Tag Archives for Healthcare Reform

High Expectations for Physician-Owned Hospitals

New Regulations for Physician-Owned Hospitals The ACA has a lot of say about physician-owned hospitals. There are new and stricter regulations, and they have having a very large impact on how these types of hospitals operate. Let’s start with some facts about physician-owned hospitals: • The ACA defines a physician-owned hospital as any hospital that has a majority ownership (51% or greater) by physicians or physician investors • There are currently 238 physician-owned hospitals in the US • 5% of Continue Reading

Filed Under: Medical Billing and Coding Topics

Essential Health Benefits Under ACA

Affordable Care Act Benefits One of the biggest changes in the ACA is what benefits are required to be covered under all qualified health insurance plans. The list is referred to as the Essential Health Benefits Package, and it can be found in Section 1302 of the ACA. Every qualified health insurance plan has to cover the following 10 items, and can’t deny them to a member based on age, expected lifespan, disability, quality of life, gender, or race. 1. Continue Reading

Filed Under: Medical Billing and Coding Topics

New Quality ACA Reporting Standards

Affordable Care Act Updates ACA Reporting Standards One of the major provisions in the Affordable Care Act (ACA) isthe new set of quality ACA reporting standards for all medical facilities. Hospitals, medical centers, outpatient centers, nursing homes, home health agencies, etc. now have to provide yearly reports on their patient outcomes across 44 quality-of-care measurements. These reports used to be voluntary, and technically still are, but refusal to participate in this program could cost a facility their Medicare/Medicaid reimbursements. For Continue Reading

Filed Under: Medical Billing and Coding Topics

Why Do Doctor Bills Vary Widely?

The Primary Goal of Healthcare Reform is Cost Containment Guest Post by Holly DeMuro, CPC Healthcare costs in the United States have skyrocketed in recent decades. Recently, the Huffington Post ran an article discussing major disparities in the cost of simple procedures like an appendectomy. These dramatic differences in costs have many people scratching their heads asking how it is possible that fees can vary so dramatically for the same procedure. While the Huffington Post article was referring to hospital Continue Reading

Filed Under: Medical Billing and Coding Topics

EHR Update: 6 More Things to Consider

HITECH Act and Meaningful Use: Reasons to Implement and EHR I just got an e from Jonathan Krasner from BEI Healthcare with an interesting article he wrote about things to consider in your Electronic Health Records (EHR) selection that I would like to . Here is the text of Jonathan’s post: While HITECH and Meaningful Use have given practice managers and physicians good reason to lo at implementing EHRs, many other trends and themes related to EHRs are beginning to Continue Reading

Filed Under: Medical Billing and Coding Topics

Medical Billing and Facebook : A Prescription for Success

and Healthcare a Good Combination Capture Billing has setup a Fan Page to help medical practices come together, ask questions and help each other. Over the past decade or so, healthcare has become a highly regulated field. There is a maze of Medicare and Medicaid regulations along with patient privacy laws that must be followed.  Don’t adhere to them and risk allegations of fraud, civil penalties and possibly even jail time.  Now add Healthcare reform to the mix Continue Reading

Filed Under: Medical Billing and Coding Topics

Video Released to Help Physicians Bill Insurance for the H1N1 Swine Flu

With Healthcare Reform just around the corner and all the new regulations already placed on physicians in the American Recovery and Reinvestment Act (ARRA), Capture Billing & Consulting, Inc., is helping doctors and medical billers wade thorough and sort out information with its new Medical Billing Minute videos.  The one minute long videos will cover a multitude of topics relevant for today’s physicians to help them through the maze of coding, billing and compliance regulations. The first video walks physicians through how Continue Reading

Filed Under: Medical Billing and Coding Topics

Video Released to Help Physicians Bill Insurance for the H1N1 Swine Flu Vaccine

Capture Billing & Consulting, an Outsource Medical Billing Company, produces one minute videos to help healthcare providers on topics including coding and billing for the H1N1 Swine Flu Vaccine.  Washington, DC (Vocus) October 22, 2009 — With Healthcare Reform just around the corner and all the new regulations already placed on physicians in the American Recovery and Reinvestment Act (ARRA), Capture Billing & Consulting, Inc., a medical billing and practice management company, is helping doctors and medical billers wade thorough Continue Reading

Filed Under: Press Release