By Michael MacLaren


Oct 23, 2015

Providers who owe federal taxes will see an increase in withholdings

Providers who owe federal taxes will see an increase in the amounts the Centers for Medicare & Medicaid Services (CMS) withholds in Medicare payments from 30 percent to 100 percent starting October 16, 2015. In April 2015, the Internal Revenue Code Section 6331(h) was amended by the Medicare Access and CHIP Reauthorization Act of 2015, […]



Jul 24, 2015

Medicaid is growing in Florida

TALLAHASSEE — Although lawmakers rejected a plan to expand it, Medicaid continues to grow in Florida. A new estimate from state economists shows the health care program for the poor and disabled will serve a record 4 million Floridians this year, a 6.6 percent increase over the prior year that ended June 30. The estimate, […]



Jul 14, 2015

Healthcare providers in mad dash towards ICD-10

The transition to the new ICD-10 codes is a $1.64 billion adjustment for the health industry. While larger practices have more resources to make the change, the solo physician practice may still have work to do. With implementation of ICD-10 less than three months away, revenue cycle teams are breathing a little more easily since […]



Jul 9, 2015

A 4-point check-up for your revenue cycle management

There are a few ways that practice managers and providers can easily perform a profitability check-up against best practice benchmarks. Just like focusing on providing quality care to patients is critical to a health care practice, bottom line management can make the difference between successful claims handling and a battle of denials and errors. Time […]



Jun 23, 2015

The Medicare Strike Force on Thursday filed charges

The Medicare Strike Force on Thursday filed charges against 243 doctors, nurses, licensed medical professionals, health care company owners and others for allegedly submitted a total of $712 million in fraudulent billings, the result of a nationwide sweep that’s being called the largest healthcare fraud takedown history. The Medicare Fraud Strike Force targeted fraud in […]



May 21, 2015

Patients turned Shoppers

The rise in deductibles, copays and out-of-pocket premiums that has turned patients in to shoppers — a trend known as consumerism — has put an equal burden on healthcare providers. Especially when it comes to billing, collections and the other financial tasks tied to an organization’s revenue cycle. According to a new report by revenue […]



Apr 24, 2015

Five Facts about ICD-10

To help dispel some of the myths surrounding ICD-10, the Centers for Medicare & Medicaid Services (CMS) recently talked with providers to identify common misperceptions about the transition to ICD-10. These five facts address some of the common questions and concerns CMS has heard about ICD-10: 1. The ICD-10 transition date is October 1, 2015. […]



Mar 17, 2015

Optimizing the revenue cycle to support growth

Front-end financial processes–eligibility verification, registration, and patient payment and so on—set the stage for the rest of the revenue cycle. To remain competitive in today’s healthcare marketplace, physician practices must not only provide the best clinical care to their patients, but also optimize the way they manage revenue, making sure they preserve cash flow, limit […]



Feb 17, 2015

7 Advantages of Outsourcing Your Medical Billing

Medical billing can be a demanding and challenging task for small medical practices. For this reason, many physicians or practice managers make the choice to outsource their medical office billing to a professional medical billing company. There are many advantages to outsourcing medical billing. It saves time and money and eliminates the burden of concentrating […]



Feb 2, 2015

3 steps to engage patients with billing

With rising patient responsibility, a more powerful sense of “consumerism” has entered healthcare. A patient paying a significant medical bill is more likely to have high expectations of that experience and, similar to retail, customer satisfaction is becoming vital as patients begin exercising greater choice, both in how much to pay and where to receive […]