<img src="http://www.hrb1tng0.com/40388.png" style="display:none;">

MediGain Blog

3 Consecutive Wednesdays - Nov. 30th, Dec. 7th, Dec. 14th - Two Times Each Day During Lunch 

Dancing with the Devil: Insider Secrets for Negotiating with Managed Care Companies!
Featuring Renowned Industry Expert 
Ron Howrigon of Fulcrum Strategies 
Over $100 Million of Revenue Increases for 1,500 physicians in 29 states
If you missed it at the national MGMA 2016 conference, here's your chance!

You preach to your patients the effects of diet and exercise on their cardiovascular health. You explain the dangers heart conditions lead to and how to prevent them through lifestyle changes, but it's not common for you to mention psychiatric conditions in your practice. However, that might change due to recent studies conducted in Sweden and Finland.

The switch from the traditional model of fee-for-service (FFS) reimbursement to value-based reimbursement is arguably one of the largest and most significant policy changes going on within our country--and it's only just getting started.  Many unknowns exist, which can be unnerving for providers. For instance, nobody knows exactly how long the transition will take, and its impact on our healthcare system, particularly during the interim period (which could take years), has yet to be seen. Additionally, since Medicare expenditures and the expansion of Medicaid have been on the rise to accommodate for our aging baby boomers, the system as it is already has put put a significant strain on facilities' revenues, since Medicare/Medicaid patients are generally not profitable.

Health care professionals understand that patient care is always the top priority, however there is one component of patient care that everyone who works in a private physician’s office needs to pay greater attention to, and that is coding. It benefits the clinical staff immensely to have a good working relationship with the persons in their offices who are responsible for billing because communication is the key to ensuring that the best quality of care is being delivered to every patient.

Just because you have a full patient load doesn't mean you should put a halt on your marketing. It doesn't take long for changes to occur within your practice that alter your patient list and ultimately change the revenue you generate. Can you honestly afford to have slow spells when you yourself have financial obligations inside and outside of your practice?

Mohs surgery is a technique in dermatological cancer removal that's been around for many years but still proves to be useful by the test of time. It's considered a precision technique since it consists of removing thin layers of the skin where the cancer is until all cancer is removed. This technique is considered beneficial since it removes the least amount of skin possible, making it less invasive than many other techniques. However, not every individual qualifies for this surgery. 

Ambulatory surgery centers (ASCs) are seeing more competition than ever, according to Becker's ASC Review. Hospitals are offering many of the same services ASCs do, and are also becoming joint venture partners in local ASCs. In some areas, the market is saturated with ASCs, whether independent or connected to hospitals. This means it can be more difficult for ASCs to attract physician partners and obtain high buy-in from them. It can also create issues when attempting to negotiate contracts with payers. Of course, a saturated market means each ASC must try harder to attract and retain patients for itself as well.