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Of Dementia and Documentation

Monday, April 17th 2017 9:25 am
“I meant every word I didn’t say.”  -Jimmy Dunne
My mother is 90 and showing early signs of dementia.  She forgets things.  She occasionally suspects she has been robbed, or insists she is being singled out for persecution from among the...

Miracle Cures and Medical Billing

Monday, April 3rd 2017 9:01 am
“Honesty is such a lonely word
Everyone is so untrue
Honesty is hardly ever heard
And mostly what I need from you”...

Are you cash-flowing your patients' lives?

Tuesday, November 8th 2016 2:38 pm
Last night a member of my immediate family spent over two hours in urgent care - two doctors, four nurses working simultaneously, two separate blood draws, multiple tests and protocols. ...

MACRA, MIPS, and APMs Understanding the move to value-based reimbursement

Monday, April 4th 2016 10:41 am
"It's not about the cards you're dealt, but how you play the hand."  - Randy Pausch, the Last Lecture
Seems like not too long ago we were all fixated on the annual near-catastrophe called the Sustainable Growth Rate (SGR).  Every quarter of the healthcare world would lament the impending 26% cut...

RFP, RFI, or RFQ. Anyway you spell it...

Monday, March 7th 2016 8:38 am
Technically speaking, they're different. The Humboldt State University's IT Services website explains the differences between them, if you care. That long questionnaire designed to...

Measuring Staff Performance - Part III

Monday, December 21st 2015 9:58 am
  "There are two possible outcomes: if the result confirms the hypothesis, then you've made a measurement. If the result is contrary to the hypothesis, then you've made a...

Measuring Staff Performance - Part II

Wednesday, December 16th 2015 9:28 am
"Every line is the perfect length if you don't measure it."                                  ...

Measuring Staff Performance - Part I

Wednesday, December 9th 2015 8:33 am
"Measurement is the first step that leads to control and eventually to improvement. If you can't measure something, you  can't understand it. If you can't understand it,...

Humor - New Ventilator Attachment Safely Allows Smoking While Receiving Oxygen

Friday, November 20th 2015 11:18 am
Charlotte NC -Bronco Products Inc. is pleased to announce its revolutionary new ventilation product. PapPal is an amazingly simple device that allows those on mechanical ventilation, C-pap,...

Higher Deductibles and Co-pays Make Patient Payments Critical

Wednesday, May 13th 2015 6:49 am
A new report by PriceWaterhouse Cooper shows what providers already know:  deductibles and co-pays are rising. In 2006 only 16% of insured individuals had deductibles of $1,000 or more. Today,...

Avoiding PQRS Will Start Hurting Soon

Tuesday, August 5th 2014 1:08 pm
Prepare for increased requirements, cuts to claims-based measures.
In order to avoid a 2% cut in Medicare physician payments for 2016 providers must participate in PQRS, submitting quality measures during the 2014 reporting period.  Providers not yet...

The Truth Likely Lies in Your Doubts

Tuesday, June 24th 2014 1:08 pm
Dear KeyNotes,
 
I manage a small multi-specialty clinic in a suburban community.  We have 5 MDs, 3 PAs and 30 employees.  I have a clinical supervisor, a billing office manager, two certified coders, and...

Better Customer Service in the Business Office

Tuesday, June 17th 2014 1:08 pm
We all work in customer service.  Patients (customers) are too hard to come by and good reputations too diligently won to take customer service lightly, so ignore this truth at your peril. At...

Come on in, the water's fine! Sticking your toe in the RCM pool

Tuesday, April 8th 2014 1:08 pm
Several years ago the American Dental Association ran a commercial that said, "Ignore your teeth and they'll go away."  A healthy revenue cycle is a lot like that. There was a time...

Opinion: Anger, Disappointment, and a Collective Sigh of Relief

Thursday, April 3rd 2014 1:08 pm
I have a friend who says, "We have to deal with the world the way it is, not the way we want it to be." By now everyone who pays attention knows that the unpredictable and chaotic kerfuffle...

KeyNotes Special Report: SGR and ICD-10 Legislation Update

Thursday, March 27th 2014 1:08 pm
  The status of last minute legislation that would delay physician Medicare reimbursement cuts under the SGR and delay implementation of ICD-10 is fluid to say the least. Predictions...

Keep Your Practice Healthy by Using Performance Metrics

Tuesday, February 25th 2014 1:08 pm
"Mufasa."
"Ooo, do it again."
"Mufasa, Mufasa, MUFASA!"
"Ooo, it tingles!"...

The Billing Pros Announce ICD-10 Readiness

Monday, February 10th 2014 1:08 pm
La Crosse, WI  February 10, 2014 - The Billing Pros, a national provider of medical billing and revenue cycle management services, announced its ICD-10 readiness position today. All...

ICD-10 is Coming. Will Your Billing Department Be Ready?

Monday, December 9th 2013 1:41 pm
    Like it or not, the new ICD-10 diagnosis codes take effect on October 1, 2014. All healthcare providers are required to comply with the new regulations or they...

Just What Do You Mean, "Pay for Value?" Part III

Monday, December 9th 2013 1:39 pm
Part II of this series provided an overview of several pay-for-value reimbursement models. In this segment of "Just What Do You Mean, 'Pay for Value?'" we will look at a few more.
Network Participation based on Value Metrics

The Cvikota Company Keynotes for 9/24/13 - Just What Do You Mean, "Pay for Value?" Part II

Monday, December 9th 2013 1:38 pm
In, "Just What Do You Mean, 'Pay for Value?'" Part I, we began an overview of the fundamental shift in reimbursement models from traditional fee-for-service to pay-for-value. The...

Just What Do You Mean, "Pay for Value?" Part I

Monday, September 16th 2013 11:38 am
There's a Chinese proverb that goes, "When the winds of change blow, some people build walls, others build windmills." In the business of healthcare, change is a ruthless beast. It...

Providers Take Action to Meet Declining Reimbursement Challenges

Tuesday, July 30th 2013 11:12 am
J.K. Rowling, author of the Harry Potter series said, “It is a strange thing, but when you are dreading something, and would give anything to slow down time, it has a disobliging habit of...

Not So Fast - Don't Cash that EHR Incentive Check Just Yet

Thursday, May 23rd 2013 3:39 pm
So, you did the research and purchased a certified EHR system.  You invested in training.  You made every effort to use the software in a meaningful way.  You attested to meaningful...

Stone Soup - What Captain Kangaroo Can Teach Us About Revenue Cycle Management

Wednesday, March 13th 2013 9:19 am
Way back when I was a little kid and we only had three television channels (assuming the cloud cover and wind direction were co-operating), I would get up every morning at 8:00 AM to watch Captain...

Don't Try This at Home Part II - Why Better Source?

Thursday, February 28th 2013 8:54 am
Why Better-source? It saves time. Some EHR and PM vendors suggest that new technologies make billing as easy as hitting “send” and waiting for the money. Those in the trenches...

Don't Try This at Home - What Remodeling My Kitchen Taught Me about Medical Billing

Thursday, February 28th 2013 8:52 am
My wife and I recently began an extensive remodel of our kitchen, laundry and downstairs bath. Before he began, our contractor, Rodney (his real name) began to walk us through the process from...

past blogs

Of Dementia and Documentation
Monday, April 17th 9:25 am
Miracle Cures and Medical Billing
Monday, April 3rd 9:01 am
Are you cash-flowing your patients' lives?
Tuesday, November 8th 2:38 pm
RFP, RFI, or RFQ. Anyway you spell it...
Monday, March 7th 8:38 am
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