Welcome to MGSI LLC. We are one of the leading providers of medical billing & coding services. Partner with us to manage your medical bills & revenue cycles.
Healthcare service providers requiring quality and reliable yet cost effective medical billing services in California and other places in USA, can visit medicalbillinoutsourcing.net to subscribe to the scalable, comprehensive and cost effective revenue cycle management services being offered, considered to be one of the best in the USA outsourcing market.
Source: medicalbillingoutsourcing.net
Medical billing outsourcing assists health care entities through it’s revenue cycle management services, thus making the process smoother than ever. Medical billing outsourcing generally from USA improves revenue collection and ensures a smooth and consistent cash flow.
Payment posting in RCM seems like an afterthought, something that happens after the “real” work of medical billing ends. After all, you’ve done the hard part and got the payments in the door. Payment Posting is the crucial step in the Revenue Cycle Management process.
Trans-quest is a Healthcare Solutions provider..with a key focus on Revenue Cycle Management services for Physician Groups with a special emphasis on AR & Denial Management. Besides, Trans-quest has medical transcription capabilities and have been servicing various Group Physicians ranging from Multi Specialty, Cardiology, Endocrinology, Neurology, Ophthalmology, Oncology etc.
Basic Steps to Start Process
1. Infrastructure………………………………………….
2. Medical Billing Software……………………………..
3. EDI Enrollment……………………………………….
4. Requirement from Provider End……………………...
5. Data Migration Procedure…………………………….
6. India-US roles………………………………………….
7. India Operation Set up Flow Chart…………………….
8. Data Transmission/ Work Execution Flow Chart……
Healthcare service providers requiring quality and reliable yet cost effective medical billing services in California and other places in USA, can visit medicalbillinoutsourcing.net to subscribe to the scalable, comprehensive and cost effective revenue cycle management services being offered, considered to be one of the best in the USA outsourcing market.
Source: medicalbillingoutsourcing.net
Medical billing outsourcing assists health care entities through it’s revenue cycle management services, thus making the process smoother than ever. Medical billing outsourcing generally from USA improves revenue collection and ensures a smooth and consistent cash flow.
Payment posting in RCM seems like an afterthought, something that happens after the “real” work of medical billing ends. After all, you’ve done the hard part and got the payments in the door. Payment Posting is the crucial step in the Revenue Cycle Management process.
Trans-quest is a Healthcare Solutions provider..with a key focus on Revenue Cycle Management services for Physician Groups with a special emphasis on AR & Denial Management. Besides, Trans-quest has medical transcription capabilities and have been servicing various Group Physicians ranging from Multi Specialty, Cardiology, Endocrinology, Neurology, Ophthalmology, Oncology etc.
Basic Steps to Start Process
1. Infrastructure………………………………………….
2. Medical Billing Software……………………………..
3. EDI Enrollment……………………………………….
4. Requirement from Provider End……………………...
5. Data Migration Procedure…………………………….
6. India-US roles………………………………………….
7. India Operation Set up Flow Chart…………………….
8. Data Transmission/ Work Execution Flow Chart……
Vee Technologies provides a host of hybrid and versatile solutions for credentialing services. Our team expertly handles payer enrollment and contracting for our clients, turning an arduous task into a quick and easy process.
https://www.veetechnologies.com/industries/healthcare-payer/provider-network-data-management/credentialing.htm
Dan Wellisch gave this presentation to the Chicago Technology For Vaue Based Healthcare Meetup at https://www.meetup.com/Chicago-Technology-For-Value-Based-Healthcare-Meetup/
A comprehensive view of how Medical Billing works. How to prepare medical claims, patient eligibility, example insurance cards, Medicare / Medicade, authorization of services, charge entry, fee schedules, claim submissions, posting ERAs / EOBs, rejected or denied claims (and their correction), secondary claims, cycle of a claim, revenue cycle, provider info needed on a claim, evaluation and management: coding and evaluations and basic components, etc,. By Medwave Medical Billing & Credentialing at http://medwave.io.
Revenue cycle management (RCM) is the financial process, utilizing medical billing software, that healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance.
Complete Durable Medical Equipment (DME) Billing Guide | Sun KnowledgeMichael Smith
Sun Knowledge – A Practice Management and Revenue Cycle Management Company.
