What physicians really think about EHRs

Posted by Kate Tingley on Mar 4, 2020 11:24:17 AM

 

New research from MPI Group and Medical Economics paints a dismal picture of how physicians really feel about electronic health record (EHR) systems. With the implementation of EHRs, physicians have faced immense costs, the need to hire additional staff members, and a loss in productivity levels—all of which have contributed to their overwhelmingly negative attitudes toward the health information technology.

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Topics: technology, Healthcare Data, Collections, Health Insurance

Why physicians are concerned about public access to medicare payment data

Posted by Kate Tingley on Jan 29, 2020 4:37:20 PM
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Topics: Healthcare Data, Health Insurance, Independent Practices, Patient Experience

No red flags: filing neat, complete, and accurate insurance claims

Posted by Kate Tingley on Jan 28, 2020 3:03:09 PM

 

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Topics: medical billing, Health Insurance

Eligibility and verification

Posted by Christina Horne on Jan 28, 2020 2:51:00 PM

When the patient arrives the day of the appointment, the first thing your staff should be verifying is the patient’s insurance. Sometimes you find that insurance has changed in just the short period between scheduling and appointment day. Another reason for insurance verification is to prevent or detect insurance fraud/identity theft. According to The Institute of Medicine over $75 billion annually is lost from the U.S. Healthcare System due to insurance fraud. Having your staff check for duplicate records and payment fraud is important. Ensuring your staff is checking the eligibility of insurance before service can aid in the detection of insurance fraud. How does your practice prevent such fraud? Simple, your practices part in it all is to ensure the insurance is in fact tied to the patient. To do that, it is vital that your staff verifies the identity of the patient first and then searches for any records attached to that patient.

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Topics: medical billing, compliance, Medical Practice, Healthcare Data, Health Insurance

Key components to scheduling

Posted by Christina Horne on Jan 28, 2020 2:29:45 PM

Your billing process begins at the scheduling stage. Since the scheduling stage is the first point of contact, it is the first opportunity to assemble the needed data for the billing stage, if the information isn’t collected or accurate, then there will be no way to bill. Your staff need to be aware of all the information they are required to collect from the patients. Usually it helps to have a checklist for the staff to follow to ensure all patient information is collected. It is imperative that the staff collect as much information as possible in this initial phone call. Taking the time to take down patient demographics and insurance can save time, allowing for better accuracy.

Additionally, any existing patients’ information should be checked and verified at the time of their call. Confirming existing patients’ info and that insurance has not changed will prevent issues during the billing process. Before your staff finishes the call with the patient ensure they gather all their current contact information, concerns, insurance information and then proceed to provide them with any pre-visit paperwork. It is important that your staff explains what the patient needs to bring to the appointment, and the potential copay or payment that is expected at the time of the appointment. Here may be a great opportunity to ask the patient for credit card information to put on file to allow for easy billing for co-pays. This not only can be a convenience for the patient, but a safety for your practice to ensure there is one way to collect payment. If the patient does not wish to provide the information over the phone, be sure to include a section in their pre-visit paperwork where they can provide this information.

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Topics: medical coding, compliance, Provider, Healthcare, Medical Practice, Health Insurance, patients, Patient Experience

The Guide to Modifiers 25 & 59

Posted by Kate Tingley on Jan 23, 2020 11:30:00 AM

Does your practice struggle with Modifiers 25 & 59? Many practices we speak with are challenged with when and how to use both modifiers. Coronis Health has created a resource to help eliminate the guesswork. 

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Topics: hospital revenue cycle, Provider, Healthcare, Medical Practice, Healthcare Data, Health Insurance

Are you being underpaid by medicare advantage organizations?

Posted by Kate Tingley on Oct 4, 2019 6:19:34 AM

What’s the Problem?

Sequestration underpayments have been improperly withheld from provider payments by many Medicare Advantage Organizations [MAO] in violation of CMS guidelines that were issued on May 1, 2013.

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Topics: medical billing, medical coding, revenue cycle management, medicare, Collections, Health Insurance

CMS looks to expand medicare coverage to CAR-T therapy

Posted by Kate Tingley on Oct 4, 2019 5:46:20 AM


CMS plans to cover a specific kind of immunotherapy for cancer patients.

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Topics: medical billing, medical coding, medicare, Healthcare, Health Insurance

CMS wants to make selling out-of-state insurance easier

Posted by Kate Tingley on Oct 4, 2019 5:42:06 AM

The Trump administration has already encouraged the sale of insurance plans across state lines through controversial association health plans (AHP), which allow employer associations to skirt some of the ACA’s core consumer protections.

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Topics: Healthcare, Health Insurance

Consumer-driven plans shift behaviors to cut costs

Posted by Kate Tingley on Oct 4, 2019 5:40:02 AM

Members enrolled in consumer-driven health plans (CDHP) have a greater feeling of ownership over their healthcare and shift their health-related behaviors, which leads to lower costs, according to a new study from Cigna.

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Topics: Health Insurance

Coronis Health strives to provide valuable healthcare billing, revenue cycle and practice management information to practices and hospitals. Our blog is one of the many ways we serve as a resource to the healthcare community. Here you'll find articles on:

  • Reimbursement and coding changes
  • Tips and tricks for specialty practices
  • Resources for revenue cycle success

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