Substance abuse treatment centers are finding it’s become a complicated - even dangerous - world of reduced insurance reimbursements resulting in continually increasing patient / client receivables. In some cases, personal responsibility amounts are equaling, or even exceeding, what insurance reimburses.

When ADS began in 1977 “mips” was a typo for “maps.” A “good patient experience” meant he or she survived. “Mobility” meant you were able to make an appointment from a pay phone.

The following article first appeared on Medical Laboratory Observer (MLO) on September 25th, 2018. It was written by Advanced Data System's Vice President, Marc Klar. Like virtually every other entity in healthcare today, laboratories need to stay engaged and connected with the two groups of people most important to them: their referring physicians or sources (such as hospitals or companies that require employee testing), and the laboratory’s patients.

As a busy healthcare professional, it’s likely that you often find it too difficult to carve some time out of your schedule to keep up with industry news and events. Indeed, with technological advances and new research always coming down the pike, it’s increasingly important to stay on top of developments.

Quality in healthcare over quantity of healthcare delivered is the new focus in these United States. In an effort to boost quality, the government is encouraging health care providers to start using Alternative Payment Models (also known as APMs), as part of a broader effort to curb costs and improve efficiency.

You went into the field of medicine to help others. Today, that help involves a number of elements designed to ensure that providers, technology, and delivery methods are operating tightly to produce better results with less expenditure, especially as it applies to Medicare patients since the government is involved with that.

ASA Crosswalk Coding, base units. Concurrency, start / stop times. Time units. Difficulty. CRNA billing. Is there another specialty other than anesthesiology that needs to deal with requirements like these?

You may not have gone into medicine primarily for the money, but that doesn’t mean that you have to ignore economic realities, especially when it comes to getting paid in a more timely manner.

Making value-based (VB) healthcare work doesn’t have to be challenging if the practice, group, or network has two things: (1) the proper automation tools, and (2) the resources on which to rely in transforming them from fee-for-service into VB. First, a little VB background. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is a law designed to encourage more medical providers, otherwise known as “Eligible Clinicians” or “ECs” in MACRA-speak, to embrace VB medicine. For 2017, CMS has designated MDs, DOs, DDSs, DMDs, NPs, PAs, CNAs, and CRNAs as ECs. If you’re one of these, and you’re not exempt, you can and should move into the VB medicine world of quality vs. quantity.

Of course, your healthcare organization is set up as a business and you have to maintain good financial practices and standards to achieve your targeted range of revenue flow. But the work your team does is not designed primarily to make a profit as much as it is devoted to diagnosing, healing, and helping to maintain the health of each patient that passes through your doors.