3 Things to Consider When Choosing An Outsourcing Company

The revenue cycle management (RCM) industry is competitive and growing as hospital roll ups increase and insurers pay less. RCM companies are pushed to do more for their clients while facing downward pressure on the prices they can charge. Given this dilemma many RCM companies look to offshore outsourcing companies to help keep costs down,…

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4D Global Named 1st for Medical Billing & 6th for BPO!

4D Global Named 1st for Medical Billing & 6th for BPO!   In their annual report of the highest performing B2B companies in the world, Clutch has identified the best of the best in everything from branding agencies to call centers. In fact, their team has named us first and sixth in the world for…

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CMS Adds Administrative Simplification Fact Sheet And Infographic On Its Website

The Centers for Medicare and Medicaid Services (CMS) has been actively trying to strengthen their online presence on the topic of HIPAA Administrative Simplification over the last few months. A few months earlier, CMS successfully launched a new website, which was entirely dedicated for Administrative Simplification. The website launched by CMS contains information on covered…

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Congress Announces Bipartisan Agreement On $1.1 Trillion Spending Bill

The Congress has declared a new bipartisan agreement on a compilation of appropriations Bill used to support the government for the rest of the fiscal year. Since the previous year, the Congress has been actively involved in passing short-term Continuing Resolutions (CR) for funding the government. A recently passed CR has expired and the Congress…

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The American Healthcare Act Passed By House Republicans

The American Healthcare Act (AHCA) is hot discussion in the healthcare industry today. The House Republicans had canceled voting on the bill previously, as there were not enough members committed to support the bill earlier. However, on May 4, the House Representatives have passed AHCA by a vote of 217 against 213, to repeal and…

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The Need Of Credit Balance Resolution

Experts say that credit balancing is the “stealth aircraft of hospital patient accounting,” as credit balance is a liability that is hidden in the account receivable folder. Credit balancing is very important because the liability carries with it serious and real, compliance, and financial risks. It is the responsibility of your medical billing service to…

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States Looking To Revamp Medicaid Expansions

Dr. Tom Price is the new secretary of Health and Human Services and the future of Medicaid under Dr. Price will be revealed soon, as the HHS has to decide if Arizona and Kentucky can remodel their efforts to expand Medicaid. States like Indiana, Arizona, Montana, Michigan, Iowa, and New Hampshire currently operate their Medicaid…

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Implementation Of The New Payment Models Delayed By CMS

The Centers for Medicare and Medicaid Services (CMS) has released an Interim Final Rule on March 21, 2017, which delays the effective date of many new Medicare payment models that were developed and introduced by the CMS Innovation Center, along with the introduction of updates to an existing model. To be specific, the Interim Final…

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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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