Blog: Healthcare Industry


Dec 1, 2017

What are medical coder qualifications?

Medical coding is a specialized field that requires significant study, certification and training. A medical coder needs to be efficient and speedy but also extremely accurate as mistakes can mean thousands of dollars. Make no mistake, medical coders play an essential role in the healthcare industry and are highly valued. Basic Requirements The U.S. Bureau […]



Jan 25, 2017

MACRA…is your practice ready?

MACRA- Medicare Authorization CHIP Re-authorization Act of 2015. Is your practice ready? Do you have questions about MACRA? Here is a link to a good web tool that explains a lot OR you can call our office and we can answer the questions for you. Visit: nrhi.org



Oct 27, 2016

Insurance rates will be increasing approximately 22% for 2017

In 2017, under the Affordable Care Act, insurance rates will be increasing approximately 22%. This hits consumers hard. Although, it is being said by the Obama Administration that federal subsidies will also increase which results in less people paying the full cost following the increase to get coverage. For additional information, check out this website: […]



Aug 24, 2016

Why Aetna is ditching some health insurance exchanges

Aetna has had a pretax loss of more than $430 million since January 2014. – Montgomery County Planning Commission/Flickr Aetna will stop selling health insurance on Affordable Care Act exchanges in about two-thirds of the counties it now serves. It will go from 778 counties to just 242 starting next year, which could mean less […]



Jul 28, 2016

Is HMO A Good Choice? Yes.

Insurance policies can be confusing. HMO plans keep monthly premiums low, by offering a select group of doctors and providers. The below video provides excellent information for both patients and doctors alike.



Dec 22, 2015

OCR Director Jocelyn Samuels Announces HIPAA Audits for 2016

Phase 2 HIPAA audits are scheduled to be starting early 2016. Private practices currently rank first and outpatient facilities third in the list of most frequent targets. These audits will be both desk as well as onsite. Recent settlements (a Midwest cancer care center for $750,000), indicate risk assessments are still not being done.



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 […]



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 […]