The latest in all things RCM, Electronic Health Records, Radiology Information Systems, Practice Management, Medical Billing, Value-Based Care, & Healthcare IT.
The Electronic Medical Record The electronic medical record (EMR) has been evolving from the early days before the technology revolution took off after the turn of the century. The federal mandate that took effect on January 1, 2014, required the medical world to begin using electronic medical records for "meaningful use" as outlined by the mandate.
Reimbursements and Impatient Receivables Not a typo. With insurance reimbursements decreasing, providers are becoming impatient about ever-increasing patient responsibility amounts after insurance. Two things are needed: a way to ensure maximizing insurance reimbursements without over-coding, and an ability to accurately determine - in advance - what the patient will owe.
There are many aspects of MACRA, and it's important you're familiar with all of them.
Medical Billing: Claim Submission and Follow Up "Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered," as stated on HBMA. Without submitting clean claims on a timely basis, it doesn't matter how many patients you see or how many services you render.
Radiology Information Systems (RIS) are essential software tools for radiological centers, groups, and clinics. Besides providing the software to securely store and access images and videos from scans, what do all the top RISs have in common?
Forecasts for Health Care Technology One area that is on the front burner of health care is the "push toward truly digitized health care," as found on Forbes. At Advanced Data Systems Corporation (ADS), we are hearing and reading how providers are "feeling the pain" with electronic health record (EHR) integration. We are here to help providers meet the challenges, and learn how to get the advantages an EHR offers.
Substance abuse treatment centers are finding it’s become a complicated - even dangerous - world of reduced insurance reimbursements resulting in continually increasing patient / client receivables. In some cases, personal responsibility amounts are equaling, or even exceeding, what insurance reimburses.
Advanced AI Creating New Avenues of Healthcare Efficiencies First, there was artificial intelligence (AI) that made machines capable of following mathematical directions to capture and store intelligence. Then came machine learning (ML), which advanced the machine intelligence to use collected data to make predictive solutions. We now have deep learning, a more intelligent subset of ML that is based on the human brain. As found on Medium, "Artificial Intelligence would be the bigger, encapsulating circle that contains Machine and Deep Learning".
A reliable radiology information system (RIS) offers the electronic means to efficiently manage a radiology practice in all aspects that offer the best in patient care and practice management.
High Deductibles Have Lead to Difficulties Collecting for Services Rendered One of the latest healthcare challenges for many Americans today are the out-of-pocket, healthcare expenses. It is becoming apparent that high-deductible healthcare plans can pose a financial risk to people of low-income and those with chronic illnesses as found on USC News. If patients, especially those with chronic illnesses, are struggling to pay their out-of-pocket deductibles, providers are going to have the hardship to collect for services rendered.
Why Key Performance Indicators (KPI)? It is becoming proven that any business should be tracking and analyzing those unique factors that are relevant to the success of their organization through their key performance indicators (KPI).