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It is important to adapt changes to grow and compete with the world. Healthcare organizations should also move forward with technology and expertise to be part of a progressive healthcare system. Read more about why change is important and how physicians should upgrade their revenue cycle.

EHR - Electronic Healthcare Records are there to assist physicians and medical billing services while compiling claims. The purpose is to increase accuracy and maintain transparency. Learn about five prominent features that professional EHR systems have to make the billing process easy.

Electronic health records are intended to enhance medical billing services and practices' operating efficiency and revenue cycle. However, some people might contemplate them to be intricate systems, with tools and devices that are once in a while disregarded-like a portion of applications on your mobile phones.

Medical billing process relies on efficient medical billing and coding services. It is an intricate activity that requires a lot of concentration and precision.  Medical billers and coder need to be professional and capable enough of handling multitasking.

The financial health of the medical industry is weakening due to inefficient medical billing and coding processes. There is a need to take extraordinary steps to mitigate the inefficiency in medical services. For this reason, the physicians can focus on the following aspects to generate exceptional medical billing services.

Here is a MIPS 2020 reporting checklist to ensure we are right on track and submit data right on time.

Studies suggest minor errors are one of the major reasons why payers reject claims and billing companies have to go about denial management. We have professional tips to help you avoid this.

With a growing number of frauds, the importance of medical credentialing services has strengthened. The need to stay updated with operational capability while ensuring the hands of the caregiver being safe is what this process strives for!

Medical doctor (MD) and Doctor of Osteopathic Medicine (DO) are two different entities that work with the same mission but different approaches, as DO goes with a holistic approach for treatment. QPP MIPS, being an incentive payment program, allows them both to deliver quality healthcare to patients. However, there are a few commonly used MIPS Quality Measures that both doctors can use and register their value-based care. Last year, the condition was a little different with MIPS data submission, but for MIPS 2021, the requirements are seen to be a bit flexible, and the corona pandemic is the reason for that. From Advance Care Plan to the MIPS Quality Measures, associated with the common illnesses and conditions, eligible clinicians have to check which measures are most suitable for their practice. An easy way to go through the process of MIPS 2021 reporting is to find a MIPS Qualified Registry. They have the resources and the trained MIPS consultants to help you meet your objectives.

Medical doctor (MD) and Doctor of Osteopathic Medicine (DO) are two different entities that work with the same mission but different approaches, as DO goes with a holistic approach for treatment. QPP MIPS, being an incentive payment program, allows them both to deliver quality healthcare to patients.

The Department of Health and Social Care (DHSC) has commenced a consultation on allowing pharmacists to dispense prescription medicines in original packaging. The consultation, closing on December 13, 2021, proposes changes to the Human Medicines Regulations (HMRs). It would allow pharmacists to dispense more or less than the 10 per cent of the prescribed quantity in original packs, except where this would affect the patient's clinical treatment. The change would not apply to controlled drugs. The second proposed change is to supply sodium valproate in original packaging regardless of the conditions set around Original Pack Dispensing (OPD). Currently, contractors have to supply the exact quantity prescribed, unless certain exceptions apply.

Department of Health and Social Care (DHSC) has updated the final price concessions for June 2023, following a discussion by Community Pharmacy England regarding medicine pricing issues reported by pharmacy owners (its members). A price concession only applies for the month it is granted; any prices agreed for concessions requested late in the month will roll over into the following month. Community Pharmacy England encouraged pharmacies to report any problems obtaining a Part VIII product at or below the stated Drug Tariff price, using the online feedback form on the Community Pharmacy England website along with full details of the supplier and price paid for any products sourced above the Drug Tariff price. The association will investigate the extent of the problem and, if appropriate, discuss the issue with DHSC.

