Patients, Providers, Community All Benefit from Medicare Care Coordination Program

Patients, Providers, Community All Benefit from Medicare Care Coordination Program

Care Coordination (Part 3) Dr. Karen Smith, a family practitioner in Raeford, NC, is the perfect illustration of why Medicare’s Chronic Care Management program (CCM) is a large step in the right direction. In fact, the program is a triple win: providers get paid for work they were doing but not getting paid for, patients get better care, and the overall community lowers its healthcare costs. Dr. Smith freely admits she and her staff were not being paid for the...

Chronic Care Management & Better Care Coordination

Chronic Care Management & Better Care Coordination

Care Coordination (Part 2) In our last post, we dove into the details of CMS’s Chronic Care Management (CCM) program, which pays providers to deliver coordinated care to Medicare and dual-eligible patients with two or more chronic conditions. In this post, we’ll look at all the benefits to patients and providers. First and foremost, this program helps providers get paid for care management work they may not have billed for in the past. Additional benefits include: More comprehensive care. By...

Chronic Care Management, Value Based & Billable

Chronic Care Management, Value Based & Billable

Care Coordination 2.0 (Part 1) CMS care initiative programs are finally rewarding doctors for work they’ve been doing all along, namely Chronic Care Management (CCM), and there’s a renewed interest in care coordination as providers and payers realize its significance in patient outcomes. With chronic care patients benefiting the most—and two-thirds of Medicare patients are shown to have two or more chronic conditions—CMS is putting its money where its mouth is and paying providers to deliver coordinated care. CPT code 99490 ...

Seven Ways Elation Health’s EHR Boosts Your Practice’s Revenue

Seven Ways Elation Health’s EHR Boosts Your Practice’s Revenue

Looking at EMR companies’ websites, you might be tempted to dismiss them as essentially the same. And that’s true—to an extent. The fact is, most EMRs are similar because they were built atop practice management systems designed around linear processes and office workflows that have little to do with diagnosing a condition or charting a clinical encounter. In other words, it’s software that was developed for office administrators and billers; and as an afterthought, a clinical layer was added for...

Practice Automation Made Affordable & Simple

Practice Automation Made Affordable & Simple

Many physicians struggle to find and retain qualified staff to run the insurance claims side of their practice. In Jacksonville, Fla., where the local economy went into recession, hiring was a particularly painful process. PracticeSuite Helps Jacksonville Practice Clear Up $900,000 AR Backlog In fact, an inability to engage experienced billing staff led one Jacksonville internal medicine practice to accumulate $900,000 in accounts receivable (AR). Although the practice implemented PracticeSuite’s medical billing software in an effort to streamline and improve...

Clinical Examination Of Your Practice’s Financial Health

Clinical Examination Of Your Practice’s Financial Health

A Revenue Cycle Management SOAP Note for 2019 Subjective Your medical practice presents today with recurring feelings of frustration and anxiety with secondary pain. The majority of the pain is felt in accounts receivable, as delays and denials double and triple the amount of effort it takes to get paid. The pain is getting moderately worse overtime, especially after 90 days of no payment. ROS: You and your staff are experiencing increased claim denials, but can’t find the time to...

Review of Elation Health Medical Billing Service—5 Stars

Review of Elation Health Medical Billing Service—5 Stars

In our review of the 10 best medical billing companies, ElationHealth Medical Billing Service comes in at number 2 with a five star rating based on: Revenue cycle performance metrics, experience and specialties supported, client responsiveness, integrated technology, and over-all customer satisfaction. Physicians with Elation Health’s Clinical First EHR can take advantage of its billing services to automate billing code entry. Codes can flow directly from a visit note to the practice management system—and vice versa. The service also provides...

Near Zero Collections – To Healthy Cash Flow – Emery Medical Solutions

Near Zero Collections – To Healthy Cash Flow – Emery Medical Solutions

Near Zero Collections – To Healthy Cash Flow – Emery Medical Solutions It was a healthcare provider’s worst nightmare: six months with collections at near zero the result of switching medical billing services. Nor was it a simple technology or communications problem—the billing vendor promised collections in the 90-percent range to lure the Center in, then completely failed to interface with their imaging records systems. Emery Medical Solutions, based in Apopka, Fla., is a comprehensive state of the art diagnostic...

How Outsourcing Would Work For Your Practice

How Outsourcing Would Work For Your Practice

The Decision To Outsource Can Be a Tough One   Many of our doctors have made the financial decision to outsource claims management and collections to PracticeSuite’s expert RCM services team. Here’s why they choose not to handle RCM in-house: “We’re doing better than we have ever done before…my collection rate has improved.” “The support from our dedicated billing team is wonderful.” “Customer service has been phenomenal.” “One of the best decisions I’ve made.” If you’d like to… Reduce your...

The Dark Side of In-House Billing

The Dark Side of In-House Billing

Doctors just want to take care of their patients, but everything you do – or don’t do when it comes to coding, determines what you’ll get paid. So our question to you is this: Is the lack of clinical documentation knowledge killing your bottom line? Under-coding represents the number one area of lost revenue for physicians. We find three main reasons doctor prefer to under-code: To avoid payer hassles. Payers already challenge everything you do, constantly denying claims and making...

Not Everyone Can Be a Doctor – Not Every CFO Can Be a Practice Manager

Not Everyone Can Be a Doctor – Not Every CFO Can Be a Practice Manager

This is a true tale, but a cautionary one. We know of a practice where an excellent young physician hired his recently retired CFO dad to help him run his practice. The physician loved treating patients, and Dad, fresh out of corporate America, started a new career as a practice administrator. I bet you can already see the writing on the wall. Neither of them understood how to manage the revenue cycle, and they didn’t have the right people in...

How To Gain 2 Hours Per Day – And Get More Done

How To Gain 2 Hours Per Day – And Get More Done

The Secret To Gaining an Extra 2 Hours a Day   Recently, we’ve been working with a two-doctor, multi-specialty hybrid practice where 70% of their income comes from insurance billing and 30% comes from subscriptions. They’d been bursting at the seams with patients when their long-time office administrator and very experienced biller announced she was moved away due to her husband’s promotion and relocation. She left with a month’s notice. The doctors were able to find a replacement, but the...