How Obamacare will
impact medical billing in 2015?
It's now been over four years since the Affordable Care
Act, otherwise known as "Obamacare", officially went into effect in
the United States. However, we are just now learning the wide-ranging impacts the
legislation has had on the healthcare industry, and in particular on medical
billing in hospitals and doctor's offices throughout the country. While we
still don't know the scope of changes that are yet to occur, there are some
undeniable trends that seem to be making their way down the pipeline,
particularly as we prepare for the oft-mentioned "employee mandate",
which, if all goes according to the (often revised) plan, goes into effect in
2015.
Medical Billing Will Increasingly Become Outsourced
Medical billing has never been a particularly popular
activity in doctor's offices and in hospitals. Now, with the increasing number
of medical coding requirements resulting from the Affordable Care Act, medical
professionals are continuing the trend of outsourcing this work to companies
that specialize in it. According to a report there has been increase in the US
of a growing number of medical professionals who are choosing to outsource
medical billing to them.
By 2015, more doctors and hospitals are projected to outsource their medical billing than ever before, in large part thanks to Obamacare and growing administrative costs. The other less discussed (but no less important) consideration is that outsourcing medical billing reduces liability on the hospital or doctor's office.
Since 1983 we have been
helping physicians to operate practices as a business, over 500 Medicare and
Medicaid audits have given us the knowledge to develop the AccuChecker Product
Line including Claims Scrubbers and for the 10 years we have been involved in
HMOs Risk Management and have developed the MCAR Reports – Managed Care
Reports.
Today we can handle claims
file of professional services and perform Forensic Analysis, detect problems
and formulate solutions. Experience, confidentiality, the right team plus
proven claims scrubbing capabilities make us eligible to analyze any volume of
medical claims with decisive results -Government, Commercial & HMOs.
IN
our efforts to turn Medical Practice and Facilities into well organized,
automated, and paperless operations, HPP Management Group has spent countless
hours researching various solutions for HEDIS, PQRS, Medical Coding and
Reimbursement
At
HPP Management we assist you and your office staff with the ever changing mazes
and complexities that make up the insurance industry. Our innovative solution
merges web-based practice management software, electronic medical record,
coding, scrubbing and editing software with unparalleled insurance knowledge
and comprehensive business services, from eligibility verification, claims
submission, insurance collections, appeals, and fair hearings.
Medical
Practice Consultant
HPP
Management Group has team of professionals medical practice consultant that offer
a full range of services to physicians, whether the need is big or small,
temporary or permanent; coding,
collection, and A/R management processes, choose or change practice management,
electronic medical record systems, obtain strategic and tactical operations
consult, help with paying the bills, assistance with risk management planning,
personnel issues, payroll, manage care arrangement, etc.
Our Medical Practice Consultant Specialize in:
Ø
Expansion
Ø
Relocation
Ø
Risk
Management
Ø
Office
Workflow / Structure
Ø
Accounts
Payable Management
Ø
Regulatory
agency compliance
Ø
Practice
Purchase
Ø
Government
Programs
Ø
Credential
Management
Ø
Practice
management protocols
Ø
Insurance
contract negotiation
Ø
Fee
schedules and Charge-master
Ø
New
Practice Start up
Ø
Mergers
and Acquisitions
Ø
Forensic
Analysis of A/R
Ø
Managed
Care, Capitation analysis
Ø
State of
the art Technology systems
Ø Personnel hiring, training, and management
Also we can assist IPAs,
MSOs and large PCP practices that have Risk Operations for them we developed the
MCAR Reports – Managed Care Reports a complete set of management reports that
give complete awareness over what is happening with every HMO Plan that our
clients are involved with in risk operations. Our services range from just
producing MCAR Reports to extending our services assisting our clients in
managing risk.
By: Paul G. Silverio-Benet
Director of Operations
FOR MORE INFORMATION PLEASE CONTACT:
HPP Management Group, Corp.
Developers of the AccuChecker Product Line
Phone: (305) 227-2383
Email: sales@accuchecker.com
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