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How to Achieve Success through Key Performance Indicators (KPIs)?

Healthcare Consulting

STEP 1 – Assess your Current Situation Look for opportunities to analyze your progress. By tracking and comparing key performance indicators, or KPIs, you can identify and address issues with productivity, reimbursement, claims submission, and other processes. Days to final bill—number of days from the time of service until provider generates and submits a claim Read more

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Digital Check-ins – Is it right for you?

Digital Check-in

Dedicated check-in kiosk or tablets allow patients to digitally check in for their appointments when they arrive for their appointments. This process is best suited for practices: With decentralized registration, With poor co-pay or time of service collections Struggling with performance of registration staff Having high staff turnover The process includes: Collection & verification of Read more

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Top Sick Leave Questions Answered

Group of workers

If I already provide my staff with sick time, do I have to pay an additional three days? If you have an existing policy that meets or exceeds the 3 days or 24 hours and it can be used for any personal time off (PTO), you do not need to provide three additional days. Note: Read more

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Advance Care Planning – New Payable Service

Advance Care Planning - 99497_99498

For the first time, the Centers for Medicare & Medicaid Services (CMS) made the Current Procedural Terminology (CPT) codes for Advance Care Planning (ACP) separately payable by Medicare. CPT codes 99497 & 99498 are used to report the face-to-face service between a physician or other qualified health care professional and a patient, family member, or Read more

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PQRS Reporting Options

PQRS - Physician Quality Reporting System

There are several different reporting options from which a PQRS participant may choose in order to participate and avoid the noncompliance payment adjustment (penalty). For those reporting as individual eligible professionals, the options are: Claims reporting (individual measures only) Registry reporting (either individual measures or measures groups reporting) Electronic Health Record (EHR) Direct Product that Read more

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How to Read an EOB / ERA

ERA/EOB - Reimbursement

Many physician practices recognize the Health Information Portability and Accountability Act (HIPAA) as both a patient information privacy law and electronic patient information security law. However, HIPAA actually encompasses a number of regulations. As such, the federal government has published several “rules” that instruct the health care industry on how to comply with the law. Read more

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4 Holiday Pay Tips

Group of workers

As we get ready for the holidays, it is also important to understand the employment laws as related to holiday pay. It is also a good time to update your employee manuals to reflect detailed policies on holiday pay. Practices should have a clear policy on what days employee will be able to take off Read more

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5 Tips to Look for in a Front Office Staff

Guidelines for your appointment scheduler

A lot goes into recruiting a new employee. You may have developed a job description and salary, posted the job, screened resumes and set up interviews. For working relationships to be successful, both the employer and employee have to find the right match. To help you determine the right match, we have compiled the following Read more

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Got Paid? How to Handle Denials with ICD-10


On October 1, the U.S. health care system moved to the International Classification of Diseases, 10th Revision (ICD-10). Recognizing that health care providers may need help with the transition, CMS has established an ICD-10 Ombudsman and ICD-10 Coordination Center to help track, triage, and resolve issues. Generally speaking, Medicare claims take several days to be processed Read more

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CMS Finalizes the Meaningful Use Rules

Meaningful Use Stages

On October 6, 2015, the Centers for Medicare and Medicaid Services (CMS) and the National Coordinator of Health IT (ONC) released the 752-page final rule for the EHR Incentive Programs, which they say will ease reporting requirements for providers. The rule finalizes proposals that were made by the agency back in April of 2015. This Read more

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