Business Trends
Tuesday, 06 December 2011
Written by DG Comfort
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Medical Careers are Among the Least Stressful Jobs in the US, Really? |
I came across a website, Careercast.com, which lists the stress involved with 300 different jobs across the US. Among the tope ten least stressful jobs in the US are: Audiologist, Dietician, Speech Pathologist, Occupational Therapist and Chiropractor. So according to the authors of this survey, 5 of the top 10 least stressful jobs in the US are in the healthcare field. According to the authors of the study there is even more good news because of the aging population and increased investment in healthcare due to the Patient Protection and Affordable Care Act (PPACA). That should make for a promising…
Tuesday, 08 November 2011
Written by DG Comfort
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Getting Paid for Phone Calls and Other Communications |
In this day and age of Medical Homes and Accountable Care Organizations (ACO) you will probably be spending more time conversing with patients and other providers over the phone or internet. Is it appropriate to bill for this time spent while discussing a patient’s case with them or other team members? The answer is ‘Yes’ in most cases. The Current Procedural Terminology (CPT) manual has coding for both communication with a patient and another healthcare provider under specific guidelines, which limit the allowable circumstances under which you can bill for your time. After all, time is money. The CPT manual…
As a physician, your medical practice is your identity – and it is the only branding opportunity you have with your patients. Like it or not, they associate your face with your practice and will make treatment decisions and recommendations accordingly. Having accepted that, how do you develop a medical practice marketing strategy as a physician? The first decision you must make is what niche you want to occupy within your specialty. If you’re a dermatologist, do you want to be seen as the life-saver who identifies and treats skin cancer or as the Botox specialist for the masses? If…
After a recent e-survey we received many inquiries asking the definition of “enabled provider”. By now, most of you have heard of and are somewhat familiar with Accountable Care Organizations (ACOs). A less familiar term that is starting to be used in discussions pursuant to ACOs is Enabled Provider. An Enabled Provider is simply a Provider (Physician and/or Facility) that is contracted with the ACO. They are considered enabled due to the fact that they are integrated within the ACO from a contracting, systems and clinical perspective. Please contact us with any additional ACO questions.
It appears that the legislators in Washington finally got together to pass a bill to raise the nation's debt ceiling by $2.3 trillion through 2013. This may be good news in the short term, since the nation's credit rating will probably remain the same, at least for a while, so the interest rate the US government has to pay won't increase; but the cuts in the Federal budget tied to the increase in the debt ceiling will directly affect your practice.
The Patient Protection and Affordable Care Act (PPACA) may cause your office some headaches because of the “Patient Protection” aspects of the legislation. There have been high profile cases recently, in which Cignet Health and Massachusetts General Hospital, which were recently hit with $4.3 million and $1 million fines, respectively, due to federal HIPAA privacy and security violations. Donald L. Bradfield, senior counsel in the legal department of Johns Hopkins Health System warns doctors and hospital compliance officers about the teeth that the HHS office for Civil Rights (OCR), which enforces HIPAA regulations, seems to have found.
Fraud and staff theft are on the rise. Why is this happening? One reason is a spiraling economy. Another is lack of physician oversight. As the operation of medical practices gets more complex administratively, physicians are having a hard time staying on top of it. It may not be just lack of time…many physicians lack the expertise to manage their practices. On top of that, in many cases, doctors are unwilling to pay for the talent that is required to manage a medical practice. Just as medicine has become more specialized, so has administrating a medical practice. There are…
There are several changes in Medicare, which are required by the Healthcare Reform Bill, which took effect on January 1, 2011. These changes largely affect the amount paid by Medicare for Medicare participants for drugs and doctors’ services. Here is a brief recap of the changes which occurred on January 1, 2011:
If you’ve been experiencing an increased number of refund requests from insurance companies for payments already made, you are not alone. I have heard more reports of doctors receiving requests for money to be returned to payers for ‘incorrect payment’. These requests seem to be indiscriminate, since the billing procedures in offices receiving these refund requests have not changed. So what has changed?
With all the changes coming down the pike with the healthcare reform bill, you should be strategizing on how to accommodate these changes into your practice, while still maximizing patient care and profitability for your practice. While this seems like a tall order, (only because it is) you do have time until the majority of mandated changes take place in the healthcare insurance industry. Most of the effects of the healthcare reform don’t take place until 2014, with only a few beginning in 2012.







