Aetna LogoAetna is changing the standard method of reimbursing providers from Paper checks to Electronic Funds Transfer (EFT). All providers are required to enroll in EFT. This change is applicable to Medical and Dental providers.

CongressUPDATE: SGR repeal, ICD-10 delay legislation passes in the House After this morning’s postponement of proceedings concerning HR 4302 (Protecting Access to Medicare Act of 2014), the House of Representatives reconvened to consider unfinished business and a voice vote in favor of passing the patch for the Sustainable Growth

CongressAs part of new legislation implementation of ICD-10 could be delayed until no sooner than Oct. 1, 2015. Section 212 of the bill states that the Secretary of the U.S.

Joy B. Hicks, CPM, has worked in the healthcare industry since 2001, in medical billing, collections, and patient accounting. Her number one goal is to create a positive impression of the healthcare industry by promoting quality customer service.  As a medical office expert, Joy evaluates and analyzes opportunities for improvement within the medical office in order to provide proven strategies that improve work efficiency, increase revenue, and provides staff education and training, among other things.

caution-signICD-10 is the biggest change to hit the healthcare industry in decades. Hospitals, practices, providers and administrators will be challenged more than ever before as they train and migrate their organizations to this new detailed code set.

With only a few weeks left for uninsured Americans to enroll in the Healthcare Exchange program that is part of the Affordable Care Act signed into law by President Obama, the counts climbed to 4.2 Million people in February 2014.

flagsICD-10 was developed by the World Health Organization in 1993 and was adopted by the vast majority of countries by 2000. Today, the United States and Italy are the only two major industrialized nations that continue to use ICD-9. Each country had their own unique challenges when transitioning to ICD-10. Some transitions were smooth while others deemed disastrous.

To search for an IPA or not to search for an IPA. THAT is a very real question every private practitioner should be considering today.  So many changes in healthcare resulting from healthcare reform, including healthcare exchanges and payment reform, are forcing providers to reconsider the security and financial well being of operating as an independent entity.

rising-cost-of-ICD10In October 2008, Nachimsons Advisors produced a landmark paper on the cost of ICD‐10 implementation for physician practices and clinical laboratories.

CongressOn March 6, Republicans attempted to combine legislation that repeals the Medicare SGR formula with a separate bill that would delay the ACA mandate requiring individuals to purchase health insurance.  Their logic was that the money saved by delaying the individual mandate (by not paying subsidies to those purchasing health insurance) would pay for the repeal of the SGR.