Running a successful independent practice today requires more working capital and cash flow than ever before. Revenue generated from Physician Dispensing can help with rising rent, malpractice insurance, and costs of employee benefits. The landscape for hiring personnel has also become more competitive. Large institutes offering higher wages to staff are making it more difficult for Continue Reading
Category Archives: Physician Reimbursement
Physicians across the country are exhausted and overwhelmed with paperwork, in part, due to increased regulation. Most doctors love interacting with patients. Unfortunately, current work trends are eroding job satisfaction. This trend is also impacting private medical practices financially. Physicians are spending more time with paperwork and less time with patients. An increase in prior authorizations Continue Reading
ACA exchange plans add financial stress to medical providers. Patients have a 90-day window to pay their premium, which leaves the physician exposed to unpaid patient claims. Enrollees that sign up for the new ACA exchanges and receive treatment for healthcare services, sometimes fail to pay their premium. This can leave the physician stuck with unpaid claims. Continue Reading
Maintenance of Certification (MOC) costs are another issue that physicians face today. The application fee for family physicians can range from $1,300 to $1,500. On top of the other financial burdens physicians face, this can add up to a significant amount of money. Physicians feel many times the test material does not reflect typical occurrences Continue Reading
Healthcare Reform is changing from fee-for-service to value-based payment models. Providers working with Medicare patients will begin to have difficulty of getting paid due to Affordable Care Act penalties. Doctors who do not participate in the Physician Quality Reporting System (PQRS) will face a 1.5% penalty in Medicare payments and 2% after that. Private insurance Continue Reading
Medical offices will see a one percent decrease in Medicare reimbursements for every year they don’t qualify for meaningful use requirements. The penalty will change by one percentage point each year to a total five percent. The challenge has been that some EHR vendors have struggled to obtain the proper certification to meet Meaningful Use Continue Reading
Staying compliant in an ever-changing digital world is a constant struggle for medical offices. The office of Civil Rights performs healthcare audits and fines practices for HIPAA violations. Fines for violations can range from $100 to $50,000 capping at $1.5 million annually. Unfortunately, fines are not the only potential cost the practice can face. HIPAA Continue Reading
No matter who you ask, ICD-10 implementation is costing practitioners a significant amount of time, money, and resources. The AMA estimates that a small practice could spend between $56,639 and $226,000 just implementing the new coding. Ancillary revenue generated from programs like physician dispensing services can significantly help practices pay for fees incurred during the transition Continue Reading