Physician credentialing is a detailed process that reviews physician qualifications and career history that includes education, training, residency, and licenses. It is an important process because it affects the cash flow of a practice.
"If providers utilize their IT to its fullest potential through an EHR, then they're going to be able to maximize their Medicare reimbursement in 2019," says Carrie Gulledge, director of EHR with MediSYS.
Most Alabama healthcare providers agree that the current Affordable Care Act (the "ACA") is not working and needs substantial revision.
Last month, a global cyber-attack of ransomware, called WannaCry, struck over 60 countries in one day.
As healthcare continues the journey of digital data generation and capture, the industry appears to be making real strides in the quest to be able to share and act on that data to meet healthcare's triple aim.
"Being in the cloud means you may have other companies using that same platform, because you're sharing a server," says Randy Rupp, security and compliance analyst with ICS Medtech.
In April, 2017 President Donald Trump presented an outline of his proposed tax cuts to the American People--"The 2017 Tax Reform for Economic Growth and American Jobs."
Around one-fourth of all American adults have a patent foramen ovale (PFO). Although present in all humans at birth, this small flap-like opening -- the foramen ovale -- in the wall between the right and left upper chambers of the heart, usually closes during infancy.
In 2014, CMS issued a final rule related to 42 CFR 424.535, which gave CMS expanded authority to impose penalties on providers. Although the rule is several years old, the first version published in 2006, the rule has been expanded over the years, and CMS's use and enforcement appears to be increasing.
While the work isn't finished, the latest data shows efforts to improve inpatient safety by implementing best practices are really paying off.
For three years, Chilton County has been without a hospital, which at times, has been challenging for the community. For instance, last year, when a school bus crashed in Clanton, the children had to be driven 30 miles away to Shelby Baptist Medical Center in Alabaster. Fortunately, none of the injuries were life-threatening.
PwC's Health Research Institute looks at areas of interest to the industry in 2017 starting with the looming questions surrounding the Affordable Care Act.
What will be next for health care in the United States? While there have been some successes associated with the Affordable Care Act ("ACA") such as health insurance coverage available for some Americans that had previously not had such access and increased emphasis on core quality standards such as avoidance of hospital acquired infections1, there are more critics than proponents.
ARCpoint Health has unveiled a new software tool to enable primary care physicians to garner greater reimbursements and better manage labs.
Insurers have jumped ship on the health insurance marketplace in Alabama. Started in 2014 under the Affordable Care Act (ACA), the exchange has offered options by insurance carriers to all individuals and small businesses with 50 or fewer employees.
Since I began writing this year-end review in 2013, there have been some common themes - a shift to pay for quality and away from fee-for-service, much of which has been brought about by the Affordable Care Act (ACA): efforts to combat fraud and abuse in the health care system; provider consolidation; Alabama Medicaid's ongoing struggle to cover the cost of health care for our most needy citizens; and increased regulations for the health care industry.
Long before the concept of 'patient engagement' became a rallying cry for the healthcare industry, Healthgrades was at work connecting the public to relevant information on providers and facilities in an effort to help patients make more informed decisions about care.
HIPAA and the fees for reproducing an individual's medical records may seem like old news but as recently as May 23rd, the Department of Health and Human Services (HHS) added clarification on this very topic.
You just formed your medical practice in Alabama, and you either chose a professional corporation (a "PC") or an LLC. If you went with a PC, you get to choose between an "S" corporation ("S corp") or a "C" corporation ("C corp") for federal and state tax purposes, both named after the Internal Revenue Code (the "Code") Subchapter that governs their taxation.
On August 22, 2016, the Internal Revenue Service released Revenue Procedure 2016-44, which updates conditions under which a management contract will not result in private business use (or "bad use") of property financed with tax-exempt bonds. Compliance with the new safe harbor may be essential to the continued tax-exempt status of related bond issues. Revenue Procedure 2016-44 supersedes its well-known predecessor, Revenue Procedure 97-13.
The Medical Association of the State of Alabama's (MASA) health insurance for members will rise 15 percent next year. "We didn't like 15 percent," says Mark Jackson, executive director. "But don't get me wrong, we felt fortunate that we were able to keep it at 15 percent."
Starting in 2019, Medicare's push toward value-based reimbursements will be within reach of the finish line. "It can sound terrifying," says Joni Wyatt, MHA, MHIA, CPHIMS, FHIMSS with Kassouf & Co. "But most practices have already done the work."
Last year President Obama signed into law the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA implemented significant changes in how Medicare reimburses doctors.
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