The Truth Behind Why Doctors Lose Money.

The Truth Behind Why Doctors Lose Money.


Obamacare Creates Two Million Free Agents

Leo McNeil

According to the CBO, Obamacare will be responsible for eliminating 2 million jobs. The CBO also tripled the number of working hours lost due to Obamacare. Republicans are of course saying “I told you so.” Harry Reid seems to think that Obamacare doesn’t cost people jobs, it simply turns them into “free agents.” Unemployment has officially been changed to free agency. The White House response isn’t any better. Losing 2 million jobs isn’t “cause for concern” you see because workers have a “new set of options” and will therefore make the “best choice” given those options. One of those options appears to be unemployment or in Democrat newspeak “free agency.”

For those in the individual health market, Obamacare has already cause a substantial increase in premiums and deductibles. For those who get insurance from their employer, when the employer mandate kicks in two million are going to…

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Don’t Tip Your Competitors on Twitter. Beat Them.

This is not only good for reporters but for businesses. Don’t let the competition get the edge on you. Instead take the edge and run with it so that you can stay on top and put your competitors in the dirt.

The Buttry Diary

You can’t get scooped because competition gets tipped to a story when you tweet about it. Your tweets already scooped the competition.

A Digital First engagement editor who’s been teaching colleagues how to use Twitter got these questions from a veteran reporter:

Thank you for helping me understand Twitter and how to use it. What I don’t get is: If we tweet where we are and what we’re doing, how do we keep the competition from making a few phone calls on a story we sat through a meeting to sift out and develop? Or they’re not at the fire, but I’m tweeting and now they know.

And if I give results on Twitter, why would they buy a paper to see the results of the game?

I thought Twitter was to draw readers to our paper. So this is a struggle.

This is classic print-centric thinking. The newspaper has…

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Why are Doctors losing money?

Okay, SO WHO LIKES TO LOSE MONEY? That is the question. Really, think about it no one likes to lose money or feel like they are throwing away money. So why feel that way? Why feel that you are losing? Why feel that you are throwing away money? Don’t ask why, just don’t.

You might ask the question, well how do I not throw away money and how do I not lose out on money? Its simple really, you have to educate yourself and immerse yourself with knowledge so that you are aware of the current event and you stay in the now and not stuck in the past.  When it comes to the medical industry you have to stay in the now and have to except change.  We definitely understand that change is difficult for everyone, but ask yourself, if you never change are you actually selling yourself short?

Look we all know that most physicians are not practicing medicine for the money, that they are competent and compassionate and they genuinely enjoy helping others.  We also know that many doctors often work long, hard and sometimes thankless hours to provide the best care, with that being said doctors deserve to be paid for the service they render. But the problem is that many doctors get so caught up in practicing medicine and tend to neglect their business. Once doctors really sit down and begin to analyze their finances and the actual money that is being bought in by a combination of different sources they start to notice that they are receiving decreased reimbursements from the insurance agencies, the medical field is becoming more and more complex and is driving up costs, they have to continually be licensed which they have to pay for. Which brings us to this conclusion medical practices are businesses, and a business is not sustainable unless income exceeds expenses. Unfortunately, medical practices have to follow more guidelines when it comes to setting up fees for services because especially dealing with Medicare and Medicaid the federal government establishes the fee schedule.  With the influx of of over 40 million people into the healthcare system doctors will have an increased workload. With an increased workload can lead to mistakes being overlooked which can cause for money to be lost.

I would like to touch on some key points that clearly show how doctors throw away money and not that they do it intentionally but it happens.  Many doctors I have found are in the business of under coding their services.  Why under code? Many times it happens because the provider is not updating their superbills to reflect the correct codes they need to use in order to be properly reimbursed. Another reason some doctors under code is because they believe that by under coding they can some how become exempt from audits.  This is a big myth, medical providers cannot avoid audits, and whether they under code or over code they can still face penalties and fines.  So there you have it that is a major way that doctors inadvertently throw away money.  So instead of over coding or under coding, update your superbills and code for the services rendered.  In the long run this will be the best practice and medical providers will definitely see  an increase in their reimbursements and ultimately their profits.