Contact Details:
New York Office - 41 Madison Avenue, 25th Floor, NY 10010
Phone - +1 212-400-6100, Email - contact@sunknowledge.com
Website - www.sunknowledge.com
DME Billing - http://sunknowledge.com/dme-billing-services/
Facebook - https://www.facebook.com/SunKnowledge
Twitter - https://twitter.com/sunknowledge
LinkedIn - https://www.linkedin.com/company/sun-knowledge
Google plus - https://plus.google.com/+SunknowledgeInc
Sun Knowledge provides Cost-Effective Solutions in Durable Medical Equipment (DME) Billing & Collections.
Sun Knowledge has a highly capable team of DME billing experts who can make life easier for you from the very first day. With Sun Knowledge by your side, you can leave all your DME billing worries to expert care. Outsourcing your DME billing requirements to us will allow you and your staff to concentrate on marketing, growing and running business operations, rather than managing a billing and collections department.
The Sun Knowledge Advantage:
The process starts with entry of orders and ends when the account has zero balance. This includes conducting eligibility checks, obtaining authorization, creating sales orders, scheduling delivery, submitting claims, managing rejections and denials, and proactively following-up AR.
Highlights
~ Follow-up on incomplete prescription with physician’s office
~ Follow-up for document collection (diabetic verification forms, LMN, CMN etc.)
~ Error free patient entry
~ Error free sales order creation
~ 100% HIPAA compliance
~ Real time transaction audits
~ Primary and secondary insurance verification
~ Insurance verification for rental items
~ Obtaining authorizations & extending authorization
~ Open order audit and clean-up
~ CPAP user compliance tracking and counseling calls to non-compliant patients
~ Claims submission within 48 hours of receiving proof of delivery
~ Rejection follow-up within 24 hours
~ Tracking and follow-up of partial or incorrect payments
~ Denial management based on detailed analysis
~ Methodical and proactive AR follow-up
~ Timely payment posting to reflect accurate AR
~ Customized reporting
Get started today.
We provide personal one on one billing services for your office and save you big $$$. Vocis has extensive experience in providing comprehensive billing services for just about every specialty. We provide end-to-end medical billing services, including following-up of pending claims, initiating collections, finding out reasons for denials of claims, and tracking outstanding receivable balances. With a relentless commitment towards providing high quality and cost effective billing and coding services to health care providers around the nation, VOCIS promises a higher level of service and value, as compared to any of our competition.
This process is complicated and depends on rules that are specific to payers and to the states in which a provider is located. Effectively, a claims appeal is the process by which a provider attempts to secure the proper reimbursement for their services.
Complete Prior Authorization Services | Prior Authorization Process GuidelineMichael Smith
Sun Knowledge – A Practice Management and Revenue Cycle Management Company.
Contact Details:
New York Office - 41 Madison Avenue, 25th Floor, NY 10010
Phone - +1 212-400-6100, Email - contact@sunknowledge.com
Website - www.sunknowledge.com
DME Billing - http://sunknowledge.com/dme-billing-services/
Facebook - https://www.facebook.com/SunKnowledge
Twitter - https://twitter.com/sunknowledge
LinkedIn - https://www.linkedin.com/company/sun-knowledge
Google plus - https://plus.google.com/+SunknowledgeInc
We act as the perfect facilitator between you & the Payer, eliminating all errors in the process of Pre-certification. Our full suite of Practice Management services includes a comprehensive and highly streamlined prior approval process that includes a) sending out the auth request, b) following up with the Payer, and c) obtaining the approval.
In addition, we also extend our support with fast and accurate patient eligibility verification and benefits verification that help prevent nasty surprises at the time of seeking reimbursement from insurance companies.
Looking for proven expertise in a dedicated niche? That's us!
As a disciplined vendor, we aim to centralize practices,
streamline them, reduce errors and improve overall efficiency.
Key Benefits
~ 70% reduction of operational cost... guaranteed!
~ Increase your current rate of successful authorizations by 1.5 – 2x
~ Full-range Prior Authorization service (Auth Request + Follow-up + Approval)
~ Prompt service with 99.9% accuracy
~ 100% HIPAA compliance
~ Highly competitive prices, with no overhead - no overtime - no hidden costs!
~ 7+ years of experience in claims adjudication for leading Payers
~ Free your in-house team for focusing on care management issues
~ Zero lockup service contracts that you can cancel anytime
WHAT WE COVER
We do prior authorization for DME (Durable Medical Equipment), CPAP Machines, Orthotics & Prosthetics, Allergy, Oncology, Physician Services, Nursing Homes, Radiology, Specialty Pharmacy, Home Healthcare, Anesthesiology, Dermatology, Imaging, Rehab, Cardiology, Physical Therapy, Sleep Medicine, Gastro Enterology, Pain Medicine, Rheumatology, Clinical Care Management, Podiatry, Neurology,
Pulmonology, Urology, General Surgery, Obstetrics & Gynecology, Ophthalmology, Orthopedics, Otolaryngology Medical Practice and more!
