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Approval of the passage of Zadroga Bill
February 23, 2011 By
After a long drawn struggle in which both the big parties of United States traded a lot of statistics, claims and counterclaims, the Zadroga Bill was finally passed by the Senate in late December 2010. The bill is named after James Zadroga who was one of the first responders to the 9/11 terrorist bombings of World Trade Center and is named as the James Zadroga 9/11 Health and Compensation Act. James was a victim of the illnesses caused by extreme exposure to dust and poisonous fumes while involved in the post attack search and rescue efforts.
The Zadroga bill has a pretty long history and it was being pushed for by a number of politicians from New York as well as police officers and fire fighting personnel. The bill was able to pass through the House of Representatives but it was stalled in the Senate. The Republican majority Senate was not in the favor of the Zadroga bill as it was passed by the House. The major issue was that with the US economy still in doldrums, the USD 7.4 billion expenses that the bill would have created would cause unwanted stress to the US taxpayers. Due to this, the bill amount was decreased to USD 4.2 billion, which was slightly more that half of what the House had passed through.
The reduction in the Zadroga bill amount was enough to satisfy the complaining Republicans and once it was made, the bill was passed unanimously. So much so that the Senate paused its debate on the NEW START arms reduction treaty, the vote was held in voice. The House approved the bill soon after. New York Senator Kirsten Gillibrand said “This is the day we have all been waiting for. Our Christmas miracle has arrived!”
In its earlier position the bill was meant to provide support to qualified first responders for a total duration of ten years. In this reduced form however, the bill only has enough funding to go on for five years. This is not a bad thing, not as bad as it looks like and is much much better than the pre bill scenario where the federal funding had to be approved on an year to year basis. Zadroga bill has considerably simplified the process of supporting these unsung heroes of one of the biggest tragedies that the United States has ever suffered. Another notable effect is on the Victims Compensation Fund. Had the original House version of Zadroga bil passed, the Fund would have remained open until 2031, now it close permanently in 2016.
Soon after the vote, , the majority leader Senator Harry Reid said, “We did not get everything that we wanted, but always remember legislation is the art of compromise. This is .3 billion better than nothing.” Similarly, according to Steve Cassidy who is the president of Uniformed Firefighters Association of Greater New York, “A five-year extension was not what we were looking for but it is certainly a huge step in the right direction, and what needed to get done now,” So, Zadroga bill was passed after putting lot of efforts.
When several preceding comedians are booed by a drunk and discourteous audience, Bill Burr abandons his prepared material in order to berate the Philly crowd for over 12 minutes. Better audio than the original Bill Burr video. My video wasn’t great, and it was too much trouble to animate the entire rant with all the Philly references, so I just added some audio visualization effects to the video instead. ( With links to the transcript and Bill’s blog about the incident at dregs.net )
Video Rating: 4 / 5
Web-Based Medical Billing Software: Is it Right for Your Office?
February 21, 2011 By
Software as a service (SaaS), On Demand software, web-based software—these are all terms for the same thing: software that is provided over the Internet rather than residing on your office computers. The question is whether web-based medical billing software is the right choice for your office.
Once the exception, web-based software has become more common over the last 4-5 years and now is widely used for a variety of applications including webinars and meetings (WebEx, GoToMeeting), accounting (Quickbooks Online, NetSuite) and customer relationship management (SalesForce.com, Zoho.com), to mention a few.
In fact, the popularity of web-based software is growing so fast that International Data Corporation (IDC,) a leading provider of market intelligence for the information technology market, projected in a July 26, 2010 report that by 2012, nearly 85% of net-new software firms coming to market will be built around SaaS service composition and delivery.
Exactly what is web-based, or “On Demand” software? In the On Demand world, your business applications are delivered over the Internet by your software provider for a monthly subscription fee. There are no upfront costs; you simply pay-as-you-go for the features you use. By spreading costs over many customers, web-based software companies can better afford to invest in the infrastructure required to support higher levels of software reliability than a small business could achieve on its own. The software provider automates routine maintenance tasks such as backups, hardware upgrades, and security protection. Change is embraced and even built into the delivery of applications with regular and automatic software updates.