Another key point that doctors overlook is that if they are currently using an EMR system and have not yet met the requirements to cash in on the meaningful use incentive provided by the Center for Medicare and Medicaid Services (CMS)  then they are definitely leaving money on the table. Medical professionals are able to collect up to $39,000 from CMS for seeing a certain volume of Medicare patients and using the designated features within their EMR system.  If the medical provider is seeing more Medicaid patients then they are able to collect up to $69,000 for meeting the requirements of the meaningful use incentive program.  Wow, tons of money that is being left on the table.  According to the Center for Medicare and Medicaid Services year to date 7.1 billion dollars have been paid out to over 144,440 medical professionals for meeting and exceeding the requirements for meaningful use incentive.  Don’t wait any longer to get a system that is meaningful use certified, because you are only losing out on money. Lets look at what will happen in the future if you are seeing a large volume of Medicare and Medicaid patients.  By October, 2015 if medical providers do not switch to an EMR system their Medicare and Medicaid reimbursements will subsequently decrease by 5% until they adopt an EMR system.  Not only that but they will no longer be able to qualify for the meaningful use incentive. Again that is lost revenue and potential money that can be used for various projects within their practice.

Don’t let bad practices and procrastination stop you from collecting the revenue you deserve. Let the professionals handle the hassle of going through tons of back paperwork, denied insurance claims, rejected insurance claims, and be rest assured that a turn around on revenue will be great. Don’t throw away money on useless systems or incompetent people who are only dragging your practice down. Trust in the Evolving Efficient Experts in Healthcare to provide you with real time solutions to your real time problems.

For more information on how you can stop throwing away money and losing out on vital incentives contact Triple E Medical Solutions LLC.

Website: Triple E Medical Solutions LLC
Phone: (888)338-7292 Fax: (888)391-2109

Advancements In Healthcare Technology.

As we all know the world is forever changing and evolving to make things easier for mankind. By making things in life easier we are able to live longer, by working smarter, and working in an efficient manner in order to achieve our desired results.  Well there is no difference when it comes to Healthcare. 
The practice of medicine has been around for thousands of years and will not go anywhere anytime soon.  Over the years aspects of medicine and Healthcare have changed considerably and with the advancements in technology Healthcare will continue to change.  But the change is not a bad thing.  The change is useful and will save doctor’s time, money, and most of all headaches.  One may ask why do doctor’s have headaches? Well for starters they have a lot of weight on their shoulders as they are responsible for people’s lives. They hold the power to help heal a person. Their time is precious and needs to be used efficiently and effectively in order to see more patients with care and not have to focus on the paperwork that comes with it.  Technology has given doctor’s the opportunity to run their practice from virtually anywhere in the world. Web/Cloud based applications have been created to aid in the process of streamlining a medical practice and combining several operations in to on application with access from any computer in the world.  Technology that is provided by EMR/EHR systems will also give patients/consumers the opportunity to access their own medical records and give their primary physician an up-to-date look at what is going on with them before their appointments which cuts down on the time it takes to do intake sheets. Who doesn’t want to save time. By saving time a doctor is able to treat more patients. Lets face it folks in 2014 under the new Healthcare Reform over 40 million Americans will flood into the Healthcare system. That’s a lot of people! 
The question for doctor’s is how are they going to handle the influx of patients? Well the answer you see is quite simple. Doctor’s will have to adopt some type of system that is able to store large amounts of data and be able to be 100% HIPAA compliant, and possess the capability to communicate with other systems using HL7 encryption.  I know it sounds like a lot, but really it can all be handled in a simple application that will allow for Doctor’s to access their data from anywhere, anytime, from any computer or mobile device. This eliminates many headaches, for starters Doctor’s will not have to rely on paper and they will be able to see their schedule anywhere and know how to plan for the case load on the next day. Trust me with the large influx of patients because everyone will have health insurance this is very important.
Who wants to be left in the past? Go ahead raise your hand and speak up. Hmmm, silence. It’s true the new wave of the future for healthcare is truly in the clouds. By clouds I mean cloud based systems. The cloud allows one to be efficient and effective.  Lets face it people, things are changing and the train isn’t stopping, so get on the bandwagon and don’t let your doors shut because you are afraid of the future and the technology that comes with it, rather embrace it and continue to do what you love, and that is treating patients. Do not let the advancements of technology scare you. Of course you may have skepticism, and that is entirely normal, but you have to look the brighter side, like the glass is half not half empty and see how the advancements in the healthcare industry not only benefits you, but it also benefits the patient and aids in the level of care they are receiving. Technology is an enhancement on the already in place models and tactics you use to successfully run your practice. At the end of the day your practice is a business that has a cash flow, if your cash flow falters then you suffer, with technology and the vast array of ways to access the tools needed if you don’t change then you will definitely fall. We don;t want you to fall we want you to prosper. 
Look guys if you want to find out more on the technology that is out there contact Triple E Medical Solutions LLC. We will provide you the real time solutions for your real time problems and give you the light to your way of being an efficient, effective practice. Our solutions are time proven and exceed all of the standards that our competiors have tried to place before us. We at Triple E Medical Solutions are dedicated to providing you with leading edge technology that will enhance your practice, help you to cash in the government incentives and get you the top dollar for your services rendered to patients. 
We are the Evolving Efficient Experts in Healthcare. 
Contact us today for your FREE PRACTICE ANALYSIS.
Phone: (888)338-7293
Fax: (888)391-2109