Only the best wellness programs are able to achieve a health care cost trend of zero. What does it take to make this happen? Is it even possible? We'll take a critical look at how effective wellness programs can not only control health care costs, but also influence stop loss premiums, pharmaceutical costs and out of pocket expenses for employees.
In this presentation, you will:
• Discover the essential wellness ingredients required to impact health care costs
• See research evidence and actual case studies that prove that good programs can produce a zero trend.
• See how wellness can impact stop loss and pharmaceutical costs.
• Learn how wellness done right can transform any organization
WATCH THE PRESENTATION VIDEO HERE:
https://youtu.be/4XJr-kfE4jM
Vee Technologies provides a host of hybrid and versatile solutions for credentialing services. Our team expertly handles payer enrollment and contracting for our clients, turning an arduous task into a quick and easy process.
https://www.veetechnologies.com/industries/healthcare-payer/provider-network-data-management/credentialing.htm
Dan Wellisch gave this presentation to the Chicago Technology For Vaue Based Healthcare Meetup at https://www.meetup.com/Chicago-Technology-For-Value-Based-Healthcare-Meetup/
A comprehensive view of how Medical Billing works. How to prepare medical claims, patient eligibility, example insurance cards, Medicare / Medicade, authorization of services, charge entry, fee schedules, claim submissions, posting ERAs / EOBs, rejected or denied claims (and their correction), secondary claims, cycle of a claim, revenue cycle, provider info needed on a claim, evaluation and management: coding and evaluations and basic components, etc,. By Medwave Medical Billing & Credentialing at http://medwave.io.
Revenue cycle management (RCM) is the financial process, utilizing medical billing software, that healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance.
Complete Durable Medical Equipment (DME) Billing Guide | Sun KnowledgeMichael Smith
Sun Knowledge – A Practice Management and Revenue Cycle Management Company.
Contact Details:
New York Office - 41 Madison Avenue, 25th Floor, NY 10010
Phone - +1 212-400-6100, Email - contact@sunknowledge.com
Website - www.sunknowledge.com
DME Billing - http://sunknowledge.com/dme-billing-services/
Facebook - https://www.facebook.com/SunKnowledge
Twitter - https://twitter.com/sunknowledge
LinkedIn - https://www.linkedin.com/company/sun-knowledge
Google plus - https://plus.google.com/+SunknowledgeInc
Sun Knowledge provides Cost-Effective Solutions in Durable Medical Equipment (DME) Billing & Collections.
Sun Knowledge has a highly capable team of DME billing experts who can make life easier for you from the very first day. With Sun Knowledge by your side, you can leave all your DME billing worries to expert care. Outsourcing your DME billing requirements to us will allow you and your staff to concentrate on marketing, growing and running business operations, rather than managing a billing and collections department.
The Sun Knowledge Advantage:
The process starts with entry of orders and ends when the account has zero balance. This includes conducting eligibility checks, obtaining authorization, creating sales orders, scheduling delivery, submitting claims, managing rejections and denials, and proactively following-up AR.
Highlights
~ Follow-up on incomplete prescription with physician’s office
~ Follow-up for document collection (diabetic verification forms, LMN, CMN etc.)
~ Error free patient entry
~ Error free sales order creation
~ 100% HIPAA compliance
~ Real time transaction audits
~ Primary and secondary insurance verification
~ Insurance verification for rental items
~ Obtaining authorizations & extending authorization
~ Open order audit and clean-up
~ CPAP user compliance tracking and counseling calls to non-compliant patients
~ Claims submission within 48 hours of receiving proof of delivery
~ Rejection follow-up within 24 hours
~ Tracking and follow-up of partial or incorrect payments
~ Denial management based on detailed analysis
~ Methodical and proactive AR follow-up
~ Timely payment posting to reflect accurate AR
~ Customized reporting
Get started today.
We provide personal one on one billing services for your office and save you big $$$. Vocis has extensive experience in providing comprehensive billing services for just about every specialty. We provide end-to-end medical billing services, including following-up of pending claims, initiating collections, finding out reasons for denials of claims, and tracking outstanding receivable balances. With a relentless commitment towards providing high quality and cost effective billing and coding services to health care providers around the nation, VOCIS promises a higher level of service and value, as compared to any of our competition.
