What is Physician Burnout

What is Physician Burnout?

“Physician Burnout syndrome” is a real condition in which fatigue, cynicism, and professional inefficacy associated with work-related stress becomes overwhelming and debilitating, according to the Association for Psychological Science. While some level of stress is expected, particularly in the medical field, at some point these stressors can become overbearing, leading some physicians to contemplate leaving the profession or worse.

Manifestations

Physicians are the ones on the front lines of patient care. While other types of professional burnout can be devastating, this is particularly true of doctors because they tend to suffer it more severely. According to Definitive Healthcare, physician burnout manifests itself in many ways, such as:

  • Lack of enthusiasm for work
  • Growing cynicism about patients or career
  • Low sense of self-worth

As a result, these feelings can lead to poor job performance, abandonment of the profession, and in rare cases even suicide. Healthcare researchers are trying to pinpoint the root causes and manage this physician burnout at the organizational level. Some types of physicians experience more burnout than others. Those in critical care experience the highest, followed by emergency medicine, family medicine, internal medicine and general surgery.

The Patient Side

Burnout doesn’t just affect the doctor, but the patient as well. That’s because this condition can negatively impact a doctor’s mental state and career, leading to a decrease in patient care quality. Not only are higher rates of medical errors reported in those with burnout, patient access, and overall experience are negatively impacted. Physicians suffering from burnout say that they are quick to cut down on office hours and even respond in a negative or clipped manner when interacting with patients.

Causes of Physician Burnout

The causes of physician burnout are highly individualized, and many doctors feel multiple sources of burnout. Medscape says the following are the top causes for physician burnout, in order of importance:

  • Too many bureaucratic tasks
  • Too many hours at work
  • Not enough income
  • Increasing computerization of practice
  • Impact of Affordable Care Act
  • Difficult patients
  • Too many appointments daily
  • Lack of professional fulfillment
  • Difficult colleagues or staff
  • Inability to keep up with current research

Also included in the Medscape report is that women (51%) experience burnout more often than men (43%) and those between age 46 and 55 are most likely to experience burnout. Physicians that are burned out report not exercising as much as they should, with low motivational levels. Sometimes, volunteering, doing mission work, or working with church groups adds to the stress of their lives rather than relieves it. A third of burned out physicians say they have minimal savings compounded by unmanageable debt.

In many cases, physicians reported feeling overwhelmed with administrative tasks that detract from their ability to spend time with their patients. Research shows the average physician spends two hours on administrative tasks for every hour that they interact with patients.

One way to mitigate this is to make office tasks more streamlined. Instead of handling billing issues, which can suck up a large portion of a doctor’s day, outsourcing this to a medical billing provider would be a better use of time. By decreasing time spent on mundane tasks, the physician is freed up to spend more quality time with each patient. This can take away a bit of the stress that so often overwhelms physicians on a daily basis.

Contact Medical Healthcare Solutions

We can help. From mobile medical billing solutions to revenue cycle management, Medical Healthcare Solutions can help physicians reduce their chances of burnout by handling the time-consuming tasks of running a practice. Contact us at 800-762-9800 or fill out our convenient online form.

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What to Know Now That CMS Has Released MACRA Final Rule

The Centers for Medicare and Medicaid Services (CMS) recently released its final rule regarding the Medicare Access and CHIP Reauthorization Act (MACRA), a revolutionary payment system for Medicare physician fees proposed to replace the sustainable growth rate formula in an effort to modernize the system and make it more streamlined. The ruling serves to finalize MACRA’s Quality Payment Program, the goal of which is to lessen the administrative stress placed on doctors so that they may be able to better concentrate on patient care and add more value to these newer models. The intent is to get all clinicians on board working together on this initiative so that they can implement this Quality Payment Program within a time frame that works for them.

MACRA’s rulings can understandably get a little complicated and convoluted, so let’s go over some key points and explain them all in detail.

