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GroupOne Health Source Blog

GroupOne Revenue Cycle Blog 

Insights to guide your practice.

 

Meet Revele: A New Era for GroupOne Health Source and Pradot

by Kaitlyn Houseman on January 6, 2020

Every company needs to have a strong brand. It is an essential piece of a marketing strategy, but for GroupOne Health Source and Pradot, it's much more. We have been busy over the past couple of months developing our new brand and launching our new website, and now we're taking you behind the scenes to understand why our new brand is more than just a piece of our marketing strategy.

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Topics: Revele

MIPS Tips and Resources for Small Practices

by Kaitlyn Houseman on November 7, 2019

The maximum MIPS penalty increases to -7% for the 2019 Performance Year, meaning depending on your MIPS performance, you could see a minimum of $6,300 in payment adjustments per eligible clinician come 2021. For smaller practices, not participating can cause major disruptions in practice revenue but participation in the Merit-based Incentive Payment System can sometimes be equally as costly. Here, we’ll review how smaller practices can move towards MIPS participation and how participation, while expensive, can be beneficial.

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Topics: MACRA, MIPS

UnitedHealthcare Will No Longer Reimburse for Consultation Services

by Kaitlyn Houseman on May 17, 2019

UnitedHealthcare (UHC), one of the nation's largest Medicare Advantage plan providers, has announced that it will no longer reimburse CPT® codes 99241-99255. UnitedHealthcare will take a phased approach to the change in the consultation services policy. According to UHC, the change aligns UnitedHealthcare with the Centers for Medicare and Medicaid Services (CMS) to end reimbursement codes for consultation services.

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Topics: Revenue Cycle Management, Medical Coding

The Top Questions to Consider During RCM Vendor Selection

by Kaitlyn Houseman on November 20, 2018

Today's healthcare leaders understand that they must consider outsourcing revenue cycle management to reduce spending and focus on value-based care initiatives. What kinds of revenue cycle management questions should healthcare organization leadership ask before signing a new RCM vendor contract? Here we will explore just that and share the top ten questions to consider during the RCM vendor selection process.

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Topics: Revenue Cycle Management

A Review of the CMS 2019 Physician Fee Schedule and Quality Payment Program Final Rule

by Kaitlyn Houseman on November 13, 2018

The release of the Centers for Medicare and Medicaid Services' 2019 Physician Fee Schedule and Quality Payment Program final rule offered dramatic improvements for clinicians and patients. CMS is expanding the list of Medicare-covered telehealth services while also focusing on finalizing an overhaul of EHR requirements to promote interoperability. According to a CMS fact sheetCMS finalized several items designed to reduce the regulatory burden on physicians, effective January 1, 2019.  However, the controversial streamlined payment rates will be postponed to 2021 after an overwhelming amount of concern was expressed from the medical community.

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Topics: Revenue Cycle Management, Medical Coding, MACRA

A Complete Guide to the 2019 ICD-10-CM Code Updates

by Kaitlyn Houseman on October 11, 2018

The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) released the 2019 ICD-10-CM code changes earlier this year. These codes are to be used from October 1, 2018 to September 30, 2019. With hundreds of changing, preparing for the 2019 ICD-10-CM code updates can seem overwhelming. In this post, we'll cover some of the changes taking place and share our comprehensive ICD-10-CM code guide to help you navigate all of the coding changes.

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Topics: Revenue Cycle Management, Medical Coding

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