This process is complicated and depends on rules that are specific to payers and to the states in which a provider is located. Effectively, a claims appeal is the process by which a provider attempts to secure the proper reimbursement for their services.
Complete Prior Authorization Services | Prior Authorization Process GuidelineMichael Smith
Sun Knowledge – A Practice Management and Revenue Cycle Management Company.
Contact Details:
New York Office - 41 Madison Avenue, 25th Floor, NY 10010
Phone - +1 212-400-6100, Email - contact@sunknowledge.com
Website - www.sunknowledge.com
DME Billing - http://sunknowledge.com/dme-billing-services/
Facebook - https://www.facebook.com/SunKnowledge
Twitter - https://twitter.com/sunknowledge
LinkedIn - https://www.linkedin.com/company/sun-knowledge
Google plus - https://plus.google.com/+SunknowledgeInc
We act as the perfect facilitator between you & the Payer, eliminating all errors in the process of Pre-certification. Our full suite of Practice Management services includes a comprehensive and highly streamlined prior approval process that includes a) sending out the auth request, b) following up with the Payer, and c) obtaining the approval.
In addition, we also extend our support with fast and accurate patient eligibility verification and benefits verification that help prevent nasty surprises at the time of seeking reimbursement from insurance companies.
Looking for proven expertise in a dedicated niche? That's us!
As a disciplined vendor, we aim to centralize practices,
streamline them, reduce errors and improve overall efficiency.
Key Benefits
~ 70% reduction of operational cost... guaranteed!
~ Increase your current rate of successful authorizations by 1.5 – 2x
~ Full-range Prior Authorization service (Auth Request + Follow-up + Approval)
~ Prompt service with 99.9% accuracy
~ 100% HIPAA compliance
~ Highly competitive prices, with no overhead - no overtime - no hidden costs!
~ 7+ years of experience in claims adjudication for leading Payers
~ Free your in-house team for focusing on care management issues
~ Zero lockup service contracts that you can cancel anytime
WHAT WE COVER
We do prior authorization for DME (Durable Medical Equipment), CPAP Machines, Orthotics & Prosthetics, Allergy, Oncology, Physician Services, Nursing Homes, Radiology, Specialty Pharmacy, Home Healthcare, Anesthesiology, Dermatology, Imaging, Rehab, Cardiology, Physical Therapy, Sleep Medicine, Gastro Enterology, Pain Medicine, Rheumatology, Clinical Care Management, Podiatry, Neurology,
Pulmonology, Urology, General Surgery, Obstetrics & Gynecology, Ophthalmology, Orthopedics, Otolaryngology Medical Practice and more!
Only the best wellness programs are able to achieve a health care cost trend of zero. What does it take to make this happen? Is it even possible? We'll take a critical look at how effective wellness programs can not only control health care costs, but also influence stop loss premiums, pharmaceutical costs and out of pocket expenses for employees.
In this presentation, you will:
• Discover the essential wellness ingredients required to impact health care costs
• See research evidence and actual case studies that prove that good programs can produce a zero trend.
• See how wellness can impact stop loss and pharmaceutical costs.
• Learn how wellness done right can transform any organization
WATCH THE PRESENTATION VIDEO HERE:
https://youtu.be/4XJr-kfE4jM
Breaking the Mold: Fresh Approaches for Treating High-Cost and Chronically Ill Patients
The hospital super-user can eat up almost half of a provider’s resources. But a focus on this population’s overall health – increasing access to primary care, addressing the social determinants of health, for example – is making a big difference. At some institutions, patients who once were routinely admitted to the hospital are now getting care in ambulatory settings, embedded in comprehensive systems of services for primary care and community health. Learn how hospital and health system leaders around the country are managing such transitions, how patients are faring and the outlook for better care and lower costs.
Why Healthcare Costing Matters to Enable Strategy and Financial PerformanceHealth Catalyst
According to Moody’s Investment Service Analysis, not-for-profit hospital margins are at an all-time low of 1.6% while the American Hospital Association has found that 30% of all hospitals have negative margins. Financial pressures are continuing to increase in an environment of rising costs, lower payments, an aging population, higher patient responsibility and changing consumer demands. Now more than ever healthcare providers need to have an accurate picture of their costing information to enable precise, strategic decisions that will improve financial performance.
Activity-based costing has the power to do just that. In this webinar Steve Vance, SVP, Professional Services, Health Catalyst explores different costing methodologies and discusses why activity-based costing is the preferable method to manage margins because it directly ties services to their costs. Many healthcare organizations base their costs on generalized drivers such as relative value units (RVUs) through their chargemaster rather than on specific activities associated with their services, leading to inaccurate assumptions and poor decisions.
