p3care

JULY 27, 2023

But alongside this, several proceedings from the past MIPS 2022 reporting are taking place. For instance, the payment adjustments for PY 2022 will be done in the coming CY 2024. Although these scores are not final, there can be adjustments before final payment adjustments. Thereby, the MIPS participants can preview their scores.

Rehabilitation 130

Rehabilitation Medicare Primary Care Integration 130

Healthcare Success

MARCH 6, 2024

In this blog, we’ll cover the unique roles of SEO and SEM in healthcare marketing and how they work. As a result, it faces unique SEO challenges, such as: Patient privacy and regulatory compliance Healthcare organizations must comply with strict privacy regulations (e.g., This knowledge helps you: Allocate resources more efficiently.

Healthcare 171

Healthcare Regulations Telemedicine Patient Safety 171

Etactics

MAY 17, 2024

The healthcare revenue cycle consists of both patient care and administrative processes. The entirety of it encompasses the lifespan of a patient account. Starting with scheduling the appointment and verifying insurance, to collecting revenue and more. Provide better patient care. Improve your financial performance.

Healthcare 52

Healthcare Accountability Healthcare Analytics Prevention 52

Etactics

FEBRUARY 16, 2024

One area that we’re actively seeing advancements in is payments. Mobile payments more specifically. Internationally speaking, more than 2 billion people utilize mobile payment options. It’s predicted that by 2025 mobile payments will make up 79% of all digital transactions. This is happening globally. Not just any banks.

Regulations 52

Regulations Accountability Healthcare Providers Doctors 52

Etactics

JANUARY 19, 2024

But what about the importance of accurate payment posting? Ensuring a strong cash flow and seamless revenue cycle experience relies on efficient payment posting. Reviewing information from payers. Coordinate claim payment posting. As well as reconciliation with patient payments. Let’s get started!

Accountability 52

Accountability Process improvement Doctors Healthcare 52

p3care

DECEMBER 17, 2023

Moving from one benchmark to another, participants have collected the MIPS reporting data. Soon the 2023 performance period will end, and from January 2, 2024, the data submission window will open. Well, that’s what the blog for today is about. So, this blog is a guide for all MIPS reporting participants, old or new.

Medicare 100

Medicare Healthcare 100

Healthcare Success

JULY 11, 2022

On July 1, 2023, UA will no longer collect or process data. In this blog post, I share: What is Google Analytics 4 (GA4)? With this in mind, Google was required to change how it collects, stores, and moves its data. How does UA differ from GA4? GA4 is a large departure from its predecessor UA.

Healthcare 238

Healthcare Patient Experience Regulations Accountability 238

Etactics

JANUARY 26, 2024

In 2021, the amount of healthcare payments from the fee-for-service models equaled 40.5%. There are multiple different healthcare payment models. These include capitation, value-based reimbursement, and episodes of care/bundled payments. Welcome to the convoluted world of health insurance payment models!

Healthcare 52

Healthcare Primary Care Medicare Healthcare Providers 52

NASHP

MAY 10, 2024

This blog post summarizes both the Primary Care AHEAD requirements identified by CMS and additional strategic considerations for states. See the first blog post in the series covering governance and the second blog post describing hospital global budgets. A core aspect is a focus on alignment between payers.

Primary Care 52

Primary Care Medicaid Medicare Integration 52

Briggs Healthcare

JULY 11, 2022

Post-acute care (PAC) represents an important component of the health care delivery system in the United States, with the Medicare fee-for-service program spending more than $57 billion on these services in 2019 (The Medicare Payment Advisory Commission (MedPAC), 2021a). patients who do not have a prior acute stay). 2019; Buntin et al.,

Medicare 98

Medicare Rehabilitation Nursing Hospitals 98

Advanced Data Systems

MAY 31, 2023

In this blog, we'll explore effective strategies that can help optimize your revenue cycle management and improve financial performance. Leverage Electronic Health Records and CRM Integration: Enhancing patient satisfaction and communication can positively impact your revenue cycle.

Integration 78

Integration Healthcare 78

Etactics

JANUARY 18, 2024

In this blog, we’ll explain the importance of revenue cycle management in the healthcare space. A patient engagement doesn’t end once their appointment is over or they leave the premises. The revenue cycle officially ends once the patient and their insurance completed all of their payments toward the service received.

Healthcare 52

Healthcare Doctors Healthcare Providers Hospitals 52

Healthcare Success

JULY 5, 2022

As marketing to doctors is such a vast topic, we’ve developed a 5-part blog series to help people in virtually every industry successfully market to physicians and other health care professionals. This is the first blog in the series. Take your targeting game to the next level by expanding the depth and breadth of data you collect.

