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Physician Burnout

A common discussion in the Medical Community is the issue of physician burnout. Signs of burnout often include physician cynicism, callousness, sarcasm and feeling ‘put upon’ by our patients. This problem affects all specialties of Medicine and as many as 40% of physicians. The causes are many, to include working ‘full steam ahead’ at all

Prior Authorizations of Medications

There are few activities associated with being a doctor and running a medical practice more despised than the Prior Authorization(PA) process. Physicians and the support staff spend a number of hours a day drudging through the many specifics needed to get important medications approved from insurance companies. Cost estimates to the US healthcare system from

Electronic Medical Records

I was in the military in 1992 and stationed at Tripler Army Medical Center. I believe the Army was one of the first ‘institutions to use computers for much of the hospital work that we did. I have therefore ,been involved in Electronic Records and the use of computers for clinical medicine for many years.

Anthem reduces their on-and off-exchange individual health plan offerings

Anthem is going to reduce their on-and off-exchange individual health plan offerings in Kentucky, which is not an easy decision for them at all. They have, however, announced that nothing will change this year. When the Affordable Care Act started, they came up with a new set of quality, an affordable health plan, which is

CVS and Aetna Merges

CVS Health and Aetna announced their merger last week, bringing about some waves of speculations around them. CVS is going to buy Aetna for $69 billion, and with this deal, it will become a diversified healthcare giant. The deal will indeed accelerate the growth of CVS, helping it ward off Amazon. It is true that

Medical Coding Guidelines

November is National Diabetes Awareness Month and is prompting coders to review coding guidelines for it, suffered by more than 10.9 million U.S. residents. As all health information management (HIM) coding professionals know that the ICD-10-CM Official Coding and Reporting Guidelines have been approved by the four organizations that make up the Cooperating Parties for

Healthcare business

Medical healthcare service providers know how crucial it is to focus on their business. While businesses can be successful in providing medical care, there are various aspects of the industry that they are unaware of. This was similarly the case for Extended Care. Extended Care is a medical healthcare service provider that provides primary care

humana obamacare

With Humana’s decision to exit the Obamacare exchange market in the year 2018, the health insurers and the regulators are all alarmed. However, the Trump administration issued new rules to try and stabilize these drastic changes. Aetna CEO, Mark Bertolini, said that there wasn’t enough money in the ACA even with its fees and taxes

Center of Medical and Medicaid services

In a major change of events the Center of Medical and Medicaid services recently lifted the requirement for participating in bundled payment initiatives. Earlier this year, the Health Service agency proposed to reduce the count of geographical areas participating in the Comprehensive Care for Joint Replacement (CJR) along with cancelling the mandatory Cardiac Rehabilitation Incentive

Center of Medicare and Medicaid Services

The Center of Medicare and Medicaid Services (CMS) has announced a massive transition in the medical domain. CMS will now be using Clinical Quality Language or CQL standard (a level seven health standard) in place of the earlier e-CQM structure for logic expressions. CMS stated that the change is backed up by one year of

Cigna News

Cigna, an American worldwide health services organization, is involved in reducing the misuse of prescription painkillers. The company announced that it will stop covering the cost of use of the opioid OxyContin by customers of their employer-based health plans beginning in January. Cigna also announced a contract will help to cover oxycodone (used to treat

Obama care news

Health insurer Anthem (selling plans statewide to people who do not get health coverage through a job, Medicare, Medicaid or any other source), had departed earlier from some other state’s individual health plan markets because the individual market is volatile, shrinking and deteriorating due to continual changes and uncertainty in federal operations, declared recently that

healthcare news and updates

Federal health officials declared that in the last season, 48.6% of Americans were vaccinated against the flu. But, officials want at least 70% of people to get a flu shot by October for the coming season. The health officials recommend only injectable vaccines and not nasal spray vaccine for this season because now the vaccines

Virtual Assistant Service Provider

Running a medical practice can be daunting. There are innumerable tasks to be done such as the medical billing, managing appointments, handling insurance claims and so on. These tasks can be done by in-house staff. However, the efficiency of the performance when compared to that of a virtual assistant is significant. When doctors consider the


The management work that goes on behind the medical details is the very foundation on which the practice is built. The need of proper management in the front desk of any medical practice cannot be overstated. While many doctors prefer to run their practice with people, the long hours, the huge list of paperwork, the

Medical Billing Outsourcing

The increased financial pressures on health care practices are well known, from reimbursement paradigms to increased regulations and trends moving towards high deductible health policies. The challenges are perceptible. For doctors, the fact that stands out is that there aren’t a lot of opportunities for providers to increase revenue, so they strive for improvement from