View this webinar to learn:
- Why activity-based costing should be your core tool for improving financial performance.
- The differences and implications between costing methodologies.
- How to leverage data from an Electronic Data Warehouse (EDW) and automate processes while improving accuracy.
- Ways that you can make strategic decisions using clinical and operational data when tied to costing data.
- Activity-based costing use cases such as contract negotiations, pricing decisions, population health management (PHM), and process improvement efforts
We hope that you will view the webinar and learn from the depth and breadth of Steve’s extensive financial experience.
Your website is a big investment. It's also one that, if done well, will pay for itself over and over again. The key is understanding how your website, and supporting digital initiatives, can be used as tools to deliver value. Attend this webinar and learn how to successfully translate your organization's strategic goals into digital goals, making your website a revenue-generating and volume-driving machine. You'll discover how to define value for your online tactics, and how to communicate that value to key stakeholders. We'll also cover what effective digital plans look like, and provide actionable guidance to help make your digital marketing strategy deliver real results.
Interested in learning more? Check out the slideshare.
Health Rosetta Case Study - City of Kirkland, WashingtonDave Chase
City of Kirkland, WA is a suburb of Seattle that was, like municipalities, struggling with healthcare costs and feared the coming Cadillac Tax. Their "moonshot" goal was to improve health benefits while eliminating healthcare cost inflation
National CFA Charterholder Compensation Survey 2015Ryan Renicker CFA
Some insights into the value of successfully completing (and retaining) the CFA Charter.
Source: CFA Societies Canada - 11 August 2015
https://www.cfasociety.org/saskatchewan/JobLine1/CFA%20Charterholder%20Compensation%20Survey%20-%20Summary%20-%20FINAL%20v2.pdf
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
India Diagnostic Labs Market: Dynamics, Key Players, and Industry Projections...Kumar Satyam
According to the TechSci Research report titled “India Diagnostic Labs Market Industry Size, Share, Trends, Competition, Opportunity, and Forecast, 2019-2029,” the India Diagnostic Labs Market was valued at USD 16,471.21 million in 2023 and is projected to grow at an impressive compound annual growth rate (CAGR) of 11.55% through 2029. This significant growth can be attributed to various factors, including collaborations and partnerships among leading companies, the expansion of diagnostic chains, and increasing accessibility to diagnostic services across the country. This comprehensive report delves into the market dynamics, recent trends, drivers, competitive landscape, and benefits of the research report, providing a detailed analysis of the India Diagnostic Labs Market.
Collaborations and Partnerships
Collaborations and partnerships among leading companies play a pivotal role in driving the growth of the India Diagnostic Labs Market. These strategic alliances allow companies to merge their expertise, strengthen their market positions, and offer innovative solutions. By combining resources, companies can enhance their research and development capabilities, expand their product portfolios, and improve their distribution networks. These collaborations also facilitate the sharing of technological advancements and best practices, contributing to the overall growth of the market.
Expansion of Diagnostic Chains
The expansion of diagnostic chains is a driving force behind the growing demand for diagnostic lab services. Diagnostic chains often establish multiple laboratories and diagnostic centers in various cities and regions, including urban and rural areas. This expanded network makes diagnostic services more accessible to a larger portion of the population, addressing healthcare disparities and reaching underserved populations. The presence of diagnostic chain facilities in multiple locations within a city or region provides convenience for patients, reducing travel time and effort. A broader network of labs often leads to reduced waiting times for appointments and sample collection, ensuring that patients receive timely and efficient diagnostic services.