Who qualifies for the program? If you are a physician, PA, NP, anesthetist, or clinical nurse specialist that bills Medicare for more than $30,000 per year or provides care for at least 100 patients who have Medicare, you qualify for MACRA.

When does it start? January 1, 2017 was the initial start date, but you can begin anytime between now and October 2, 2017. Data collection is due to CMS by March 31, 2018, with payment adjustments taking place on the first of January, 2019.

What are the participation options? Provider participation can take two forms: the Merit-Based Incentive Payment System (MIPS) or the Advanced Alternative Payment Model (APM). MIPS is for health care providers who offer traditional, fee-for-service Medicare. Advanced APM is for providers taking part in value-based care models that are unique to their applications.

How can small practices participate? Because small, independent practices can often get left behind in these new rulings, CMS has made special requirements for them. Those who bill for less than $30,000 on Medicare or have fewer than 100 Medicare patients do not have to participate this year. Another available option is for small practices and solo practitioners to come together and submit combined MIPS data. Doctors who provide services in underserved areas or who operate in practices of fewer than 15 can take advantage of the allotment of $20 million a year for five years for training and education.

What makes the final rule so streamlined? The result of the final rule is a more unified program, featuring five critical changes, including:

  • Flexible first-year options
  • Allowance of low-volume threshold for small practices
  • Advanced APM as a standard to promote participation in value-based care models
  • Makes “all-or-nothing” EHR requirements easier to follow
  • Creates the medical home model in an effort to promote care coordination

Overall, the response to the final ruling has been positive, particularly in regards to the American Medical Association. To learn more about the above points, visit the Quality Payment Program here. The final ruling is still in its infancy stages, with the CMS still planning on hosting listening and learning sessions as a sounding board for future proposed changes.

Contact Medical Healthcare Solutions

To learn more about how MACRA affects your practice and how we can help you streamline your own business, contact us at 800-762-9800. We help providers in a variety of specialties, including cardiology, family practice, general surgery, internal medicine, obstetrics and gynecology, pediatrics, podiatry, psychiatry, pulmonary, gastroenterology, neurosurgery, ophthalmology, urology, student health services and more. We bring decades of medical billing experience and service to the healthcare industry to help ensure the highest standard of service.

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How Universities Are Benefiting From Student Health Billing Services

One of the main goals of school districts, boards, and administrators is to make more money for their college or university, in addition to ensuring the safety, well-being, and education of their students. If you’re not streamlining your billing processes through outsourced student health billing services, you could be leaving money on the table that could go right back into your business. Students need health services. That’s a given. They are away from home, often for the first time, they have their own insurance or are still under their parents’ insurance. When they visit the school nurse for care, whether a routine appointment or sick visit, there must be some sort of seamless process in place that can ensure high collection rates.

With student health billing services, schools can bring in more money overall. To achieve that, they need a medical billing service behind them driving this effort.

Benefits of Student Health Billing

Many schools’ student health services departments use a fee-for-service billing model, just like students would find at their primary care physician’s office back home. Anything from office visits and lab services to x-rays and pharmacy meds is billed to the insurance carrier, while basic services such as first aid, consultations, advice from nurses, and nutrition counseling are typically offered free of charge. There are many benefits to improving your bottom line with student health billing services, including:

  • More control: With an outsourced company handling all the time-consuming work and headaches associated with student health billing, you can concentrate on more important aspects of your department, mainly the quality of patient care. Such a service can make quick monthly and annual comparisons, while factors such as charge entry errors or payer reimbursement issues can be identified quickly before becoming a far-reaching problem. With such a team approach to achieving goals, less time is spent by your regular staff on tedious billing and clerical tasks.

  • Consistency: If you are billing in-house, you’re risking revenue interruptions when changes happen to your staff or someone calls in sick. Outsourcing your medical billing puts an entire team at your disposal who ensure claims get processed quickly and accurately. As a result, there’s less risk of cash flow disruptions. An outsourced medical billing service can also coordinate with your front-office staff to ensure co-payments are collected consistently from students, who are notoriously low on cash.  

