In today’s connected world, almost everyone has heard the term HIPAA, or Health Insurance Portability and Accountability Act, and has some idea that it’s related to healthcare privacy. However, some entities tout themselves as being HIPAA Certified. What does that mean, especially to a company looking for this type of certification?
Healthcare Resource Group (HRG) announced today their ranking as No. 1 for Extended Business Office in the customer-rated 2019 Best in KLAS: Software and Services Report published January 31, 2019. This ranking was achieved through customer interviews and grading of HRG in categories pertaining to loyalty, operations, product, relationship, and value.
The ICD-10 frenzy came and went. Armageddon type reparations were made for the major overhaul ICD-10 brought about. Employers hired extra coding staff in preparation of possible delays while coders adjusted to the higher levels of specificity. Now ICD-11 is coming and preparations have begun. Let’s look at what ICD-11 will bring and how you can be part of the upcoming changes.
Beginning in 2019, Medicare (CMS), will begin paying for virtual care visits under the Medicare Physician Fee Schedule. As recently published in the fee schedule regulations, this is what we know:
The AMA changed 335 codes for 2019, to reflect scientific and technological advances in medical, surgical, and diagnostic services. Several new codes reflect the possibility of using connected health tools and other new delivery systems to improve healthcare quality.
Great news! Under the 2019 proposed Medicare Physician Fee Schedule, Medicare (CMS) is now considering payment for virtual care visits (brief technology-based communication).
I’ll admit right up front, I am not a millennial. I’m sure that makes a few colleagues chuckle, but it puts this blog in perspective. I was recently conducting research for a blog on “patient-friendly billing for healthcare organizations.” What I discovered was a strong current referencing the influence millennials will have on purchasing--all purchasing.
We can all learn the definition of Modifier 25, “Significant, separately identifiable evaluation and management [E/M] service by the same physician or other qualified health care professional on the same day of the procedure or other service,” but do we really understand the meaning of it?
Managing claim denials is essential in the revenue cycle, recouping lost healthcare revenues and maximizing reimbursements. So what if you could stop (or at least reduce) claim denials in their tracks?
HRG’s culture celebrates excellence. Our employee-owners’ excellence has driven growth and created a stimulating environment of innovation and service,” says, HRG President, Greg West. “This has driven a broader strategy requiring new leadership positions and additional business development across the country.”
Implemented on March 5, 2018, CMS relaxed the teaching physician guidelines to allow for broader usage of medical student documentation. Previously, CMS restricted student documentation to solely recording the review of systems (ROS) and past medical, family, and social history (PFSH). The teaching physician would need to document or re-document any other aspects of the visit. The update allows the teaching physician to utilize the student’s documentation of the entire visit.
HRG recently announced it signed 63 new and 28 renewing and add-on solution revenue cycle partnership agreements in the first half of 2018, and is on pace for a remarkable second half.
Healthcare Resource Group (HRG) recently announced it was selected as a revenue cycle management partner to assist Midland Memorial Hospital (MMH) in a $45 million legacy AR cleanup.
Healthcare Resource Group (HRG) was recently notified by Modern Healthcare, that we had been selected as one of their 2018 Best Places to Work in Healthcare. In 2017 and 2016, we were awarded similar recognitions by Fortune magazine and have been awarded several regional awards for the same reason. This is an honor we are extremely proud of and have worked diligently to achieve.
On April 24, 2018, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule that, in addition to many other policy revisions, is seeking to increase price transparency. If the proposal passes, the rule would require hospitals to post their pricing online.
Did you know there’s a competition to determine the “best” coder? The 2nd Annual ICD-10 Coding Contest took place July 14 - August 11, 2017. Central Learning sponsored the coding competition and recruited coders from all over the nation to participate in coding a total of 1,636 real medical record cases. Ninety-nine percent of the participants were certified coders. The inpatient coders who participated had an average of 14.3 years coding experience while the outpatient coder experience averaged 9.9 years.
With Healthcare Resource Group (HRG) being the largest employee-owned revenue cycle management company in the country, our biggest strength is the people that work here.
We recently announced we've invited, John Nulty, a healthcare revenue cycle solution veteran, to lead our national sales team as Vice President of Business Solutions.
We’ve all experienced both love and hate for something, admit it. I confess, I continue to experience a love-hate relationship with Denials. Let me explain.
The healthcare industry is maturing to meet the demands of the country’s aging population. As Americans grow older, they consume more healthcare services. Not surprisingly, the U.S. Bureau of Labor Statistics reports medical coding is expected to grow by 15 percent in the coming years.
HRG optimizes business development territories to better serve client need.