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Top Goals for Physicians to Implement In Their Facility
The changing political trends have affected the way physicians are implementing changes in their functioning
at work, be it at clinics or hospitals. Keeping up with the times is the need of the hour and hence never
knowing which way the winds will blow, physicians should initiate certain goals that can help them ride the
rough weather when it comes and sail through the smooth times. Here we shared information on Top Goals
for Physicians to Implement In Their Facility
So What Goals Can Physicians Implement?
Based on a recent online research Toluna’s healthcare panel of 500 physicians revealed that nearly 9 in 10
respondents ranked “achieving work-life balance” as their most or second most-important resolution for
2017. This was followed by 69 percent who ranked “staying up-to-date with technology,” and 58 percent
ranked “taking advantage of more leadership and training opportunities”.
The latter two goals can help achieve the former and topmost goal of achieving a work-life balance. Let’s see
how this can be achieved.

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Top Goals for Physicians to Implement In Their Facility
Taking Advantage of More Leadership and Training Opportunities:
Effective beginning January 2017, the MACRA of 2015 was initiated to attempt to increase clinician
engagement in value-based care by fundamentally changing how Medicare reimburses physicians for the care
of its beneficiaries. New requirements imply that reimbursement is tied in part to participation in the MIPS,
which encompasses physician quality reporting. Reporting on clinical quality measures itself is not new. MIPS
helps consolidate a number of more familiar Medicare initiatives, including the previous Physician Quality
Reporting System (PQRS). And, after a period of data collection, analysis, and scoring, MIPS will begin
exposing eligible physicians to potential payment adjustments totaling upwards of 4% and potentially as high
as 9% of their overall Medicare Part B payments.
Many measures relevant to improving quality will have varying degrees of challenges and commitments.
However, those submitted under MIPS may either be measures that possess such features or are instead the
most common, accessible, and/or convenient to report. And if the Affordable Care Act is replaced by a new
one, physicians will have to be able to integrate the old with the new strategies to keep the balance they are
seeking.

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Top Goals for Physicians to Implement In Their Facility
What Would Be Required To Achieve The Above Goal In Their Facility?
By keeping abreast with all the new changes in rules & regulations, and updating oneself with knowledge
shared among peers. Do physicians have the time for that plus attend to their patients? A recent study
revealed that “for every hour spent with patients, physicians spend two hours on EHR and desk work”. So
how would they be able to lead, train for new opportunities, and keep the workflows and processes
streamlined at their facilities? The best answer to the above would be to outsource the “administrative and
operational” functions to a third-party vendor so that they can meet the MACRA goals of value-based care
and simultaneously increase their reimbursements
Staying Current with Technology:
This not only involves keeping updated with the rules & regulations and the need to automate their
workflows and processes and infrastructure but also focusing on medical equipment to better implement and
update the facilities to cater to the patients. Moreover, many physicians have also taken to working the social
media platforms to better communicate and implement strategies to reach out to their patients, with the
right information at the right time. Here physicians have to have time to be able to devote and inform their

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Top Goals for Physicians to Implement In Their Facility
patients- schedule appointments, answer their queries, ensure eligibility and verification of their insurance,
see that the staff at their facilities are conversant with the updates and able to respond positively to patients
with changes in insurance demands and payment schedules, etc. All this requires infrastructure changes,
software updates, and training.
Do physicians have that kind of investment to put in? Does the staff have up-to-date training and knowledge?
Or are they stressed and curt with the patients? This in turn can cause a loss of footfalls of patients and
impact the value-based care reimbursement cycle hitting hard the Revenue Cycle Management process. The
solution, here too, would be to tie up with a partner who handles the infrastructure and administrative and
functional processes like coding and billing, claims management process, audit reports, etc., and can help
staff and physicians concentrate on the main focus- having happy & satisfied patients- a much-needed goal
for an effective MACRA based reimbursement
Achieving Work-Life Balance
Once the above two goals are in place, physicians can then definitely achieve a fairly balanced work-life
system. And how does this then help physicians set goals that they can implement at their facility?

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Top Goals for Physicians to Implement In Their Facility
Once the “infrastructure” details and “administrative workflows & processes” are set up with vendors who
have been researched thoroughly and the right queries asked with respect to the needs & requirements
listed by physicians, then certain goals implemented within the facility can be put into place
1. Train the staff with the help of the experts to handle the simple queries of the patients walking in.
2. Tighten up the process for verification and eligibility of insurance plans so that physicians do not lose out
on reimbursements.
3. Have coordinators appointed to work with the medical billing and coding expert third-party vendors to
verify and streamline the claims process?
4. Put into place a well-coordinated team to handle the claims and follow up the A/R process to handle
rejected or denied claims.
5. Implement stringent documentation so that the above can be implemented with ease.

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Top Goals for Physicians to Implement In Their Facility
Once the above 5 goals are implemented, this paves the way for the staff to have less on their hands and
thereby handle patients with care and focus on their queries with more thoughtfulness. Focus on Value-
based care will definitely help implement an increase in the quality of care which brings in satisfied and
happy customers.
Last But Not the Least, and Extremely Important: Stringent Documentation
Yes, trying to achieve your work-life balance is important, as once more in tune with oneself, delivery of care
becomes much more important given the burn-out rates among physicians these days. However, two
important goals that are extremely important in today’s world of changing rules & regulations, coupled with
fraud and misuse and abuse of the systems, is the need for strict and stringent documentation. To achieve
this very important goal, physicians need to train their staff on the consequences of fraud and abuse of the
systems. No matter what changes in rules and regulations take place in the medical domain or in the medical
coding and billing section, documentation is the core that will help commit fewer errors in coding & billing
and will provide the much-needed support as proof in claims management.

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Top Goals for Physicians to Implement In Their Facility
Once the staff is aware of the pitfalls and monthly training with awards provided, this will boost the staff into
higher productivity coupled with enhanced streamlined workflows & processes, and thereby dealing with
patients will be much easier and thus handling more patient footfalls.
Summing Up the Goals
To Sum Up, The Goals That Can Be Implemented:
• Streamlining the workflows and processes
• Training staff and putting in place coordinators
• Outsourcing sections/or the entire RCM process that requires adherence to the changing rules &
regulations & thus lowering operational costs in follow-ups
• Putting into place a team to improve the quality of care for patients
• Stringent Documentation

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Top Goals for Physicians to Implement In Their Facility
If you are looking for a Medical Billing company that can help you with Top Goals for Physicians to Implement
In Their Facility and improve financial performance, Medical Billers and Coders (MBC) is the right choice for
you. Contact us today at info@medicalbillersandcoders.com/ 888-357-3226 for a free consultation.