All posts by Stephen Brighton

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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surgical-billing-services

How Medical Healthcare Solutions’ Surgical Billing Expertise Can Make Your Next Operation Easier

If you own a surgical practice, you know how busy things can get, not only in regards to a full schedule of operations on a daily basis but on the billing end as well. If you’ve been managing your surgical billing in-house up till now, you may feel you’re spinning your wheels. Perhaps your office manager squeezes in this duty between other tasks, or maybe you do have a small billing department that is trying to keep up with this job. But all those resources could be bleeding you dry in money and in time. You’re an expert at your job, to be sure, but do you have the time or knowledge of complex surgical billing procedures? Probably not.

The solution could be the use of an outsourced surgical billing services. Isn’t it time you made your next operation easier? Consider that the financial strength of your practice is directly tied to on-time billing and account reimbursement. You need a company with experience necessary to tackle the complex areas posed by surgery billing and modifiers.

Benefits

There are several benefits to outsourced surgical billing, including:

  •      Improved collections process
  •      More timely income
  •      Accelerated payments
  •      Reduced stress
  •      24/7 accessibility to patient data and financial information
  •      Transparency throughout the revenue cycle
  •      Comprehensive financial and practice management reporting

In addition to all these benefits, you get peace of mind knowing your surgical billing is being overseen by professionals with training in this area of expertise. Your income will go up and post-surgery tasks will go seamlessly. Let your existing employees do what they were hired to do, and leave the surgical billing services to an outside party with the expertise necessary to maximize your reimbursements. That means you can get back to doing what you love: surgery. All without the complications that come with the billing side of things.

In order to be successfully reimbursed for your surgeries, you need someone who can easily handle coding complexities, complicated procedure rules and vast contractual adjustments. You need someone who can monitor payment information and patterns, as well as track underpayments.

To accomplish this, you need a trusted partner on your side.

What MHS Does

Here at Medical Healthcare Solutions, we are backed by decades of surgical billing experience and service to the healthcare community, offering complete medical billing, electronic health records and practice management services for healthcare professionals such as surgeons. Here’s a look at what we offer:

  •      Comprehensive surgery billing services and collections
  •      Computer system and software designed for surgery facilities
  •      Certified Professional Coders on staff dedicated to getting you maximum reimbursement
  •      Patient input and statements and follow-up
  •      Full electronic claims and AR management
  •      Multi physician/multi-location practices are easily assimilated
  •      Complete revenue cycle management
  •      Coding
  •      Physician credentialing and recredentialing
  •      Customized information reporting and performance monitoring

It’s time you managed your cash flow systems as efficiently and as accurately as you can via an automated surgical billing service designed to assist you in running your practice more efficiently. Contact Medical Healthcare Solutions to learn more on how you can achieve this at 800-762-9800 or fill out our online form today.

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National Revenue Cycle Management

Revenue Cycle Management on a National Level

Research shows 15 cents of every healthcare dollar is put towards revenue cycle inefficiencies. In other words, $400 billion of the $2.7 trillion the United States spends each year on healthcare goes towards claims processing: ie billing, payments, revenue cycle management, and bad debt.

Why? Well, a part of the reason is attributed to outdated and inefficient manual methods when it comes to payor-provider transactions. The government has made a step in the right direction by passing the Patient Protection and Affordable Care Act (ACA) in 2010. This effort makes healthcare as a whole more consumer-driven and transforms the hospital revenue cycle space. However, with patient liability for costs on the rise and their ability to pay down balances on the decline, strong revenue cycle performance is clearly necessary in order to build up the financial health of providers.

That’s where national revenue cycle management comes in. As regulations get even more confusing and payer requirements more complex, management of the revenue cycle becomes increasingly necessary in casting the largest net possible for national medical service providers, practices and clinics. You can do your part to combat declining cash flows, tightening margins, and increasing bad debt through effective revenue cycle management that ensures a steady stream of income for your business.

 

Little-Known Advantages to Using a Medical Billing Service

 

How MHS Helps

Medical Healthcare Solutions, Inc. helps you maximize your potential reimbursements through the use of  its unique, comprehensive software. This software gives you the ability to benchmark key National Revenue Cycle Management performance indicators determining the strengths and weaknesses of your practice. It also provides a hassle-free process of reporting by national payers. Effective Revenue Cycle Management improves your bottom line and frees you up to concentrate on the more important areas of your practice, such as patient care.

