and specialties. It not only provides an opportunity to ensure your practice or healthcare organization is following important regulations and guidelines, but it …

Continue Reading »

What’s Up With MIPS? New MVPs Framework Could Bring Sweeping Changes

Posted in Gebbs Healthcare

The Merit-based Incentive Payment System (MIPS) – which is just one element of the government’s proposed alternative payment models (APMs) designed to reduce healthcare costs – has been a moving target since the concept was introduced in 2015. Just last week, the Centers for Medicare & Medicaid Services outlined a new proposal to its Medicare …

Continue Reading »

AI – Enhancing the Future of Medical Billing & Coding

Posted in Gebbs Healthcare

The State of US Hospitals Shrinking profit margins, reducing reimbursement rates and the uncertainties of healthcare reform have made operating a hospital a very risky business. Consolidation of small, rural hospitals into larger system has helped save many struggling hospitals, but others continue to lose money despite their best efforts to cut costs. In fact, …

Continue Reading »

Strategies for Mastering Two-Sided Risk

Posted in Gebbs Healthcare

Population health and the transition to two-sided risk is no easy feat – it’s a monumental shift in the way providers, payers and hospitals think about the delivery of health care. And, while, we all know it’s coming – knowing how to get there and doing it successfully is the real challenge. While most accountable …

Continue Reading »

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 …

Continue Reading »