Financial challenges again ranked No. 1 on the list of hospital CEOs' top concerns in 2013, making it their No. 1 concern for the last 10 years, according to the American College of Healthcare Executives' annual survey of top issues confronting hospitals. Healthcare reform implementation ranked second and governmental mandates and patient safety and quality both ranked third.
A recent survey of 148 insurance brokers shows that ObamaCare is sending premiums rising at the fastest clip in decades.
HR4302, which was signed into law on April 2, 2014, delays the implementation of the ICD-10. It states that the code set shall not be implemented before Oct. 1, 2015, or a date to be determined by HHS most likely.
Healthcare billing is riddled with complexity. Complexity inherently means tons of details that may be difficult to prioritize and a staff that is buried in those details. Knowing how to raise your head above the details and make sure overall goals are being met is the real job of a billing manager.
Is it possible to cut MCR expenses when the number of MCR beneficiaries is going up? At first glance, the common sense answer is no…..not possible to cut cost while numbers needing services is going up. But, let’s take a closer look at what’s going on in the healthcare industry that might help this effort.
In a vote on Monday March 31, the senate approved a temporary fix for the (sustainable growth rate) payment formula for Medicare. This move was expected. The unexpected move was the delay of ICD-10 for at least another year. Kimberly Davis, Vice President for Medical Management Services said that “this move will in no way effect the MMS approach to ICD-10 readiness, its full steam ahead.”
On Thursday the House of Representatives passed a bill to temporarily “fix” the MCR payment problem that has been plaguing providers for several years. Instead of repealing the law which would mean providers would receive a 24% decrease in payments, the law would stop the decrease temporarily for 1 year. Added to this bill was a delay to the start date of ICD-10 by one year.
Ask the average patient what they mean by quality care and they will say something like physicians who listen and take time with them in exam room. They may say something about the ambiance of the office, the friendliness of the nurse, or the skill of the surgeon.
Every health care organization at one time or another considers outsourcing parts of its operation to a specialized company to meet specific goals, to fill a gap, to tap new resources and sometimes because you simply need to save some money. But are there critical times in the growth of your medical practice where outsourcing could do more than just take care of a temporary situation?
In the average medical practice, the effort to reduce cost and improve quality is a people issue. It is a people issue because about 60% of cost and 100% of a practices ability to improve quality or reduce cost lies in people.
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