With On Demand technology, a medical practice or third-party medical billing company can free itself from the upfront expense of medical billing software licenses and hardware. It can get up and running more quickly and take advantage of first-class infrastructure at a fraction of the cost of managing the software in-house. Software from On Demand providers can be updated frequently in response to customer needs and the competition.
This all might sound a bit like a description of the application service providers (ASPs) in the late 1990s—companies in which investors lost so much money and whose customers were left dazed and confused. However, there is a clear difference: many of the so-called ASPs simply built out massive data centers and ran rental services for other people’s software. In contrast, today’s web-based software companies design their software from the ground up to be delivered over the Internet as a service.
Advantages of Web-Based Medical Billing Software
So web-based software is a fast-growing trend; but is it right for your business needs?
Web-based medical billing software offers several advantages that are driving the growth in acceptance of this solution:
Regular Updates—With most web-based software, you’ll receive regular updates of your software–often every 6-8 weeks–providing new features and improvements. You’ll get these updates without any additional charge and without needing IT staff in your office to upload it. One Kareo customer has said, “The quarterly updates are almost like Christmas… ‘What will Santa bring us this time?’”
Data Security—Web-based medical billing software provides regular back-ups and high level security, something most smaller medical practices can’t afford. You don’t have to worry about securing your data from disgruntled employees or whether your back up ran last night; with web-based software, all of that happens automatically without any direction or involvement from you. And most web-based software companies provide a level of security for their data centers that a medical practice or smaller medical billing service could never hope to achieve, with keycards, fireproofing and other high standards that prevent data loss.
Reduced IT Staffing Demands—As described above, one of the biggest benefits of web-based software is the reduced need for IT staff’s involvement, freeing that limited resource for other vital tasks. With simple installation (generally a sign-up that takes just a few minutes), updates that are handled by the software vendor and back-ups and security also handled by experts, your IT staffing demands are minimal.
Accessibility—Web-based medical billing software can be accessed from virtually any computer with an Internet connection, which means you can check on the status of your business from home, on vacation, or anywhere you happen to be. Plus, this accessibility means your providers can access their data easily from home or office, and your staff can work off site as well. After switching to web-based software, Keith Davison, owner of Aztec Medical Billing Service, said, “Now my billers work from home the hours they want to work as long as the work gets done. They can work in their pj’s or an evening gown or anything between. They love it! Plus, our overhead for the business is much less with no office to maintain.”
With the current incentives for EMRs, many practices are certain to turn to web-based software as a more affordable, easy to use solution. The rapid growth of Practice Fusion, the free, ad-supported EMR with which Kareo partners, is a prime example of how internet-based software can be used to provide a service which could not necessarily be afforded by smaller practices.
Evaluating Internet-Based Medical Billing Software for Your Office
In many ways, evaluating software requires the same considerations whether the software resides on your own servers/computers or on the Internet. The best place to begin is determining what your requirements are, ranking them by priority in terms of “must have,” “want to have,” and “not important.” Some of the key points to consider include:
Ease of Use—You want a system that won’t take months to implement and won’t frustrate your staff. Many software companies will allow you a free trial; this can be an important way to see how user-friendly the system truly is. Be sure to have the staff members who will actually be using the system test it and give honest feedback.
Off-Site Connectivity—Do you want to have access to your software and data from any location? If so, then web-based software may better meet your needs. Also, be sure that your office can support the bandwidth required by web-based software. With broader availability of high-speed Internet, this isn’t as much of an issue as it was a few years ago, but you need to insure that your Internet connection will support consistent use of a web-based software. A system that is too slow or frequently down will frustrate your staff and slow down your office processes.
Transparency—Busy physicians and office managers don’t need complicated systems that make it difficult for them to track the practice’s financial health. Be sure the software you’re considering provides the reporting you need, or the capability to quickly generate custom reports that meet the practice’s needs.
Affordability—Be sure to consider the full cost of either type of system. Are there set-up costs and a long-term contract? Some web-based medical billing software (such as Kareo) does not require up-front fees or contracts, and this provides you with a greater amount of flexibility than those companies that require contracts and fees.
Security—How will you insure your data is secure and backed up on a regular basis? With web-based software, your data is secure off-site and automatically backed up daily, without you or your staff needing to do a thing. If you purchase software that is not web-based, you will need to arrange for regular backups and HIPAA-compliant security.
