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Bones Society of Florida Conference in Manalapan Florida September 16th through 18th marks the annual Bones Society Of Florida (BSOF) Conference at East Palm Beach Resort and Spa. Guests can find HIS at booth 45 within the conference all weekend long. Stop by our booth to learn more about the services HIS provides and discuss […]
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2015 CPT coding changes that are taking effect will mostly cause issues with billings, and denials of billings that are not coded correctly according to the new Coding Rules. In the radiology practice there are not an extraordinary number of changes, but they are important to ensure proper payments. Radiology practices must train not only their billing staff in the new coding procedures, but everyone involved in reporting procedures need to know how to document what treatments were given to ensure that proper codes are used in records and for billing.
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When it comes to profitability in healthcare, billing is only one part of the big picture. There are steps any radiology practice must take in order to ensure financial success. Effective revenue cycle management is key to profitability and and financial health.
Revenue Cycle Management (RCM) is a necessary piece of the healthcare puzzle and it remains an integral part of the success of any healthcare business. When a clinic outsources the management of their revenue cycle, they entrust an outside company to handle coding, claim submission, collections, et al. Some practices choose outsourcing RCM due to […]
Survey of ICD-10 Tools
Physicians, hospitals and small medical practices are in a race to make sure they are in compliance with ICD-10 codes by October 1st, 2015.  Switching their systems over has proven to be a bit more complex than anticipated.  The reasons are that ICD-9 codes may have multiple mappings to much more specific ICD-10 codes or no mapping […]
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While not the first time Medicare funding has undergone revision, (and likely not the last), the “Doc Fix” bill seeks to fix a long term problem with the system.  This bipartisan effort is focused on establishing more realistic funding and for Medicare, affecting both patient care and physician reimbursement.  This bill is considered a long-term […]
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In 2012, Centers for Medicare and Medicaid Services (CMS) published a rule that would require providers to report and refund any overpayments within 60 days from the date the overpayment was found.  As an orthopedic provider, you have probably received some of these notices from Medicare.  However, due to the amount of comments and extensive […]
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Summary of 2015 Medicare Physician Fee Schedule (MPFS) Final Rule On October 31st, 2014 CMS released final ruling on the  2015 Medicare Physician Fee Schedule (MPFS). This is a summary of that final rule.
EHR Medical Records
As the use of electronic medical records (EMRs), now electronic health records (EHRs), becomes more prevalent, users are beginning to really understand their ultimate value and critical use. One of the most illuminating ways EHR data is helping out the healthcare industry is in their aid with decision making.
Analytics
In today’s competitive healthcare environment, radiologic service providers must operate under increasing requirements and constraints as they face decreasing resources and reimbursements. Consequently, they must continuously demonstrate values to their clients and look for ways to continually make improvements. Service providers must go beyond simply managing operations and measure upgrades in their processes as it […]
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Over the past several years, orthopedic revenue cycle management has been impacted by the number of changes taking place throughout the healthcare industry. Not only have government programs such as Medicare and Medicaid reduced physician reimbursement, but third-party payers have also implemented negotiated fee-for-service contracts. These changes have a negative impact and tend to result in less than 100% […]