Stalled Healthcare Bill Puts Pressure On HHS Secretary

The stalling of the health care bill has put increasing pressure on President Donald Trump and the new Health and Human Services Secretary Tom Price. Together, both of them are presented with the intricate task of managing the law, which remains increasingly unfavorable among most members within the Republican Party itself. In addition, they will…

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CMS Trying To Attract More Doctors And Patients To ACO

Recent reports suggest that the CMS is trying to improve provider and patient participation in Accountable Care Organizations (ACOs). They are planning to improve participation by automating the process to pair patients with the doctors who are participating in the ACO models. This means that in the coming weeks, Medicare beneficiaries will be able to…

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How To Talk To Your Clients About Outsourcing

I get the same question all the time from existing and prospective clients “Do I tell me clients that I am outsourcing their work to India or not?”.   Typically, medical billing companies have contractual provisions whereby the medical providers authorize the billing services to be performed by employees, agents, contractors, and subcontractors of the…

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The Expansion Of Bundled Payment Programs Has Been Delayed By The CMS

In the latest move, the Centers for Medicare and Medicaid Services has delayed several bundled payment initiatives. This includes the implementation of cardiac bundled payment initiatives and the expansion of Comprehensive Care for Joint Replacement Model. In addition to that, this new policy from CMS will also extend Cardiac Rehabilitation Incentive Payment Model’s effective date…

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Three Things I Learned About Doing Business in India

I first traveled to India over ten years ago.  At the time I owned a medical billing company and wanted to research the medical billing BPO’s in Chennai.  It was a time before social media.  Any company could have a website and make it appear as if they had a large company when in reality…

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Trump’s 2018 Budget Proposes Highest Priority For Medicaid And Medicare Programs

President Donald Trump’s upcoming fiscal budget for 2018 is expected to direct more funds to curtail many of Medicare and Medicaid frauds, wastages, and abuses. It indicates major changes to Medicare, Medicaid, and the Children’s Health Insurance Program. This new proposal in the upcoming budget is made with the intention of focusing the agency resources…

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Doctors Remain Clueless About MACRA Compliance Requirements

It is reported that doctors are potentially facing loss of millions of dollars in Medicare reimbursement. This is due to the lack of MACRA-related guidance from the CMS, says a letter from the Medical Group Management Association (MGMA) to the CMS. In a final rule that was announced last year, CMS said that they would…

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How To Deal With Employee Resistance To Outsourcing

Employees and most human beings fear the unknown.  When an employer announces that they are outsourcing any kind of work employees get nervous and worry that their job is in jeopardy.  I have studied this process extensively and have facilitated the movement of many medical billing tasks offshore successfully.  I have listed some of the…

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CMS Launches A New National Campaign For Promoting Coordinated Care Program

Health care providers in the country are leaving millions of dollars in federal funding, which will certainly help them to provide better health care to the sickest beneficiaries of Medicare. The CMS recently announced that they are planning to launch a national campaign for encouraging the physicians to take advantage of these funds. A recent…

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American Health Care Act To Repeal And Replace ACA

The Republicans have finally revealed their much-awaited legislation for replacing the Affordable Care Act. The health bill, named American Health Care Act, aims in phasing out key aspects of the law over a course of several years as the stalemate between the moderates and the conservatives in the party continues. The American Health Care Act…

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