  • Insider Knowledge: A medical billing service has a vast knowledge base from which to draw on, as they work with many other schools and practice networks to bring you leading-edge experience in real time for faster turnarounds.

  • Faster payments: The goal of any medical billing service is to bring in cash — quick. Time spent in revenue cycle time can make a huge difference on your cash flow situation. Outsourced medical billers can submit claims faster, with fewer mistakes, quicker payment turnarounds, and the highest reimbursement possible.

Medical Healthcare Solutions is your trusted partner in facilitating quick, consistent, effective student health billing services that improve the bottom line for your college or university. Call us today at 800-762-9800 to learn more.

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ASC Revenue Cycle Management Helps You Overcome Practice Challenges

As a medical practitioner, you realize there are many roadblocks and challenges that inhibit your strengths as a provider. ASC (ambulatory surgery center) revenue cycle management can help you overcome those challenges, identify gaps in the process, and focus on those areas that have a positive impact on your revenue cycle. An internal audit of sorts on a regular basis can assist you in identifying key performance indicators. Let’s take a look at some benefits of ASC revenue cycle management practices that can help you overcome those practice challenges.

Accuracy in scheduling: Getting accurate and complete information when scheduling your patients seems like it would be fairly easy but this is a task that often falls through the cracks. Gathering patient names, insurance, birth date and other pertinent information is standard practice, but oftentimes this information is not verified, leading to a lot of energy expended later tracking all of it down. This not only wastes time, it also can result in claims being denied or delays in payment collection. Both of these affect your bottom line, so it’s important to get it right the first time. It’s time to take advantage of online pre-admission technology that allows the patients themselves to update their medical histories on their own time, such as at home before their appointment.

Verify benefits in advance: Rather than waiting to the last minute (aka, when the patient shows up for the appointment), good ASC revenue cycle management practices dictate that you ensure patient coverage well before the procedure or appointment. This way, you can pinpoint any potential issues beforehand, get them rectified and have a seamless day-of experience. This includes verifying coverage for the actual appointment or procedure, making sure you have obtained the proper referrals, determined deductibles, etc. ASC revenue cycle management software can track insurance data, benefit information, and surgery coverage qualifications all in one place. As a result, you can cut down on collection costs, prevent last-minute cancellations, and decrease bad debt.

Outsourcing coding and billing: Handling coding and billing in house can be overwhelming and ineffective, taxing your already-stressed staff members who are expected to tack on more duties to their crowded days. When you outsource your coding and billing, you’re able to get your claims processed in a more timely manner and with increased accuracy, with one central database for information that cuts down on manual data entry. No more billing, insurance or collection delays!

Get in Touch with Medical Healthcare Solutions

Medical Healthcare Solutions offers ASC revenue cycle management services for ambulatory surgery centers (ASC) with software that allows us to benchmark key revenue cycle management performance indicators. As a result, we can better determine your strengths and weaknesses and implement the right improvements to your bottom line. Give us a call to learn more about our ASC revenue cycle management services at 800-762-9800 or fill out our convenient online form.

