Medical Practice Management Blog

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Business Intelligence

Business Intelligence Programs – “BI-gger” Than Just A Medical Billing Platform

Clinical Decision Support Systems are all the rage these days, and with good reason. A correctly implemented CDS can lead to better patient outcomes and fewer clinical mistakes, meaning that not only is it better for patients, it’s better for doctors and hospitals too! Implementing a CDS system, however, isn’t easy. Integrating a CDS system with your existing clinical workflow can be tricky and can push physician offices with weaker organizational systems to the breaking point. This is why, according to this latest article published in Information Week, instead of jumping straight into CDS integration madness, 50% of all healthcare organizations are opting to strengthen or replace their Business Intelligence programs first.

10 Ridiculously Overpriced Hospital Costs

overpriced hospital charges    In January 2015 , author Steven Brill published ‘America’s Bitter Pill’, a hard hitting exposé on the wanton abuse in the healthcare industry. This short graphic highlights just a fraction of the incredibly inflated hospital costs that patients face everyday.
  1. 1. Tylenol = $15 – $15 per individual pill, for a total of $345 during average patient stay
  2. Plastic Bag = $8 - Plastic bags cost a grocery store 2 cents, at the hospital it’s 8 bucks.
  3. Box of tissues = $8 - Usually labeled as “mucus recovery system”
  4. Gloves = $53 And keep in mind, that’s $53 EVERY TIME a doctor or nurse has to put them on, so hopefully you don’t have to stay more than an hour.
  5. Cup for medicine = $10 - The CUP, not the actual medicine, is $10 a piece. Usually counts up to over $500 a stay.
  6. Marking pen = $18 - A simple pen that marks the incisions where the surgeon will cut.
  7. Cuff, BP Adult = $20 - Whenever a nurse checks your blood pressure. You don’t get to keep the cuff.
  8. Oral admin. fee = $7 - Whenever a nurse has to hand you medicine. Usually comes to about $90 per stay
  9. Holding your newborn = $39 - Just wait until you get home.
  10. Sterile water IV bag = $800 - Manufacturing cost… about one dollar.
Many times patients are subject to “overtreatment”. ⅓ of patients obtain identical treatments for no reason. For example, the USA provides twice as much MRI’s than any other country.Approx. Two thirds of healthcare dollars are taken by Insurance companies, yet they provide little to zero value.Patients are asked to sign an “Authorization for Treatment,” and a “Statement of Financial Responsibility”, Although neither the patient nor the hospital know exactly how much these open ended charges will be.It seems that American hospitals carry the worst aspects of capitalism and socialism. They are for profits organizations, but by law, they must treat everyone. Competition drives down prices, benefiting the consumer, but because there is no competition, they can charge whatever they want. Some counties have adopted the practice to set price limits on hospitals. The USA has yet to do that. 

ICD-10 Transition Issues and How to Resolve Them

photo-1444427169197-de497742b62dYour medical practice is a busy place and staying up to date on the various requirement and regulation changes is important. ICD-10 transition issues are common, and if you know what they are, you can avoid them and strengthen productivity and support the growth of your practice. Here are some of the main ICD-10 transition issues and how you can resolve them.

Training.

Proper ICD-10 training is key. If your staff is not properly trained, it could be detrimental. There are several options when it comes to having your staff trained on all of the ins and outs of ICD-10, including classes at local community colleges, seminars, conferences, or online courses. With proper training, claims will be processed faster and your practice will have the opportunity to see an increase in revenue.

Your Revenue Cycle Management Checklist

Managing DME/HME companies requires people to shift from a cost center to a profit center view. In a recently conducted survey, results revealed that 97% of DME companies struggled with asset, productivity, growth, or workforce optimization.
Stressed Young Woman

What Medical Coding Do I Use for Psychiatric Patients Under Stress?

The field of psychiatry is unique, in that each day is different, depending on what patients are seen and what their issues at hand are. Many times, psychiatrists are required to admit patients that are under severe stress or mental anguish and there is simply not time to provide a comprehensive mental status exam. These psychiatric emergencies can be common, so having a process in place that deals with this specific situation is imperative. If this has happened on a regular basis, your process is likely set in stone, but you likely understand the confusion that sometimes happens when it comes to billing for psychiatric emergencies like these. Even though there is a coding exception for unobtainable history, how do you code for patients that do not specifically meet the code criteria?

Practice Management

  • Anesthesia Billing
  • Full-service medical billing
  • Patient account management
  • Encounter form design
  • Patient balance collections
  • Learn More

Practice Management

  • Anesthesia Billing
  • Full-service medical billing
  • Patient account management
  • Encounter form design
  • Patient balance collections
  • Learn More

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P.O. Box 821350
Vancouver, WA 98682

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360-687-5221 Vancouver, WA

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