Training and Support—Be sure that the system you select provides the training and support your staff will need in order to be productive quickly. Most web-based software companies provide online videos and resources, as well as live training and support via both email and phone.
The key to choosing the right medical billing software is to clearly identify your needs and evaluate the various packages on how well they meet your key and peripheral needs. Don’t be distracted by bells and whistles that you don’t need; look for those features that will make or break your business, and then choose the software that best delivers those features. Increasingly, you may find that software will be web-based.
Looking For Extra Revenue During These Harsh Economic Times? Chances Are You’re Overlooking Your Wireless Bills
February 8, 2011 By
-Think it’s expensive to hire an outside source to manage your wireless costs? Think again. Successful wireless expense management is very complex and it can be very costly if you do not have the in-house expertise it takes to manage it. This is why most companies, both small and large, are now choosing to outsource the process to a professional wireless management firm.
Companies waste millions of dollars each year because they attempt to manage their accounts in house or they allow their wireless providers to manage their accounts and make decisions for them. It is not uncommon for companies to continue sending money down the drain on wireless services because they have lost control. And, without having visibility and control over wireless spending, a company can lose a lot of money simply by not having the time or resources to manage the account. It is this vulnerability that can be costly. Quite simply, wireless expense management is a complex process best left to the pros like the consultants at Wireless Resolutions.
Studies show that over 66% of all wireless bills have errors and companies are paying thousands of dollars in overcharges without knowing it. That is why it is important to have a trained wireless expert managing your wireless expenses, as it is very easy to overlook so much on these bills. But be careful: some corporations have chosen to have their wireless provider, or a dealer representing that carrier, perform a bill analysis. They are allowing these representatives to tell them what they feel is best for their accounts. These people work for the same carriers that made an extra million dollars last year by overcharging their customers. Think it’s expensive to hire an outside source to manage your wireless costs? Just think how expensive it can be without one.
Hiring an outside wireless expense management company or an independent Wireless Consultant may be a better choice. Marty Taylor, owner of Wireless Resolutions had this to say, “For one thing, a good outside consultant is not afraid to think outside the box when it comes to negotiations with your provider. They are well versed in all aspects of managing your account including contract interpretation and policy. They are by no means intimidated when dealing with the carrier and because they fear no retaliation, they are usually prepared to go directly to the FCC if errors are not corrected in a timely manner.”
Marty Taylor, who has more than 20 years of experience in the industry and has worked for nearly all the wireless service providers. She is trusted by business customers nationwide and is well known as a strong customer advocate who will stand up for their rights as a customer.
She has developed a reputation with the wireless carriers as well. One wireless provider recently made this comment, “We understand that Marty Taylor is an aggressive Customer Advocate and very well known in our industry. “We understand her position and will work closely with her and her team to maintain a strong relationship with customers. Although she can be tough and somewhat demanding at times, we understand her goal is making sure customers are satisfied. We also have the same goal and see her work as beneficial in offsetting customer attrition in this highly competitive business.”
Taylor says, “You need someone who will challenge your wireless carrier’s rules and policies in an effort to make change for the better. Because we do not work for the provider, we are not at all reluctant to ask for what we want for our customers and we usually get it. I am overwhelmed by how many customers need help out there. I have never found a wireless bill that was 100% accurate. I find that business customers are spending more than they need to and don’t even know it. If they do finally figure it out, it’s difficult for them to go through regular channels. Businesses need someone with expertise, someone who’s not afraid to challenge these carriers and call the FCC if they have to.”
She offers her expertise and bill review service for free. Companies only pay if they choose to accept the money that Taylor and company finds for them after reviewing their bills and negotiating with the carrier on their behalf for a better plan to reduce costs. Her fee includes a full year of hands-on account management to make sure a company pays the lowest cost possible for the highest service available. Her services can be retained for an indefinite period of time with yearly renewals.
An independent Wireless Consultant can dedicate the right amount of time and knowledge it takes to manage your Wireless account on a monthly basis. Most companies just pass on their bills to their Accounts Payable department without doing a thorough audit. Using an outside source to manage your wireless expenses can save you time and money by eliminating the need for in-house staff that is not trained to know what to look for. “Keep in mind, an independent Wireless Expense Management company or an Independent Consulting firm is unlike the representative who works for your provider, says Randy Bennett, of Wireless Resolutions. “They are not driven by commissioned sales or bonus money for keeping their provider or dealer profitable at your expense. Wireless Resolutions for example, is not in partnership with any provider or dealer and does not accept commissions from any wireless carrier. This insures our objectivity.”