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A new year always brings new beginnings, but 2017 in particular represents big changes for America as a nation. And as we are always concerned about the state of healthcare, the ushering in of a new president and the promise of more than just tweaks to the existing healthcare system in this country, there is an extra level of uncertainty as to how it will all play out. President Elect Trump has promised to repeal the Affordable Care Act, even as Obamacare health plans are undergoing open enrollment as we speak. By the Numbers This doesn't seem to be stopping the more than 2 million people who have chosen a plan via Healthcare.gov since the start of open enrollment, translating to 167,000 more plans selected than during this period last year, according to US News and World Report. Despite those numbers, the concern about healthcare looms. One of the big areas of uncertainty is how healthcare billing will be handled for practitioners. What can we expect to see when it comes to healthcare billing changes in 2017? Healthcare IT According to Healthcare IT News, there are two things all healthcare providers can count on starting next year: one, reimbursements will go down as they are getting paid less and less for every service they provide; and two, big advancements in data and IT are coming without which innovative change simply can't happen. The future of healthcare can't be boiled down to one single point; in fact, there is a much wider view that has to be taken into account, with challenges at every turn during this time of flux. Unfortunately, many healthcare organizations will find it hard to stay afloat, with perhaps as many closures and failures as successes. Health IT seems to be the center of change here, with those who use it better and faster rising to the top. Patient Focus Being an effective care provider means you have to change your way of thinking from tunnel-vision focused on a one-size-fits-all approach to medicine, to a customized view of patient care that is specifically tailored to the individual. The economy may get in the way of this progress, however. Nonetheless, with the explosion of the digital age in which patients today are accessing and monitoring their medical records, they're taking more control of their health and wellness. The trick will be to manage that data and use it to fuel change in anything from patient management to more effective medical billing strategies. Patient focus is the key, rather than focusing on the payer. Going forward, health care providers need to flesh out open-source collaboration, rising technologies, and universal exchange languages to result in a cohesive nationwide system. Only then will operating costs decrease, patient care quality improve, and practice revenues rise. Contact Medical Healthcare Solutions As a healthcare provider, you likely have many questions as to how medical billing will change for you next year. Call us at 800-762-9800 or fill out our online form to get a free billing analysis today. Rely on the expertise and experience of Medical Healthcare Solutions (MHS), backed by decades of medical billing experience and service to the healthcare community.

New Year, New Healthcare Billing Changes: What to Expect In 2017

A new year always brings new beginnings, but 2017 in particular represents big changes for America as a nation. And as we are always concerned about the state of healthcare, the ushering in of a new president and the promise of more than just tweaks to the existing healthcare system in this country, there is an extra level of uncertainty as to how it will all play out. President Elect Trump has promised to repeal the Affordable Care Act, even as Obamacare health plans are undergoing open enrollment as we speak.

By the Numbers

This doesn’t seem to be stopping the more than 2 million people who have chosen a plan via Healthcare.gov since the start of open enrollment, translating to 167,000 more plans selected than during this period last year, according to US News and World Report. Despite those numbers, the concern about healthcare looms. One of the big areas of uncertainty is how healthcare billing will be handled for practitioners. What can we expect to see when it comes to healthcare billing changes in 2017?

Healthcare IT

According to Healthcare IT News,  there are two things all healthcare providers can count on starting next year: one, reimbursements will go down as they are getting paid less and less for every service they provide; and two, big advancements in data and IT are coming without which innovative change simply can’t happen. The future of healthcare can’t be boiled down to one single point; in fact, there is a much wider view that has to be taken into account, with challenges at every turn during this time of flux. Unfortunately, many healthcare organizations will find it hard to stay afloat, with perhaps as  many closures and failures as successes. Health IT seems to be the center of change here, with those who use it better and faster rising to the top.

Patient Focus

Being an effective care provider means you have to change your way of thinking from tunnel-vision focused on a one-size-fits-all approach to medicine, to a customized view of patient care that is specifically tailored to the individual. The economy may get in the way of this progress, however. Nonetheless, with the explosion of the digital age in which patients today are accessing and monitoring their medical records, they’re taking more control of their health and wellness. The trick will be to manage that data and use it to fuel change in anything from patient management to more effective medical billing strategies.

Patient focus is the key, rather than focusing on the payer. Going forward, health care providers need to flesh out open-source collaboration, rising technologies, and universal exchange languages to result in a cohesive nationwide system. Only then will operating costs decrease, patient care quality improve, and practice revenues rise.

Contact Medical Healthcare Solutions

As a healthcare provider, you likely have many questions as to how medical billing will change for you next year. Call us at 800-762-9800 or fill out our online form to get a free billing analysis today. Rely on the expertise and experience of Medical Healthcare Solutions (MHS), backed by decades of medical billing experience and service to the healthcare community.

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