Pharmaceutical Services Negotiating Committee (PSNC) has expressed its support for alterations in the Human Medicines Regulations 2012 to enable original pack dispensing (OPD) and supply of medicines containing sodium valproate by pharmacists. PSNC's support for changes was in response to the consultation on OPD, initiated by the Department of Health and Social Care (DHSC). The consultation had proposed regulatory changes to allow pharmacists to dispense (up to 10 per cent) more or less than the prescribed quantity of a given medicine in the manufacturer's original packs. Key aims of the proposal are to "support increased patient safety by ensuring patients receive the necessary information that is included in the original manufacturer's packaging about the safe and effective use of a product," DHSC said.

Methodist health system has managed to recover from the pain points of revenue cycle management with automation. Medical billing services and the overall healthcare delivery can improve in return if progressed in the same manner.

The Department of Health and Social Care (DHSC) will introduce new arrangements for the setting of Drug Tariff Category A reimbursement prices from April 2024. Driven by ministers, DHSC's decision aims to equalise access to margin on Category A medicines and it's part of a series of drug reimbursement reforms proposed by the department following a public consultation in 2019. Currently, prices of medicines in Category A are subject to monthly adjustment. From 1 April 2024, these will be updated quarterly based on sales and volume data obtained by DHSC under the Health Service Products (Provision and Disclosure of Information) Regulations 2018. The transition will conclude in July 2025 when the reimbursement prices will be exclusively determined by the new method. Advance notice for contractors regarding the 'new arrangements' has been outlined on the NHSBSA website. However, Community Pharmacy England (CPE) did not support the introduction of the changes at this time as pharmacies are currently grappling with "wider challenges" and there is uncertainty about the potential impact of these changes on the already "turbulent" medicines supply chain

Navigating the complex world of medical insurance can often feel overwhelming, with a myriad of plans, coverage options, and terminologies to understand. However, being well-informed about medical insurance is crucial to making educated decisions that ensure you and your loved ones are adequately protected in times of health emergencies. This blog aims to demystify some of the essential aspects of medical insurance, providing you with 6 crucial pieces of information that everyone should know. Whether you're purchasing your first policy or looking to better understand your current plan, this guide is designed to empower you with the knowledge needed to make informed choices about your healthcare coverage. Expat Options For expatriates living and working away from their home countries, having reliable medical insurance is not just important-it's essential. Navigating healthcare systems in a foreign country can be daunting, and without proper coverage, the financial implications of medical emergencies can be severe. For example, in Dubai medical insurance for your wife's dependents is mandatory, and in the United States, medical bills can easily rack up into the thousands for even minor treatments. Therefore, expats should research their options carefully and ensure that they have comprehensive coverage that meets their specific needs.

NHS England has launched a cloud-based platform that links recently-retired consultants, who still hold a licence to practice, with secondary care providers who need additional help with their waiting lists. It has been developed to make it easier and more flexible for retired doctors to return to the health service as part of the Long Term Workforce Plan. NHS chief executive Amanda Pritchard in June 2023 announced the NHS Emeritus pilot scheme, which is expected to help reduce long waits for elective care. Initially, the scheme will run for a year across England, and if successful, it may be expanded to cover other work areas. Health Minister Andrew Stephenson commented: "Returning consultants will bring invaluable experience and knowledge, and the new digital platform will match highly-skilled consultants with the NHS trusts that require their expertise, providing high quality care and alleviating pressures on high demand areas.

The pharmacy market in England has seen a significant transformation in recent years, driven by a trend of large-scale disposals by corporate operators. Jonathan Board, Director - Pharmacy, Christie & Co, has told Pharmacy Business that several corporate operators are looking to sell off their marginal or non-performing assets while independent operators are eager to acquire and enhance businesses further. Due to their scale, corporate operators are compelled to adopt a 'one size fits all' approach. However, Jonathan believes this puts them at a disadvantage compared to many independent operators who are better positioned to meet local patient and community needs, delivering a more personalised approach to patient engagement, and a variety of other services "As such, where corporate disposals have taken place, there has been a steady stream of independent operators eager to take over and develop the businesses further," he said.