McKinsey & Company LogoThe consulting firm, McKinsey & Company recently published an Intelligence Brief on the configuration of provider networks offered by the plans on the Healthcare Exchanges.

ExchangeThe Affordable Care Act (ACA) is forcing structural change to the way that healthcare coverage is provided in the United States, affecting everything from the cost of health insurance to the way that insurers manage risk and design certain health benefits.

Patient PortalEven with the sort of state-of-the-art RCM system described in the last post, practices still need to have people working on their behalf who have deep experience in working with payors to ensure appropriate payment is made 100% of the time.

Most people think about the revenue cycle from the back end perspective - submitting claims, follow up on denied claims, constructing appeals, effective AR management, sending statements, posting payments, and so on and so forth.

slide1_imgThe message that the healthcare industry in the United States is broken is a popular refrain from just about every corner these days. LogoThe Obama administration is planning a makeover of the site.

CMS logoCMS has released early findings from its review of the claims that were submitted with ICD-10 codes during their ICD-10 testing week in March 2014.

If any of us still think that patients don't really want access to their health-related data or that "patient engagement" is yet another passing fad in healthcare, there is growing data that the information and access that people have come to expect in every other part of their lives is having an impact on how patients think about who should have access and even control over their health data.

Some providers may be wondering if it would be less time-consuming and more cost-efficient to jump from ICD-9 to ICD-11. The World Health Organization is supposed to present the ICD-11 code set in May 2017. That's only a year and half after the United States implements ICD-10. So why not wait?

At eMDs, we believe waiting is a flawed approach.

  • There are costs and consequences to continuing using the outdated ICD-9 coding system.

CMS logoOn the heels of the ICD-10 delay, and recognizing that some vendors are struggling to deliver applications that meet the 2014 MU requirements, CMS released a proposed rule giving providers