Rising Prevalence of Chronic Diseases
The increasing prevalence of chronic diseases is a significant driver for the demand for diagnostic lab services. Chronic conditions such as diabetes, cardiovascular diseases, and cancer require regular monitoring and diagnostic testing for effective management. The rise in chronic diseases necessitates the use of advanced diagnostic tools and technologies, driving the growth of the diagnostic labs market. Additionally, early diagnosis and timely intervention are crucial for managing chronic diseases, further boosting the demand for diagnostic lab services.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
For those battling kidney disease and exploring treatment options, understanding when to consider a kidney transplant is crucial. This guide aims to provide valuable insights into the circumstances under which a kidney transplant at the renowned Hiranandani Hospital may be the most appropriate course of action. By addressing the key indicators and factors involved, we hope to empower patients and their families to make informed decisions about their kidney care journey.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
4. Solutions
• Revenue Cycle Management (RCM)
• Practice Management Systems: Allscripts
Misys Tiger & Optum Caretracker
• Electronic Medical Records
• Mobile Charge Capture
• Healthcare Document Management
• Software Time Share Available
5. Practice Management Software
• Delivered over the Internet
• Electronic submissions and remits
• 24 hour access
• Full billing and collection capability
• HIPAA Compliant
• Hosted in secure offsite data facility
• Excellent customer support
6. Electronic Medical Records
• Seamless HL7 interface available with our
practice management systems
• CCHIT certified, meets meaningful use
• E-prescribing available
• Enhances provider productivity and
efficiency
• Partnership with Allscripts & Caretracker
7. Mobile Charge Capture
• Interfaces with Allscripts & Caretracker
• All data exchange secured
• Excellent for hospital & skilled nursing
physician services
• Operates on smart devices
• Accelerates reimbursement
• Partnership with pMDsoft
8. Document Management
• Web based, user friendly, quick searches
• All data secured and stored at an offsite
secured facility
• Eliminate paper files
• Highly efficient
9. RCM Services
• Same management team for 18 years
• Ranked among top 10% of RCM companies
nationwide
• Consistently performs at levels superior to industry
standards
• All specialties and stand alone facilities
• Coding, billing, A/R Management experience across
all payers
10. The Total Solution
• Increases revenue and profitability
• Stabilize cash flow and/or improve cash
management
• Minimizes government audits
• Reduces / eliminates software expense
• Reallocate billing department space
• ICD 10 Ready
11. Increases Revenue
• Professional billers and certified coders
maximizes reimbursement
• Reduces days in A/R
• Reduces salary and benefits expense
• Substantially increases revenue without
increasing patient encounters
12. • Claims & payment electronically transmitted
daily
• More accurate first time billing
• Appropriate coding for all services rendered
• Average days in A/R are reduced
• Timely claims follow-up
• Timely resolution of denials and appeals
Accelerate Cash Flows
14. Why outsource?
• Increases and maximizes billing revenue
• Professional certified coders and billing
experts to insure compliance with regular and
timely payments
• Practices outsourcing billing and collections
do experience a reduction in expenses
15. Respondents to MGMA survey noted
that the use of a billing company
achieved the following results:
Source: Medical Group Management Assoc. July 2008 Study
• Days in AR reduced by 72.7%
• Improved collection rate by 72.7%
• Lost or denied claims decreased by 59.1%
• Staff productivity has increased by 45.5%
• Better understanding of practice financial and
physicians performance
16. Why should I choose MGSI as my
billing and collection company?
• Over 1.5 billion dollars collected
• A/R collection cycle substantially better than the
national average
• 22 years of Service
• Multi-specialty experience
• HIPAA Compliant
• Certified Coders
• Experienced Staff that is continuously educated
on latest reimbursement changes
17. What are the other benefits?
• We remove the burden of the billing departments
turnover, training, continuing education,
supervision and fluctuations in the volume of work
• Removes the practice from the Information
Technology chase as MGSI provides the practice
with the latest Practice Management Systems
• Frees up Administrative Staff time allowing the
practice to run even more efficiently
• Servers located off in secured off site data center
18. Is my data secure?
• Access is secured & tested annually to meet
Omnibus / PHI requirements
• Our servers are located in a Tier IV data
center
• Daily / monthly backups are encrypted and
stored offsite
20. Case Study for ABC Cardiology Group
Before Medical Group Services After Medical Group Services
As MGSI Commences Services 12 Months Later 24 Months Later
Days Dollars % of total Days Dollars % of total Days Dollars % of total
0 to 30 7,254.37$ 0.2% 0 to 30 1,526,797.47$ 59% 0 to 30 1,778,537.00$ 66%
31 to 60 735,305.05$ 19% 31 to 60 357,428.49$ 14% 31 to 60 345,817.00$ 13%
61 to 90 401,689.38$ 10% 61 to 90 176,985.53$ 7% 61 to 90 142,523.00$ 5%
91 to 120 183,869.90$ 5% 91 to 120 104,387.40$ 4% 91 to 120 103,308.00$ 4%
121 to 150 123,520.46$ 3% 121 to 150 102,248.78$ 4% 121 to 150 62,801.00$ 2%
151 + 2,404,188.01$ 62% 151 + 305,415.52$ 12% 151 + 261,790.00$ 10%
Total 3,855,827.17$ 100% Total 2,573,263.19$ 100% Total 2,694,776.00$ 100%
Average days in A/R - 172 Average days in A/R - 61 Average days in A/R -33
The high average days outstanding was Currently ABC is in the best shape
resulting in greatly decreased cash flow. The financially than it has ever been. They now have the
practice could not expand quickly, pay bills in a timely money to take advantage of new opportunities like
manner, bring on new physicians, or buy new cutting edge equipment, new physicians and nurses,
equipment. and higher salaries.