Doctors 148

Doctors Private Practices Accountability Hospitals 148

Etactics

AUGUST 31, 2022

If you’re sending out statements and past due letters but failing to receive payments from your patients, this will ultimately hurt your profits. Being able to ensure that your patients will be able to pay their balances should be a top priority. The growth in internet access is both good and bad.

Healthcare 52

Healthcare 52

NASHP

MARCH 27, 2023

Increasingly, hospitals and health systems hold significant market power, and data show they are able to negotiate increasingly high reimbursements from plans. Specifically, payments for in-network and out-of-network services/supplies are not to exceed 200 and 185 percent of what Medicare pays , respectively. In 2021, $371.9

Medicare 52

Medicare Hospitals Medicaid 52

Etactics

APRIL 26, 2022

Collecting from your patients is easy, right? Between patient pay preferences and communicating with insurance organizations on the claim side , things get a little dicey. Oh yeah, there’s also the statement designing and delivery , and collections side of the coin as well. I’m being facetious. Yes, it works.

Accountability 52

Accountability Patient Experience Healthcare Healthcare Providers 52

Etactics

JUNE 21, 2022

88% of dentists worry about their patients’ ability to pay. According to the same source, patient payment is the number one concern that dentists have related to their organization. It outranked acquiring patients by 8%. But why is patient payment the biggest concern for dentists? via Bankers Health Group.

Accountability 52

Accountability Healthcare 52

Etactics

MAY 3, 2022

Patients’ ability to pay concerns almost 90% of dentists. What’s worse is the same study that that statistic came from found that the second biggest concern among dentists was practice revenue. Instead, they meet to figure out ways to boost their patient experience, improve claim submission to payers and increase patient volume.

Prevention 52

Prevention Patient Experience Healthcare Accountability 52

Etactics

JUNE 14, 2022

Your patients should expect to pay somewhere between $2,000 and $3,000 for your services based on those averages. You see, only 18% of patients who seek a chiropractor’s services have full insurance coverage. There are a couple of answers to that question that will get answered throughout this blog post. Let’s run some numbers.

Accountability 52

Accountability 52

Etactics

APRIL 19, 2022

Not to mention the direct relationship that exists between increasing your patient volume and your organization’s operating risk. That last sentence hinted at the entire reason why you’re reading this blog post in the first place. And one of those tools is HIPAA-compliant payment processing. Mobile payments.

Regulations 52

Regulations Accountability Healthcare Healthcare Providers 52

Best Medical Billing Company | Physicians Revenue Group, Inc.

MARCH 30, 2023

Secure your claims from an intermittent refusal by accurately filling bills. Offer orthopedic services with freedom while we manage the Orthopedic Medical Billing A/R collections and claim follow-up for fast payment approval. We utilize smarter and self-organized tools and technologies to secure data from cyber-attacks.

Regulations 52

Regulations Quality Assurance Quality Control Accountability 52

Etactics

JULY 20, 2021

I could go into further detail based on the survey’s results and break down all of the reasons why so many modern-day patients struggle with paying off their medical debt, but that falls outside the scope of this blog post. How are you supposed to operate if your patients can’t pay you? You simply can’t afford to.

Accountability 52

Accountability Healthcare 52

Etactics

JANUARY 18, 2023

From claim scrubbing to real-time alerts on denials so you don’t have to wait weeks on insurance companies. Let’s take a closer look at CO-45 including what it is, how to correct it and how to collect on it. These contractual obligations stem from the valid contract held between healthcare providers and insurers.

Healthcare 52

Healthcare Healthcare Providers 52

Etactics

FEBRUARY 15, 2024

Having to regularly handle these denials means time stripped from other duties such as collecting patient payments and processing existing claims. We have addressed a few of these denial codes in previous blogs such as CO 97 , CO 151 , and PR 204 just to name a few.

Prevention 52

Prevention Regulations Medicare Healthcare 52

Briggs Healthcare

AUGUST 1, 2023

The associated CMS Fact Sheet: Fiscal Year (FY) 2024 Skilled Nursing Facility Perspective Payment System Final Rule – CMS-1779-F is also a valuable read to begin your review of the Final Rule. Payment for SNF-Level Swing-Bed Services D. SNF Value-Based Incentive Payments for FY 2024 I. SNF Value-Based Purchasing Program F.