Taylor’s company statement: “We believe that our sole focus here at Wireless Resolutions is on wireless expense management. That makes us a great resource for companies that rely heavily on wireless communications but do not have the internal manpower or expertise to handle it. We can completely handle all the customer’s needs, from the complexity of data security to device selection and rate plan changes. Having worked with all the major providers over the last 20 years and knowing how the system works, we have developed the expert negotiation skills needed to get our clients the lowest possible cost for the very best service their carrier has to offer. We take pride in our ability to work with and to negotiate with these providers to reach a happy ending for both the carrier and the customer. Our focus has always been on getting our customers the maximum amount of service for the lowest price.”
www.wirelessresolutions.net
www.wirelessresolutionsblog.com
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Six Points to remember while choosing a Medical Billing and Coding Provider
February 7, 2011 By
Health care providers are often deprived of their hard earned income because of rejected claims and inadequate follow-ups. Nearly 20% of medical bills go unpaid because insurance companies reject claims based on bureaucratic errors and medical providers give up on the collection. Third party medical billing services have the necessary expertise, personnel and technical tools to ensure higher collection of bills, thereby increasing the revenue of medical providers. Following are some of the details a healthcare provider should know of a medical coding and billing provider before hiring it.
Health Care Professional should evaluate their own needs first, and then find a billing company, which serves their purpose. Most providers only offer services, billing, and collection accounts by presenting specific requirements and track payments. Some vendors are only for small companies that tend to work on the parameters that provide specialized medical services. Large companies in the provision of practice management complete packages that medical billing is to ensure the efficient operation of medical practice.
The payroll service providers should follow up on payments so aggressive and persistent. Insurance companies are very picky and reject or deny requests on administrative techniques. The supplier must ensure that they work correctly, so that the insurer is not able to reject it.
Medical Coding and Billing Service Provider will charge a fee for their services or a percentage of the loan they collect from health professionals. Your doctor should examine the tariff structure that fits best and choose a billing accordingly.
Some billing services providers have a specialty focus in a particular billing protocol. They promise better collections than general medical billing providers do.
Medical billing providers have a better chance of getting results if they are supported by latest technology and tools. Electronic submission of forms is more effective and less error prone than manual submission. Incorrect forms are one of the main reasons claims get rejected by insurance companies.
Billing services can potentially increase the revenue of medical practitioners by almost 30%. An effective medical billing provider frees healthcare providers from the burden of administrative tasks and allows them to focus on patient care.
For more information visit: http://www.medical-billing.com
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AFS Bill Consolidation – Simplify Your Loans, Simplify Your Life
January 31, 2011 By
Paying bills is already a headache, but when you find yourself paying your mortgage, credit card bills, plus other accumulated debt each month, the stress of managing your finances increases significantly as you scramble to move money around to cover everything. With AFS bill consolidation, you can consolidate your bills into one easy monthly payment that is less than the amount you pay now and gets rid of the hassle to move money around.
What is AFS?
AFS is an acronym for Advanced Financial Services, a financial institution that specializes in bill consolidation loans and mortgage lending services. Although they are located in Rhode Island, they operate in several other states. Rated an A+ by Better Business Bureau of the United States, AFS offers good customer support. For bill consolidations, AFS offers many programs so it is easy to find one that will work the best for you. There is no application fee and they work efficiently with your best interest in mind.
How it works
Intended for current homeowners or those seeking to become homeowners, AFS offers bill consolidation loans that enable you to move all the bills you pay into one easy payment. For current homeowners, that means using the equity from your home pay off your debts. Not only do you pay only one payment a month, but the payment itself is less than the sum of all your individual bills and so you actually save quite a bit on interest in the long run. Plus, the AFS bill consolidation loan is tax deductible, which your other personal loans and debt probably are not.
No more juggling bills and tracking payments translates into less worrying that you will have enough money to make it through the month or wondering whether you have remembered to pay everything. Consolidating your bills allows you to track your finances more easily and get a better handle on where your money goes.