Billing Department Billing Department
In house Software system. MGSI supplies all software.
Software maintenance agreement is required. Elimination of maintenance agreement.
Data entry not being done in a timely manner. MGSI performs all data entry.
Office Culture Office Culture
Tension had been developing between Now that MGSI is in charge of the
office/billing staff and physicians. This was due to billing process, communication between office staff
the type of communication needed to successfully and physicians about billing is eliminated. Patients
fulfill the billing process. This caused many now see a friendly environment and referrals have
situations of frustration and general negativity. gone up.
Patients could recognize this and became
uncomfortable.
21. Case Study for ABC Anesthesiology Group
Before Medical Group Services After Medical Group Services
As MGSI Commences Services 12 Months Later 24 Months Later
Days Dollars % of total Days Dollars % of total Days Dollars % of total
0 to 30 2,048,297.00$ 35% 0 to 30 1,468,391 58% 0 to 30 1,630,729.91$ 69%
31 to 60 1,198,463.00$ 21% 31 to 60 391,758 15% 31 to 60 294,951.72$ 12%
61 to 90 105,818.00$ 2% 61 to 90 216,240 9% 61 to 90 207,898.37$ 9%
91 to 120 239,775.00$ 4% 91 to 120 167,743 7% 91 to 120 112,220.91$ 5%
121 to 150 101,252.00$ 2% 121 to 150 92,360 4% 121 to 150 35,267.45$ 1%
151 + 2,150,086.00$ 37% 151 + 197,891 8% 151 + 98,808.58$ 4%
Total 5,843,691.00$ 100% Total 2,534,383 100% Total 2,379,876.94$ 100%
Monthly Charges $2,081,341 Monthly Charges $2,164,769 Monthly Charges $2,388,537
Average days in A/R - 84 Average days in A/R -35 Average days in A/R -29.9
Note: Monthly Charges increased by 14% while A/R decreased 60%
22. Case Study for ABC Hospitalist Group
Before Medical Group Services After Medical Group Services
12 Months Later 24 Months Later
Days Dollars % of total Days Dollars % of total Days Dollars % of total
0 to 30 544,290 32% 0 to 30 534,385 44% 0 to 30 1,305,267 48%
31 to 60 261,462 15% 31 to 60 237,331 20% 31 to 60 607,945 23%
61 to 90 156,936 9% 61 to 90 248,189 21% 61 to 90 320,306 12%
91 to 120 181,781 11% 91 to 120 79,948 7% 91 to 120 185,938 7%
121 to 150 101,252 6% 121 to 150 32,889 3% 121 to 150 79,759 3%
151 + 444,604 26% 151 + 76,353 6% 151 + 197,378 7%
Total 1,690,325 100% Total 1,209,095 100% Total 2,696,593 100%
Monthly Charges 618,985 Monthly Charges 731,958 Monthly Charges 2,036,532
Average days in A/R - 82 Average days in A/R -49 Average days in A/R -39
As MGSI Commences Services
23. Case Study for ABC OB/GYN Group
Before Medical Group Services After Medical Group Services
As MGSI Commences Services 12 Months Later 24 Months Later
Days Dollars % of total Days Dollars % of total Days Dollars % of total
0 to 30 371,162 41% 0 to 30 458,564 45% 0 to 30 542,349 69%
31 to 60 279,438 31% 31 to 60 379,924 38% 31 to 60 74,919 10%
61 to 90 78,239 9% 61 to 90 73,458 7% 61 to 90 68,501 9%
91 to 120 76,778 8% 91 to 120 37,772 4% 91 to 120 30,028 4%
121 to 150 35,887 4% 121 to 150 24,872 2% 121 to 150 16,299 2%
151 + 68,719 8% 151 + 33,271 3% 151 + 56,259 7%
Total 910,223 100% Total 1,007,861 100% Total 788,354 100%
Monthly Charges: 497,058 Monthly Charges: 627,029 Monthly Charges: 720,112
Average days in A/R - 55 Average days in A/R -48 Average days in A/R -33
Note: Monthly Charges increased by 44% while A/R decreased 13%
