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GroupOne Health Source Blog

GroupOne Revenue Cycle Blog 

Insights to guide your practice.

 

A Review of the 2018 CPT Code Set Updates

by Kaitlyn Houseman on December 14, 2017

The new year is almost here meaning it is time for new Current Procedural Terminology (CPT) code changes! The 2018 CPT code set comes with a number of changes that may affect claims processing so it's time to start reviewing which codes affect your practice in order to prevent revenue cycle management disruptions. 

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Topics: Medical Coding

What You Need to Know Now: Analyzing the 2018 MACRA Quality Payment Program Final Rule

by Kaitlyn Houseman on November 3, 2017

Yesterday the Centers for Medicare & Medicaid Services (CMS) issued the final rule with comment for the second year of the Quality Payment Program (calendar year 2018) as required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The changes reflect the commitment CMS has made to minimizing the burden of participation in the Quality Payment Programs while still focusing on meaningful measurement and improved healthcare delivery.

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Topics: Revenue Cycle Management, MACRA, MIPS

12 Eye-Opening Patient Pay and Healthcare Payment Market Statistics You Should Know

by Kaitlyn Houseman on September 14, 2017

With the increasing number of high-deductible health plans, optimizing your revenue cycle management for patient pay collections is no longer a matter of if, but when. These 12 eye-opening patient pay and healthcare payment market statistics are sure to convince you that focusing your revenue cycle efforts on patient pay collections is worthwhile.

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Topics: Revenue Cycle Management, Patient Payments

5 MIPS Myths Debunked!

by Kaitlyn Houseman on September 8, 2017

 As we near October 2nd, the last day to start participating in MIPS and satisfy the 90-day minimum performance period, it's important to separate fact from fiction. According to CMS, nearly 600,000 clinicians will participate in MIPS under the Quality Payment Program but there's still some confusion surrounding participation options, eligibility, and the program in general. Here we'll clear up some common misconceptions about the MIPS program to help you better understand what MIPS is and how it affects your practice.

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Topics: Revenue Cycle Management, MACRA, MIPS

CMS Proposes Quality Payment Program Rule for 2018: Here's What You Need to Know

by Kaitlyn Houseman on June 23, 2017

On Tuesday, CMS issued a proposed rule that would make changes in the second year of the Quality Payment Program. The proposed rule includes changes that would not only simplify the program, but also ensure high-quality care within Medicare is at the forefront of the Quality Payment Programs. Here's what you need to know about the proposed rule for the 2018 performance period.

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Topics: Revenue Cycle Management, MACRA, MIPS

How Practices Can Start Preparing for New Medicare Cards

by Kaitlyn Houseman on June 22, 2017

CMS will issue new Medicare cards starting in April 2018 with a new unique, randomly-assigned number called a Medicare Beneficiary Identifier (MBI) to replace the existing Social Security-based Health Insurance Claim Number (HICN) both on the cards and in various CMS systems we use now. However, both the MBIs on the new cards and the Social Security­ based HICNs that exist on the cards today, can be used. Here's what you need to know to start preparing your practice for new Medicare cards.

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Topics: Revenue Cycle Management, CMS

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