The Growth of Tech-Based Healthcare and New Payment Models
There are a number of new factors that are changing the healthcare environment for medical offices and healthcare facilities. The growth of tech-based healthcare companies and new payment models are trends that billing departments, healthcare...
Advice for Increasing Reimbursement Rates
When looking at a medical practice or healthcare clinic’s financial statements, the importance of the revenue generated from an insurer’s reimbursement rates quickly becomes apparent. It is the pursuit of better reimbursement rates that often...
CMS Price Transparency Rule and Hospital Groups
Terms like transparency are becoming a controversial topic in Healthcare. The new transparency rule by the Centers for Medicare & Medicaid Services (CMS) is designed to help patients better understand their medical bills. However, hospital...
Addiction Treatment and Recovery: Ohio Grant Funding & New AMA Language
The ongoing battle against substance abuse has created grim headlines in the state of Ohio. But, progress is being made in the buckeye state. Recently, Ohio is allocating grant money in order to fund additional substance use recovery programs. In...
Changes for CareSource and Walgreens Pharmacies in Ohio
The healthcare industry is a dynamic and ever-changing environment. A fact that is displayed by recent announcements from CareSource, Ohio’s largest Medicaid provider, and its relationship with Walgreens pharmacies. CareSource and Walgreens Break...
Understanding Prior Authorizations for Ohio Healthcare Providers
Beyond treating patients, healthcare professionals often find themselves spending time with administrative, billing and credentialing issues. This step seems trivial, but it is a vital piece of any medical practice’s revenue cycle. If prior or...
Gene Therapy, Aetna, Anthem and UnitedHealthcare
Amazing breakthroughs have recently occurred in the field of gene therapy. These new therapies are providing hope for individuals who suffer from terminal conditions. Yet, gene therapy treatments are expensive. This expense has created concern over...
CMS Proposes Interoperability Requirements
The Centers for Medicare & Medicaid Services (CMS) has released a proposal that is catching the attention of medical practitioners and health systems. The CMS is proposing changes to their interoperability requirements which has raised some...
Nursing Shortage in Ohio and Across the Nation
Across the United States, there is a growing shortage of healthcare professionals. The state of Ohio is no expectation for this trend. In the Buckeye state, there is a shortage of nurses in a variety of healthcare settings. But the nations rapidly...