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Medical Billing Software – Best Solution For Medical Billing
January 30, 2011 By
Medical billing software is a solution that will take care of your bill cycles and ensure timely claims. It has a direct relation to your receivables. If you have low collections and inflated receivables, then this billing software is a perfect solution for managing billing rules, codes and collections. You can greatly benefit with this software whether you are an independent medical professional or associated with a hospital.
Medical practitioners will vouch for this electronic medical records system. It enables them to effectively fine-tune the billing process. If there are any glitches in your billing cycle, it can lead to denial of claims and decreased receivables. For smooth operation of your hospital, it’s important to get your claims paid correctly when submitted for the first time.
Medical billing refines the bill source documents and streamlines the charge submission. It uses an online eligibility verification, independent coding service, and claim scrubbing software, to improve claim quality prior to submission. This reduces the number of preventable denials. This practice management software can be of great help to you, and can put you in a better financial position. Here are some of the features of this practice management system.
Features
* State-of-the-art billing software, which is available online and can be accessed online.
* Electronic charge capture that enables you to record and submit charges on a Blackberry or iPhone.
* Billing documents are scanned and stored for quick and convenient retrieval.
* Integrated eligibility verification.
* Better tracking and analysis of rejected claims.
* Improved coding accuracy and compliance with accelerated cash flow.
Medical billing software is indeed a perfect tool for managing your billing process. It can save a lot of time and effort. Not just that, it can help in overcoming all the claim related challenges. Your operations will be extremely organized with this software solution.
Medical Billing Software
January 28, 2011 By
Billing software is an application that can make the billing process a breeze at any medical office. Billing software and its use guarantees the practice proficient billing practices with less manual labor involved in handling the process of billing. In fact, software can help the office keep organized and make tax time a hassle free time for the office that takes advantage of such an application.
There are numerous software applications designed for the specific needs of the community. Billing software applications are engineered for family practitioners, clinics, billing service specialists, hospitals, psychologists, physical therapy offices, chiropractic offices, dental practices, and there are even medical software applications suitable for equipment companies. The software applications that have been engineered for medical office management are diverse, providing users with a variety of functions as well. Current software allows users to bill patients, report overdue bills to collection agencies; make patient appointments; handle scheduling; easily submit claims to insurance companies and software serves as an electronic database of patients records.
Clearly, software is something no practice or office should be without. The functionality of the program alone makes the software an imperative tool in every medical office. Current medical billing software applications have been designed to meet with the standards imposed by HIPPA and the fact that any claims made to insurance companies are electronic and not paper means that the office will receive payment that much faster.
There are numerous medical billing software applications designed for the specific needs of the medical community. Billing software applications are engineered for family practitioners, medical clinics, medical billing service specialists, hospitals, psychologists, physical therapy offices, chiropractic offices, dental practices, and there are even medical billing software applications suitable for medical equipment companies. The software applications that have been engineered for office management are diverse, providing users with a variety of functions as well. Current software allows users to bill patients, report overdue bills to collection agencies; make patient appointments; handle scheduling; easily submit claims to insurance companies and billing software serves as an electronic database of patients records.
Medical billing software will undoubtedly help you in your quest to establish more organized business practices. Most doctors and medical billing professionals find that medical billing software helps them execute their billing in a more organized and efficient way. No longer will you have files and piles of information that could be better organized. Your medical billing software will help you index information in a better manner so that you can pull up bills for clients, send them out in an efficient amount of time, and simply keep good records.
The Truth About Medical Billing and Coding Careers
January 27, 2011 By
When I worked in the admissions office of an allied health college, my primary responsibility was enrolling prospective students in the school’s medical assistant, dental assistant, massage therapy, health information management and billing & coding programs.
To the college I was just a salesman with a quota to fill. To me, I was a professional responsible for providing a high school senior, a drop out with a GED or a person “re-careering” with objective information to help them make a decision that could effect their life for quite some time. I wanted to do my part to help that person get the most out of the time and money they were willing to invest in themselves.
A common theme with many of the students I enrolled in the medical billing & coding program was an interest in a health care career without the “blood and guts” (a term I remember using to relax and get a smile from the student); or in other words the close contact with patients that would be experienced by a medical or dental assistant. For them, an administrative position like billing & coding was just what the doctor ordered (pun intended).