MHS can help you maximize reimbursements and bring them to the highest levels by evaluating and assessing revenue cycle data for medical services all across the country. It’s no secret we have been outperforming industry standards due to our innovative model for best practice, combining cost and performance ratios.  Our full-service organization can customize solutions for your practice by focussing on key performance indicators such as:

  • Month-end data
  • Contract compliance
  • Claim submission
  • Payment posting
  • Accounts receivable

Our Revenue Cycle Management services include everything from coding reviews and electronic claim submissions to follow-up on all insurances, claims, fully adjudicated payments and the registration of patient information. Keeping everything on one platform also ensures uniformity across the board in national medical billing approaches.  

Contact Medical Healthcare Solutions

Want to know more about national medical billing or our specific services that can benefit your business? Contact MHS today or fill out our convenient online form. We apply the latest medical billing technology in order to meet and exceed even your most challenging medical billing needs throughout the year. We handle it all: complete medical billing, electronic health records and practice management services, Credentialing and ASC Revenue Cycle Management services.

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ALLSCRIPTS

Top 3 Reasons Allscripts is the Best Inpatient EHR Vendor

A market leader in its own right, Allscripts Sunrise is a top choice as inpatient EHR vendor across the board — and the recognition is there to prove it. In fact, Black Book Market Research recently named Allscripts as the top overall inpatient electronic health record (EHR) for large hospitals and academic medical centers for the third year in a row. Not only did Allscripts take the cake for overall honors, it was named top vendor in the patient health data management and administrative processing, as well as the top vendor in the communications and connectivity categories, according to The Business Journals. Other honors included vendor overall preference/vertical industry recommendations for Meaningful Use Stage 1 and Stage 2, and best of breed technology and process improvement for Meaningful Use Stage 3.

Receiving these accolades has pushed Allscripts to the top of the heap when it comes to inpatient EHR vendors. Let’s take a look at three reasons why they’re considered the best.

  1. Integrated Solution Suite: One of the most important aspects of an in-patient EHR vendor is the ability to provide one repository for acute, post-acute, ambulatory, revenue cycle and emergency health care providers. By offering one EHR for emergency, inpatient and ambulatory care along with an easily-accessible patient portal, you’re getting everything you need in one spot without the need for other software, programs or solutions. With Allscripts Sunrise, medical staff are also allowed access to integrated patient information across all platforms, with its use occurring through several of the top  hospitals and health systems on the planet. Clinical decision support is made easier as a result.
  2. A Proven History: Allscripts has already proven its abilities within the ambulatory systems industry, so it stands to reason the transition into the hospital arena just six years ago due to a merger with Eclipsys would go smoothly. Today, its product line can go toe-to-toe with other giants of industry, including Meditech and Cerner. The effect is far-reaching: Allscripts has products installed in 50,000 physician practices, 1,500 hospitals, and 10,000 post-acute care facilities, according to InformationWeek Healthcare.
  3. Accolades Recognizing Allscripts’ Work: In addition to the above distinction by Black Book, other organizations it seems are also happy with Allscripts’ approach of in-patient EHR vendor management. In 2014, LAS Research named Allscripts Sunrise Clinical Manager Best in KLAS Global (Non-US) Acute EMR and Category Leader, Global Acute EMR – Northern America (Canada) in the 2014 Best in KLAS: Global Software (Non-US) report. Also this year, King’s College Hospital NHS Foundation Trust in the UK named Allscripts Sunrise platform as its top Electronic Patient Record (“EPR”) system. University Hospital of South Manchester NHS Foundation Trust and Baptist Health Care Corporation also selected Allscripts as its chosen platform late last year.

It seems Allscripts is here to stay as a major player in the global EHR marketplace.

Want to know more? Get in touch with Medical Healthcare Solutions, a trusted provider of comprehensive medical billing, electronic health records and practice management services for healthcare professionals. Contact us at 800-762-9800 or e-mail sjbrighton@mhs-inc.com.

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