Author Archive

ACO: Creating a Strong Foundation with a EHR

Accountable Care Organizations (ACOs) are meant to be a flexible payment and care delivery model that lowers total cost of care for patients using a group of coordinated health care providers. Hay Greens, a healthcare policy practice, recently released an article that outlined five preparatory actions to create a stable ACO. This article informs providers

HIE: The Future of Electronic Medical Records?

Health Information Exchanges (HIE) are organizations that synergize and effectively streamline health information records. Many state governments provide funding for HIE implementation with the goal of facilitating access to and retrieval of clinical data to provide more timely, focused, and equitable patient-centered care. Even today, the federal and state governments have not clearly defined the

Medicare Wellness Visits: One Visit a Year… But 3 Codes?

Thanks to the Affordable Care Act, Medicare is (finally) covering yearly preventative, or “wellness,” visits for patients; however, the annual visit is actually separated into three different encounters.   Although each visit is largely similar, there are a few minor details separating each visit, and, as you know, these minor details must be followed as it

Relative Value Units/RVU’s, Whats the Big Deal?

Relative Value Units have been utilized to drive CMS reimbursement calculations since the early 1990’s. There are unique RVU values associated with each CPT billing code charged by a provider. Those values are defined for Practice RVU, Work RVU, and Malpractice RVU. These values are driven by a physician’s time, cost, and effort to provide

Meaningful Use and EHRs: More than just a Bonus for Providers

Mention the term “meaningful use” to many providers and you are likely to receive a long, agonizing groan in response. Although somewhat hesitant, many providers are, slowly, converting from paper-based records to web based electronic health records (EHRs). Whether this switch was prompted by added convenience, time savings, or an attractive bonus and avoidance of

Adoption Rate of EHR/EMR Services are Steadily Increasing due to Meaningful Use Incentives

On July 17, 2012 the Disease Control and Prevention’s National Center for Health Statistics, Division of Health Care Statistics (DCPNC), released a brief analyzing statistical data from office-based physicians in 2011. The brief found a five percent increase in physicians adopting EHRs from 2010 to 2011. Of the total amount of physicians adopting EHR, 50

Medical Office Coding – Its not about the shoes!

Over the years as an administrator and consultant I have been regularly surprised by some of the methodologies used by physicians to assign a CPT code for a patient encounter. My favorite was a cardiologist from Ohio who always used a 99213 unless the patient had beat up shoes, in those cases he would give

Anywhere and at Anytime: MTBC Provides Patients’ Premium Access and Control Over Their Healthcare

Ninety percent (90%) of patients want direct access and control over their health records and care, according to a survey released today by Accenture at the America’s Health Insurance Plans (AHIP) annual meeting. The results of the survey also showed that eighty-five percent (85%) of patients want to be proactive when it comes to their

Feet Care: Make Your Feet Last Long

Healthy feet are precious. They support the weight of the body and help you in walking and running.  It is better to take care of your feet before someone else has to take care of you.  A little foot problem can result in dangerous infections that can make you inactive and dependent. Our feet support

The Shifting Out-of-Network Reimbursement Playing Field

Recent lawsuits and industry changes have dramatically altered the out-of-network reimbursement ‘playing field.’ Additionally, pending litigation is aimed at further redefining certain aspects of the body of law that governs out-of-network reimbursement. It’s important that healthcare providers understand the new ‘rules of the game.’ In an effort to shed light on these changes, upcoming blogs