Physicians from your newly acquired practices have been onboarded and credentialed. They are seeing patients and starting to generate charges. But Wait! Who’s confirming they are being paid under the guidelines of the organization’s managed care contracts? Here comes the fun part: Contract Compliance and Payment Monitoring.

Healthcare Enters Electronic AgeHealthcare - like most industries -  has been transitioning from paper-based processes to electronic transactions but - unlike most industries - the pace has been slow.

National Healthcare ExchangeEnrollment on the national healthcare exchanges continue to expand according to a Feb. 2014 study of those eligible to purchase on a government-sponsored exchange by the consulting firm McKinsey & Co.

creditcardhandsAt MDeverywhere, we have had a first row seat as effective patient collections have assumed a more and more important role in a practice's financial health. Simply put, collecting the patient portion consistently and quickly is often the difference between profitability or not for a practice.

CMS-Update Email issued by CMS on May 1

 

nurse practitioner logoThe Nurse Practitioners Modernization Act will become law as part of the 2014-2015 enacted budget. The NPMA takes effect on January 1, 2015.

Independent-Physician-content Source: Accenture.com

 

Source: Rich Daly, HFM Senior Writer/Editor. To view the original article click here

Two-thirds of the office-based specialist care provided to accountable care organization (ACO) enrollees was done outside of the comprehensive care entity, a new study found.

CMS logoAre you an eligible professional or part of a group practice participating in PQRS this year? If so, you must satisfactorily report data on quality measures during 2014 to avoid the 2016 payment adjustment.

 CMS logoOn April 1, 2014, President Obama signed legislation that delays the scheduled Sustainable Growth Rate (SGR) cut to physician payments for one year (and delay ICD-10 implemetation!).