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4 Myths about Billing & Revenue Cycle Outsourcing

Posted Mar 21, 2016

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 cost-benefit analyses, spacing and time issues, or convenience. Other practices retain in-house management of the revenue cycle, traditionally when they have experienced, trained coders on staff and a time-tested process already in place.


All practices are not alike and have their own nuances to their revenue cycle. Look within, and evaluate your current situation to determine whether outsourcing is right for you. Whether or not you have considered partnering with a revenue cycle management firm or not, I am sure you have heard both success and horror stories. Below, I’ve debunked four common myths about revenue cycle outsourcing.    

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healthcare Health Information Services Revenue Cycle Management

Value vs. Volume Based Care: 6 Critical Issues

Posted May 28, 2015

ID-10094648Medical practices, including radiologists and orthopedic surgeons, are facing numerous challenges in 2015 as the entire healthcare industry debates the benefits of volume-based care versus value-based care.  The current volume-based reimbursement model has faced controversy over the idea that doctors may be over-treating patients as a way to generate additional income or in an attempt to keep up with lowered reimbursements.  This has created an ethical and financial dilemma for practices who want to be reimbursed at a rate that can keep their doors open, but without over-treating patients or increasing the volume of patients to unmanageable levels.  The move from the volume-based to a value-based model is supposed to be a step toward resolving these concerns, but it also raises six critical issues when comparing the two models.

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Practices Not Prepared for ICD-10

Posted May 7, 2015

hourglass-620397_640Beginning October 1, 2015, the medical community will be required to switch from the ICD-9 coding system to ICD-10.  This change brings with it many tasks and responsibilities on the part of physicians and their staff.  Even so, there are apparently, many orthopedic practices and other medical practices that have taken little to no action to prepare.

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healthcare ICD-10

Converting your Top Ortho ICD9 Codes to ICD10

There are many orthopedic coding that will come with the switch from ICD-9 to ICD-10.This free guide will help you understand ICD-10, prepare for it, and give you the resources to guide your transition.

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3 Things You Need to Know About Stage 2 Meaningful Use

Posted Apr 30, 2015

digits-705666_640While Stage 1 meaningful use (MU) focused on gathering data and establishing electronic health records (EHRs), Stage 2 emphasizes exchanging patient information and coordination of care.  There are many compliance requirements and penalties imposed if you do not meet them.  Here are three things you need to know for sure.

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2016 Updates to Medicare Health and Drug Plans as Proposed by CMS

Posted Apr 28, 2015

ID-100200001There are changes that will be coming in 2016 concerning the way Medicare will pay for medical services.  On February 20, 2015, the Centers for Medicare and Medicaid Services (CMS) asked for public comment on its proposed changes to Medicare Advantage (MA) plans and Part D Prescription Drug Programs.  The goal of the changes is to pay providers based on the quality of services they provide and not the quantity.

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