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 in Medical Billing & Healthcare

What are the MIPS data submission requirements?

MIPS is a highly robust and efficient mechanism that will be introduced in due course in order to improve the standard and quality of the U.S healthcare system. The initiative will seek to combine 3 different healthcare programs into a single source, consisting of...

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How does MIPS have on the Value Based Modifier

The introduction of MIPS (Merit-based Incentive Payment System) is an effective initiative to improve the overall U.S healthcare system by encouraging healthcare practitioners to adopt effective and efficient practices. The program aims to combine three independent...

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What Impact does MIPS have on Meaningful Use?

The Merit-based Incentive Payment System (MIPS) is an efficient program designed to effectively organize three distinct U.S healthcare programs under one. The MIPS basically consists of a points scoring system through which variables that are critical for success are...

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The MIPS Performance Categories and How They are Scored?

MIPS (Merit-based Incentive Payment System) is a US Medicare method of rewarding clinicians who provide service under this government healthcare program. The MIPS is a new system which is part of the QPP (Quality Payment Program) which will be enforced from 2017...

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What is the Timeline for MIPS?

The MIPS (Merit-based Incentive Payment System) is launched under the QPP (Quality Payment Program) and it is based on reforming the payments that were made to physicians in lieu of their services received under the Medicare and Medicaid welfare programs. The MIPS...

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What are the financial impacts of MIPS?

The Merit-based Incentive Payment System MIPS is the new program announced by CMS (Centers for Medicare and Medicaid Services) to benefit the healthcare clinicians who are willing to take part in this program. The Medicare access program is completely changed with...

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MIPS Hits in 2017, What Is It?

MIPS is a new payment system which stands for Merit-based Incentive Payment System. The MIPS program is created to incorporate the different programs already available in the healthcare system such as PQRS (Physician Quality Reporting System), VM (Value-based...

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Impact of Payer Mergers on the Urban and Rural Practices

The Obamacare act or Affordable Care Act has accelerated the growth of market consolidation practices within the overall American healthcare system. The national law devised for healthcare has been designed to reinforce the providers, which includes hospitals and...

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Creating Higher Value for Patients at Lower Costs

Creating high value for patients maybe the prerogative of the country, but how effectively they are meeting this goal is the real question that comes to mind. The United States spends an estimated $2.9 trillion in patient healthcare, yet the services in some segments...

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What Are the Best Revenue Driving Practices

Since the introduction of pay for performance models and more regulations, most healthcare providers have found it a struggle to increase their revenue. Nowadays, it has become ever more critical for healthcare providers to adopt practices that will generate revenue....

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Ways to Engage Your Patients that Drive Patient Loyalty

Healthcare providers aim to build patient loyalty. How many of them actually accomplish in doing so? They want to drive patient loyalty through their practice, but fall short, failing to emotionally engage and retain new patients. When physicians establish a practice,...

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PQRS Penalties Are Hitting Physicians Hard

The Physician Quality Reporting System (PQRS) is quality improvement program introduced by CMS in 2006. Previously known as Physician Quality Reporting Initiative (PQRI), the program requires healthcare providers to assess the quality of care they provide and quantify...

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Meaningful Use Hardship Exemption Cleared by Congress

End-Of-The-Year Cheer for American Physicians – Meaningful Use Hardship Exemption Cleared by Congress Congress provided a moment of pure joy to American physicians by approving a blanket process for physicians who have not attested meaningful use of their EHR, and...

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5 Tips to Improve Patient Collections

According to ACA International, 29 percent of adults have medical debt or have trouble paying medical bills. And the MGMA indicates that 30-32% of a small practice’s revenue comes through patient collections. Obviously, improving patient collections is critical for...

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Is Outsourced Medical Billing Right for Me?

A lot of times, medical practices struggle with the decision to outsource their medical billing. And it’s understandable, it’s a big change! But it’s a change that more and more medical practices are making and seeing the positive results. An MGMA study found that...

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Does Texting Meet Compliance?

Texting has made its way into the healthcare setting, presenting a number of compliance risks. Learn ways to meet compliance while using text messaging.

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ICD-10-CM Documentation

With ICD-10-CM, documentation will remain the key to accurate and correct coding. More information must be captured, and the deadline is looming.

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Survival of today’s Independent Practitioner

There appears to be a paradigm shift that is occurring in healthcare today. More and more independent physicians seem to be joining larger healthcare systems because they think that is what they need to do to survive in their industry. However, there are also those...

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Path Toward Maintaining HIPAA Compliance

As soon as someone mentions "HIPAA" your first reaction is probably to feel a little intimidated. Forget the fact that the Omnibus Rule alone is over 500 pages or that it sent everyone in a mad dash to ensure compliance by the September 23 rd deadline, now your job is...

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Today’s Innovations in Patient Collections

You may remember the days when credit cards were not accepted by most medical practices, that would be difficult in today's environment. With millions of Americans having a high deductible healthcare plan imagine operating a medical practice without accepting credit...

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What to look for in an Electronic Health Record System

The EHR market has been changing and so should what you look for in your practice solution. In order to find a system that matches your needs as well as the evolving requirements, updating your EHR checklist is a must! Whether you are looking for your 1st or your 3rd...

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The Increased Cost of Penalties for HIPAA Violations

With the recent changes in HIPAA, the Department of Health and Human Services (HHS) is coming down harder than ever with stiffer monetary penalties. Prior to the HIPAA Omnibus Final Rule, the monetary penalties were a maximum of $100 per violation up to a maximum of...

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Medicare – 50 Modifier Changes

Medicare will start denying procedures as of July 1, 2014 if they are not billed with the 50 modifier when required. However, not all CPT codes will require the 50 modifier when performed bilaterally. The only way to determine if the CPT code requires the 50 modifier...

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Managing Your Financial Health

Financial Analytics - Managing the financial health of a practice or heath system can be a daunting process. The sheer volume of information being collected and distributed requires careful planning, oversight and evaluation. As a result, many healthcare professionals...

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Deadline Passes for Updated BAAs

The Omnibus Final Rule introduced many changes to the HIPAA Privacy, Security, Enforcement, and Breach Notification Rules, and with those changes came the need to make revisions to Business Associate Agreements (BAA). While the deadline to comply with the new Rules’...

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Place of Service – OIG Work Plan

The Office of Inspector General’s (OIG) mission is to protect the integrity of the Health and Human Services (HHS) programs such as Medicare and Medicaid. Each year the OIG publishes their work plan and conducts investigations in conjunction with other law enforcement...

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HIPAA Training is Essential

In 2012 HHS’ Office for Civil Rights conducted a pilot audit and uncovered a number of HIPAA administrative standard failures, including lack of training.

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