ACO + Healthcare IT EHRs = Increase in Software Innovation

ACOs lower the cost of healthcare by merging healthcare services and streamlining the process for patients to receive medical attention. Many ACOs use Healthcare IT EHRs to improve on this process by providing automated systems that can maintain the work load of a typical provider and allow different providers easier access to a patient’s medical

Setting Up an ACO: Who to Hire and Why

Setting up an Accountable Care Organization (ACO) can be a daunting task, to say the least. In addition to making sure that an ACO has complied with CMS guidelines/rules, a crucial component to getting started is hiring the best physicians. A recent article published by the American Medical Association highlighted the importance of hiring physicians

Money Up front: ACOs and The Advance Payment Model

Anticipating relatively high start-up costs, the Innovation Center of CMS developed the Advance Payment Model (APM) to complement the Shared Savings Program.  The APM is a limited model available to smaller ACOs that generally serve rural-based areas; however, the ACO may participate in either Shared Savings Program track. In order to qualify as an APM

Medicare Accountable Care Organizations: Steps to Getting Started

While the excitement surrounding Medicare Accountable Care Organizations (ACO) is clearly reverberating throughout the physician community, there continues to be a significant knowledge gap regarding the basic steps that must be taken to form an ACO. While a blog cannot provide a full step-by-step guide to ‘getting started’, I will address the relevant key considerations

RAC Audits of E&M Codes to Begin for 15 States

In September the Center for Medicare and Medicaid Services announced that it will extend Recovery Auditor (RAC) review for Evaluation and Management (E&M) services to 15 states. These 15 states where the expansion is occurring are Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia and West

RAC Audit Checklist

The American Health Information Management Association (AHIMA) has a useful checklist, listed below, for providers facing a RAC audit. MTBC is committed to assist providers during audits by providing useful reports that can be located on our Practice Management site. A:  Create a RAC team Senior leadership Finance/revenue cycle Clinical documentation management Health information management

CMS Audit Program Stats

For those interested in reviewing statistics related to the CMS Recovery Audit Program, please check out this page.  Here you will find numerous updates to different CMS programs including the Auditing Program.  Two things I found particularly interesting on this page include the Recovery Program Audit Summary and the Audit Program Appeals Update. The summary

MTBC’s Highly Anticipated OB/GYN EMR

With the latest trends in medicine, OB/GYN care has become safer and more successful. Medical professionals are dedicated to providing up-to-date care for both pregnant and non-pregnant patients. OB/GYNs provide preventive care to women and have specific expertise in pregnancy, childbirth, and disorders of the reproductive systems. MTBC’s specialized EHR changes the face of care

OB/GYN EHR: Another Remarkable Achievement

Today’s science and technology developments have changed the process of examining a patient. The arrival of the OB/GYN EHR has made enormous differences to the efficiency of OB/GYN practices. This software illustrates many benefits of electronic health records. Obstetrics is the medical practice for pregnant women and Gynecology is the medical practice of diagnosing problems

RAC audits – The Benefit of a Single Source

The Center for Medicare and Medicaid Services (CMS) aggressive stance for Meaningful Use leads to the common conclusion that Electronic Medical Records (EMRs) are the future of maintaining healthcare data. EMR technology has greatly simplified medical billing submission and created robust tracking capabilities that weren’t available in the past. With this easier access to data