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The Right Way to Do Write-offs

by Mary Pat Whaley | Sep 26, 2011 | Collections, Billing & Coding, Compliance

A write-off is an amount that a practice deducts from a charge and does not expect to collect, thereby “writing it off” the accounts receivable or list of monies owed them by payers or patients. There are lots of reasons why write-offs are taken, and it is...

The CMS Bundled Payment Initiative: Providers Can Apply to Participate in a Mini-ACO Initiative

by Mary Pat Whaley | Aug 28, 2011 | Medicare & Reimbursement

Last week the U.S. Department of Health and Human Services (HHS) announced a new initiative to help improve care for patients while they are in the hospital and after they are discharged. Doctors, hospitals, and other health care providers can now apply to participate...

Collections Basics – Part 1: Know Your Payers

by Mary Pat Whaley | Aug 24, 2011 | Collections, Billing & Coding, Day-to-Day Operations, Finance, Innovation

In a traditional healthcare setting, the revenue cycle begins with the insurance companies who pay the majority of the bill. There are multitudes of payers and each payer can have many plans.  How can a healthcare organization catalog this information, keep this...

Step by Step Directions for Getting the EHR Incentive Money: My Notes From Last Week’s CMS Call

by Mary Pat Whaley | Jul 17, 2011 | Electronic Medical Records, Medicare & Reimbursement, PECOS

First the facts on what has taken place so far in the 2011 EHR Incentive Programs. As of June 30th, the total of Medicare EHR Incentive Program payments is over $94 million. As of June 30th, over $166 million has been paid in Medicaid EHR incentives since the program...

My Notes on the March 22, 2011 CMS Open Door Forum on Physician Quality Reporting System (PQRI) for the Beginner

by Mary Pat Whaley | Mar 22, 2011 | Day-to-Day Operations, Medicare & Reimbursement

Today’s CMS Open Door Forum was a good one. The slides (pdf here), although reviewed quickly during the call, are a comprehensive resource for anyone needing in-depth information on qualifying for incentives through PQRI. The information is complex, but anyone...
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