24. Case Study for ABC Hospital Based Radiology Group
Before Medical Group Services After Medical Group Services
12 Months Later 24 Months Later
Days Dollars % of total Days Dollars % of total Days Dollars % of total
0 to 30 442,726 31% 0 to 30 418,644 57% 0 to 30 613,401 67%
31 to 60 204,883 15% 31 to 60 129,587 18% 31 to 60 151,294 16%
61 to 90 126,485 9% 61 to 90 108,704 15% 61 to 90 69,540 8%
91 to 120 159,391 11% 91 to 120 23,537 3% 91 to 120 39,992 4%
121 to 150 164,506 12% 121 to 150 13,275 2% 121 to 150 18,972 2%
151 + 310,276 22% 151 + 36,411 5% 151 + 27,658 3%
Total 1,408,267 100% Total 730,158 100% Total 920,856 100%
Monthly Charges 524,772 Monthly Charges 563,747 Monthly Charges 705,182
Average days in A/R - 81 Average days in A/R -39 Average days in A/R -39
Note: Monthly Charges increased by 34% while A/R decreased 35%
Case Study for XYZ Radiology Group
Before Medical Group Services After Medical Group Services
12 Months Later 24 Months Later
Days Dollars % of total Days Dollars % of total Days Dollars % of total
0 to 30 225,732 41% 0 to 30 189,772 64% 0 to 30 260,118 68%
31 to 60 98,361 18% 31 to 60 48,402 16% 31 to 60 55,455 15%
61 to 90 72,058 13% 61 to 90 29,662 10% 61 to 90 30,401 8%
91 to 120 59,201 11% 91 to 120 10,726 4% 91 to 120 18,859 5%
121 to 150 31,294 6% 121 to 150 7,451 3% 121 to 150 8,908 2%
151 + 68,147 12% 151 + 10,118 3% 151 + 7,022 2%
Total 554,793 100% Total 296,131 100% Total 380,763 100%
Monthly Charges 217,133 Monthly Charges 261,264 Monthly Charges 328,360
Average days in A/R -76 Average days in A/R -34 Average days in A/R -35
Note: Monthly Charges increased 51%,while A/R decreased 32%
As MGSI Commences Services
As MGSI Commences Services
25. Case Study for ABC Family Practice Group
Before Medical Group Services After Medical Group Services
As MGSI Commences Services 12 Months Later 24 Months Later
Days Dollars % of total Days Dollars % of total Days Dollars % of total
0 to 30 103,485.00$ 20% 0 to 30 101,469 60% 0 to 30 97,999.00$ 61%
31 to 60 58,255.45$ 11% 31 to 60 25,053 15% 31 to 60 19,630.00$ 12%
61 to 90 29,119.31$ 5% 61 to 90 14,920 9% 61 to 90 13,423.00$ 8%
91 to 120 69,467.52$ 13% 91 to 120 9,740 6% 91 to 120 7,849.48$ 5%
121 to 150 30,650.17$ 6% 121 to 150 5,029 3% 121 to 150 5,424.73$ 3%
151 + 239,610.44$ 45% 151 + 13,731 8% 151 + 17,081.20$ 11%
Total 530,587.89$ 100% Total 169,943 100% Total 161,407.41$ 100%
Monthly Charges $219,880 Monthly Charges $200,644 Monthly Charges $187,586
Average days in A/R - 72 Average days in A/R -25 Average days in A/R -25
Case Study for ABC Internal Medicine Practice
Before Medical Group Services After Medical Group Services
As MGSI Commences Services 12 Months Later
Days Dollars % of total Days Dollars % of total
0 to 30 58,946.29$ 25% 0 to 30 115,383.96$ 68%
31 to 60 47,867.90$ 20% 31 to 60 30,086.37$ 18%
61 to 90 57,609.02$ 24% 61 to 90 3,932.60$ 2%
91 to 120 9,044.64$ 4% 91 to 120 12,615.98$ 7%
121 to 150 62,913.65$ 27% 121 to 150 7,693.15$ 5%
151 + 0% 151 + 0%
Total 236,381.50$ 100% Total 169,712.06$ 100%
Monthly Charges $174,005 Monthly Charges $196,475
Average days in A/R - 41 Average days in A/R -25
Note: Monthly Charges increased by 10% while A/R decreased 68% and receipts
increased 31%
Note: Monthly Charges increased
by 12% while A/R decreased 29%
26. MGSI, LLC
2810 West St. Isabel Street
Suite 201
Tampa, Florida 33607
Toll Free: 1 877 896 6474
info@mgsionline.com