In this school, like many others, the medical billing & coding program was combined and came in two flavors: a nine month certificate program and an eighteen month degreed program. The difference? At the conclusion of the nine month program, the student received a certificate (not to be confused with a diploma) documenting their completion of the coursework.
The student was also prepped to take the American Health Information Management Association’s (AHIMA) Certified Coding Specialist (CCS) exam. Upon passing the exam, the student was awarded the CCS credential. At the conclusion of the eighteen month degreed program, the student would have earned an associate’s degree and, like the certificate program, would be prepped to take the CCS exam.
If I used any sales tactics it was to persuade the typical billing & coding student to enroll in the degreed program. By typical I mean a person with a high school diploma/GED and little to no practical work experience. The reason? Not because the school made more money (they did), but because I firmly believed – and still do – in education as the best way for someone to better themselves personally and professionally.
To me the certificate program was a strong second choice and usually selected by those students that, among other things, wanted to get in to the workforce faster or couldn’t afford the degreed program. As I mentioned earlier, upon graduation the student would receive a certificate stating that they completed the coursework and be prepped to take the CCS exam. To me the real value was taking and hopefully earning the CCS credential.
There are several credentials that can be earned by a medical billing and coding professional. Credentialing is a big deal. Why? Having those letters after you name (e.g. Jane Doe, CCS) proves that you have demonstrated the knowledge, skills and ability required to pass an exam issued by a nationally recognized American Medical Association (AMA) sanctioned organization. In the world of medical coding there are two organizations offering credentialing sanctioned by the AMA: AHIMA and the American Academy of Professional Coders (AAPC).
When you check out the AHIMA and AAPC websites – and I really hope that you do – you will notice that their credentialing programs are all about medical coding. You may have visited the websites of some allied health colleges and noticed that their medical billing & coding programs are really a bunch of medical coding classes with a couple of billing courses thrown in for good measure.
I think there are a couple of reasons why most curriculums focuses the bulk of their coursework on coding rather than billing:
:: Students are more “employable” with combined coding and billing skills
:: The health care industry is placing more value on coding skills
:: Medical billing can be learned on the job and requires little to no technical knowledge
I may repeat this in other posts but if you really are thinking about making the financial and personal commitment to a medical billing or a billing & coding program, I can’t stress enough the importance of performing your due diligence so you can make the quality decisions that will put you in the best possible position to be successful.
By due diligence I mean partnering with a parent, mentor or someone else you trust to be honest and objective to help guide you in your decision making process. You also need to be completely honest with yourself, know your strengths and weaknesses and apply that knowledge to your decision making process. For example, if you struggled in high school or have a learning disability you may not be able to pass the coursework and should consider other employment options. On the other hand if you were an outstanding student you might consider pursuing an undergraduate degree in health information management (see AHIMA.org for more information about a health information management program).
You should consult with the AHIMA and AAPC websites to see of there are schools near you on their approved list. I do know the AAPC also offers Internet-based or distance learning courses. If you are considering a program not approved by either organization then be sure to at least check out the school on the Better Business Bureau website and Google to see what previous students have to say.
Finally – and I’m probably get some hate mail – but please be very wary about any company offering medical billing correspondence courses and certificates. You will find out the certificates aren’t worth the paper they’re printed on when it comes time to find a job. Why? There is no AMA sanctioned body that issues medical billing certifications. The certificate is simply documentation showing that you took and passed some billing training program.
I can’t tell you how many times someone sent me a resume just because they had completed a medical billing correspondence course. I would not hire anyone with no prior experience. Why? I don’t want to train a newbie and can’t afford the liability exposure – someone not knowing what they’re doing can run off clients. I stick by this hiring policy after learning the hard way. Bottom line – no prior experience, no job.
Sources:
American Health Information Association (ww.AHIMA.org)
American Association of Professional Coders (ww.AAPC.com)
Also see:
“Billing and Posting Clerks and Machine Operators” Occupational Outlook Handbook 12 December 2007 http://ww.bls.gov/oco/ocos277.htm
“Medical Records and Health Information Technicians” Occupational Outlook Handbook 12 December 2007 http://ww.bls.gov/oco/ocos103.htm
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