Centers for Medicare and Medicaid services are changing payments to Medicare Advantage plans to reflect the health status of each beneficiary. CMS uses Medicare advantage risk adjustment methodology to ensure that the Medicare Advantage features work effectively by paying more for registered users, who are expected to cost more to take care and less for …
An EMR system is well-defined as an electronic record of health linked information of patients; and the records can be generated, collected, controlled, and accessed by authorized clinicians, clinical staff, and health care providers. The electronic medical records are in fact digital archives of the patient records that can be organized into digitally accessible archives. …
An electronic health record (EHR) system is primarily a digital handler of patient health records. The system electronically stores patient health records and is most capable of sharing it with other integrated systems. EHRs are now smart enough to not only handle patient health information rather integrates with a patient portal, record billing information, and …
The healthcare law of Patient Protection and Affordable Care, as well as increased transparency and access to patient information on the quality of care providers, has transformed the whole system. Such a shift has paved the path for pay for performance programs. What is the incentive for enrolling in the programs, why should there be …
What is Vaping? It is becoming a popular trend; smokers are stopping out their traditional cigarettes and picking up the Vapes. Vaping is similar to smoking but instead of smoke, it is the inhalation and exhalation of the aerosol. It’s often referred to as vapor manufactured by an e-cigarette or similar device. The terminology is …
No matter what lies behind the name fraud, it’s an illegal activity that conceals the unlawful gain obtained by the unfair means and performed to deprive a victim of his legal right. According to recent statistics, the US economy had borne around 60 billion dollars annually in health insurance frauds. This is the high time …
In the medical billing process, often two questions are asked, whether the ICD-10 is more specific when it is related to ICD-9 or if ICD-10 has gotten rid of unspecified codes. However, there’s no such answer to satiate the need because it all boils down to the intent. Besides, the process of coding is not …
What determines the best healthcare system is how much the country spends on the quality of the health care provided and what are the outcomes of that spending. Moreover, it depends on the availability of healthcare services and obviously how effective it is at keeping the country’s populous healthy. At what cost, what consumers are …
Last year over 600 individuals were charged for healthcare fraud schemes in the United States involving over $900 million in false and unethical medical billing practices. There is no end to it, every year a huge number of medical practitioners are accused of healthcare frauds worth billions. Basically, frauds in the health care industry are …
Electronic health records are beneficial in numerous ways. Both large and small physician practices are rapidly switching to electronic health records from paper charts. With the implementation of the electronic health record system, it becomes easier for healthcare providers to manage patient records and optimize their clinical processes. Besides, some simple benefits such as easier …