The Zika virus, a flavivirus spread by infected mosquitoes, has recently made its way to the U.S. (including two confirmed cases in Denver) from travelers returning from infected areas, such as South America. So far, there haven’t been any locally … Read More
The implementation of ICD-10 allows us to capture “drug underdosing” for the first time, which can provide insights on hospital readmissions. This new data could prove invaluable as reimbursement models shift toward accountable care. What is underdosing? Underdosing occurs when … Read More
The Denver media has shown a renewed interest in emergency room (ER) charges in the wake of articles in the Denver Post highlighting the growth of free-standing ER facilities popping up all around the Denver metro area, and patients accidentally … Read More
There’s a battle brewing in New Jersey around the issue of out-of-network billing by providers. Aetna has sued half a dozen New Jersey providers for alleged gross over-billing of Aetna patients who went out of the insurers network for care. … Read More
In less than a month, ICD-10 goes into effect. Is your practice ready for ICD-10? If not, Clinic Service is still available to assist you. Darla McClung, Clinic Service’s resident ICD-10 expert, shares what we’ve done to get ready for … Read More
The Client An orthopedic practice with two surgeons and a physician's assistant. The Challenge The practice was utilizing a billing firm that was a relying on a billing module built into the practice's electronic health records (EHR) system. The arrangement … Read More
The rise of high-deductible health plans is one of the major health care trends to take place since the implementation of the Affordable Care Act (also known Obamacare). This trend not only affects patients, but it also has a direct … Read More
Earlier this month, the House of Representatives proposed the implementation of a ICD-10 “grace period” to help physicians and healthcare providers transition from ICD-9 into ICD-10. Within the proposed two-year window under H.R. 2652, healthcare providers’ coding errors would not … Read More
Navigating the complicated health care financial system can be a nightmare since the smallest misstep can cost thousands of dollars. Pass along these simple tips to your patients to help them avoid paying unnecessarily high fees. Tip #1 – Don’t … Read More
With declining Medicare reimbursements, the impending ICD-10 transition in October, and growing patient responsibility for payments, physicians are increasingly concerned about how they are going to get paid. Here are five tips to help you maximize your revenue cycle: New … Read More