Regulations 52

Regulations Nursing Medicare Healthcare 52

Health Populi

JULY 25, 2022

for a couple of months, having lived in and worked from Brussels, Belgium, since October 2021 (save for about ten days in March 2022). Every day this week in this Health Populi blog, I will discuss these events and their implications for health care, most importantly impacts and import for U.S. I’ve returned to the U.S.

Home Care 124

Home Care Nursing Health Technology Medical Technology 124

Cloud Blogs

JUNE 7, 2023

The e-book outlines four key ways to realize better patient outcomes while increasing operational efficiencies with a cloud-first approach. You’ll also get insights into how to: Equip providers and patients with innovative tools. Get the e-book What do patients expect from healthcare delivery?

Healthcare 90

Healthcare Telemedicine Performance improvement Patient Safety 90

Etactics

DECEMBER 1, 2023

If you keep up with our blogs or work in the industry, you know exactly what I’m talking about. We are here to help you avoid unnecessary billing and coding mistakes so you can collect your revenue promptly. This is an easily preventable billing error, which we are going to go over in this blog. Don’t panic!

Medicare 52

Medicare Medicaid Medical Services Prevention 52

Etactics

JULY 26, 2022

The truth is that patients have the right to request their medical records from a healthcare organization. The first way is for an authorized employee at the healthcare facility to log in to their electronic health record (EHR) system and looks through the specific patient record. via Cornell. This is a no-brainer, right?

Accountability 52

Accountability Healthcare Providers Hospitals Healthcare 52

Etactics

APRIL 4, 2022

According to TransUnion almost half of all patients don’t pay off hospital bills of $500 or less. If you’re an organization, it’s not going to be easy to collect what’s owed. From this perspective, and to tie in the reference to healthcare from earlier, it’s no wonder so many people try to self-diagnose themselves.

Accountability 52

Accountability Healthcare Integration Hospitals 52

Sheppard Health Law

JANUARY 9, 2024

No, it’s not something from ChatGPT, it’s Douglas Adams’ “The Hitchhiker’s Guide to the Galaxy of Healthcare.” It’s not worth collecting all the personalized data from wearables unless we can process and analyze it, and now it looks like we may be starting to get there. At the first day of the J.P. Recognize that famous line?

Healthcare 59

Healthcare Medicare Life Sciences Prevention 59

Sheppard Health Law

FEBRUARY 28, 2023

Pursuant to the 2023 Consolidated Appropriations Act (“CAA”), certain telehealth flexibilities (including with respect to provider and patient location) will be extended through December 31, 2024. [1] Upon the end of the PHE, an established relationship with the patient prior to providing RPM services will once again be required.

Medicare 52

Medicare Nursing Medicaid Healthcare 52

Etactics

MARCH 29, 2022

80% of patients prefer to pay for their healthcare online. First, patients want to pay their medical bills over the internet. Second, they would likely want to use Apple Pay as a payment option. From your perspective as a healthcare provider, you want to make your patient payment options as convenient as possible.

Regulations 52

Regulations Healthcare Providers Healthcare Accountability 52

Etactics

SEPTEMBER 1, 2023

Recovering revenue from healthcare insurance providers is one of the most important aspects of running a modern-day practice. In our 20+ years of providing services that help healthcare organizations streamline and collect on this intimidating process, we’ve noticed a pattern. The average doctor sees 2,500 patients per year.

Healthcare 52

Healthcare Accountability Healthcare Providers Doctors 52

NASHP

APRIL 25, 2022

Leading states are highlighting high prices for anti-inflammatory drugs, the impact of pharmacy benefit manager (PBM) regulation on drug spending and the use of rebates, and a discrepancy between prices along the supply chain that reduces the potential savings from decreasing generic costs. Identifying High Cost Drugs. percent in 2019 and 7.4

Regulations 52

Regulations Accountability Health Data 52

Best Medical Billing Company | Physicians Revenue Group, Inc.

MARCH 8, 2023

An audit helps to pin out the billing mistakes and prevent them from occurring repetitively. It acts like a medicine to solve billing issues and stops them from affecting the overall health of your practice. Sync to our latest blog to learn how external billing audits help providers in analyzing the billing errors that are overlooked.

Prevention 52

Prevention Healthcare 52

NASHP

JANUARY 3, 2022

This report accompanies an increasing number of stories detailing AI’s shortcomings , such as a Science study that found that an algorithm commonly used in health systems disproportionally keeps Black patients from being included in targeted care outreach. Preliminary results unveiled inconsistent approaches and processes.

Quality Assurance 76

Quality Assurance Medicaid Prevention Healthcare 76