Medical Lockbox

Operational Impact of the Affordable Care Act

By jgregory / January 14, 2014 / 0 Comments

Former Health and Human Services Secretary and Governor of Wisconsin, Tommy Thompson is interviewed by healthcare payments expert, Mark Brousseau, President of Brousseau & Associates in Q&A Session #2. In this interview, Gov. Thompson talks about the operational impact of the Affordable Care Act (ACA) as well as the overall direction of patient care.

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Introducing the Healthcare Payments Educational Video Series

By jgregory / January 9, 2014 / 0 Comments

In the first Q&A interview, Gov. Thompson talks about the state of the healthcare industry, summarizing what’s right and what’s wrong. Relating to the changes required with the Affordable Care Act (ACA), many of the rules and regulations are assembled by administrators and bureaucrats of HHS.

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5 Trends that will Shape Healthcare IT in 2014

By jgregory / December 19, 2013 / 0 Comments

The casual observer can be excused for believing that a single government web site represents the extent of healthcare technology. But behind the scenes, the following major technology trends will have a significant impact on the healthcare industry in 2014 and on revenue cycle management (RCM).

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Key Benefits of Obamacare on Healthcare Payments

By jgregory / November 22, 2013 / 0 Comments

The Affordable Care Act (ACA), aka Obamacare, is unlikely to bring together Republicans and Democrats. But ACA is bringing innovation to healthcare payments arena. Standards within the law make it easier to reconcile electronic funds transfer (EFT) payments, most commonly Automated Clearing House (ACH) transactions, received by providers with the corresponding electronic remittance advice (ERAs), including EDI 835 or EOBs.

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Don’t be afraid of HIPAA & HITECH!

By jgregory / August 15, 2013 / 0 Comments

Don’t be afraid of HIPAA & HITECH? Of course it’s easy to say that if you aren’t the person knee deep in interpreting the rules and regulations and building out the infrastructure of a solution. The recent Orbograph White Paper, “HIPAA/HITECH Compliance, Resiliency and Security” simplifies the concepts of following and complying with these rules. When you look at HIPAA and HITECH initially, it’s critical to start with a high level perspective. With that in mind, HIPAA is pretty much two primary rules!

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Survey Opportunity: What is needed for EFT/ACH Reassociation to ERA’s

By jgregory / July 25, 2013 / 0 Comments

You’re a healthcare payments professional and by now, you probably have an opinion on the topic of reassociation. You’ve seen the Orbograph white paper, How to Reassociate EFT/ACH Payments to ERAs in 2014, and see why the industry needs to make a move in this area. If you haven’t read it, now’s your chance! Or check out http://www.caqh.org/. There’s only 161 days left to prepare for implementation deadline for federally-mandated CAQH CORE EFT and ERA Operating Rules…

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Is it too early to worry about ICD-10?

By jgregory / July 15, 2013 / 0 Comments

A recent survey on ICD-10 indicates that one-third of the 500 physician practices interviewed have not started compliance work yet. October 2014 is the implementation deadline, but how much time is really needed? Key highlights of the survey include: thirty-six percent of respondents who have not started ICD-10 preparations believe there is plenty of time to prepare, 26 percent don’t have the time, staff or training resources to start; and 22 percent don’t know where to start planning…

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HFMA-ANI News from Orbograph

By jgregory / June 17, 2013 / 0 Comments

Interested in hearing how proactive revenue cycle management approaches can minimize possible negative effects of healthcare legislation, namely ACA, ICD-10 and EFT/ERA standards? Check out this exciting newsletter from Orbograph. Orbograph will be discussing these topics at the HFMA-ANI show in Orlando, Florida. Stop by booth 639 or contact joe.gregory@Orbograph if you are interested in hearing more.

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HFMA – ANI 2013 to Play Critical Role for Healthcare Providers

By jgregory / June 14, 2013 / 0 Comments

The HFMA conference brochure pretty much tells it all, “What Now?” The healthcare industry continues to evolve and converge around several critical pieces of legislation including ACA, EFT/ERA electronification and ICD-10. HFMA sessions look very interesting as they address many revenue related topics!

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Chug, Chug… Here comes ICD-10. How will it affect Revenue Cycle Management and Receivables?

By jgregory / June 14, 2013 / 0 Comments

It’s a tough world out there for healthcare providers who are typically scrounging for 15-20% of their claims revenues which are either denied or incorrectly processed. ICD-10 is slowly approaching (10-1-2014), and with the number of codes jumping to 68,000 from the mere 14,000 of ICD-9, it made me wonder how much more difficult the billing and reconciling process may become for providers and patients as there are significant risks in this new process. Anne Smith, RN, principal and CEO of Fredrikson Healthcare Consulting, said, “while the biggest changes focus on code structure and conventions, it would be a mistake to assume only coders need training for the new system.“

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