Is Your Practice Ready For ICD-10 Implementation

Are you ready for ICD-10? Well whether you are or not it’s coming and its not being delayed any longer. Come to find out, the rest of the world has been using ICD-10 codes for the past two decades, and not only that but the United States endorsed ICD-10 in 1995 and began using it for monthly reporting in 1999. But, wait you say, yes you have it straight, ICD-10 has been around for a long time but we have just been behind the power curve. Now under the new health care reform it is mandatory for medical providers to utilize ICD-10 and they must be in compliance by October 1, 2014. 

Providers will be still treating the same patients and conditions just using different codes. The reason for the switch from ICD-9 to ICD-10 is that ICD-10 captures more information relevant to the condition and diagnosis so that the treatment is more specific. Here is a table so you can see a side by side comparison of ICD-9 and ICD-10 and the differences between them. 

ICD-9-CM Diagnosis Codes                        vs.                    ICD-10-CM Diagnosis Codes
3 to 5 Digits
7 digits
Alpha E and V on 1st character
Alpha or numeric for any character
No place holder characters
Include place holder characters
Index & Tabular Structure
Coding Guidelines
Somewhat similar
Approximately 14,000 codes
Approximately 69,000 codes
Severity parameters limited
Extensive severity parameters
Does not include laterally
Common definition of laterally
Combination codes limited
Combination codes common
As you can see from the table above their are some differences and similarities between ICD-9 and ICD-10.

Now let’s talk about the advantages of ICD-10. The Centers for Medicare & Medicaid Services has given us nine and here they are:

  •  Measuring the quality, safety and efficacy of care
  •  Designing payment systems and processing claims for reimbursement
  •  Conducting research, epidemiological studies, and clinical trials
  •  Setting health policy
  •  Operational and strategic planning and designing health care delivery systems
  •  Monitoring resource utilization
  •  Improving clinical, financial, and administrative performance
  •  Preventing and detecting health care fraud and abuse
  •  Tracking public concerns and assessing risks of adverse public health events

That’s just nine. There are plenty more and more shall be reveled once the new code set takes its course and the medical providers are receiving the payments they deserve. 
Lets talk about the implementation process of ICD-I0 and the three main professional roles:
The role of the clinician is to document as accurately as possible the nature of the patient conditions and services done to maintain or improve those conditions.
The role of the coding professional is to assure that coding is consistent with the documentation.
The role of the business manager is to assure that all billing is accurately coded and supported by the documented facts. 
When each of these professionals to do their job correctly the practice is able to stand-up to an audit because the documentation  supports the coding.
So I ask again is your provider, coder, and manager ready for ICD-10 implementation?
My suggestions are to come up with an implementation plan that outlines the duties of everyone involved, define the purpose, plan appropriately, create deadlines, assess your risk, and most importantly make sure your EMR system and practice management system can withstand after this implementation.
Is your EMR and practice management system ready for ICD-10? If, so how much will it cost?
EMRx and iClaim is ready for ICD-10 and there is no upgrade fees!!
Let the Evolving Efficient Experts in Healthcare give you a real time solution for the real time problem you are facing. Contact us today so you can see how our solutions are bridging the gap in the healthcare industry.
Phone: (888) 338-7293  Fax: (888) 391-2109
DEPARTMENT OF HEALTH AND HUMAN SERVICES , Centers for Medicare & Medicaid Services. (2011). Icd-10-cm classification enhancements. Retrieved from website:

4 Practice Management Steps to Increase Your Revenue Cycle

There is nothing more annoying than someone telling me the blatantly obvious things I already know. Yet sometimes the obvious things are the things that we often overlook the most frequently. So, if you were to look at any good sports organization or coaching strategy they focus on maintaining and drilling the fundamentals of the sport to ensure that all of the players are up to speed and that they never forget where their base lies. This basic principal can be applied to other avenues of life and business the same way. By focusing on the basics you ensure that all of the other objectives that need to be met are already reinforced by a solid base, thus ensuring that all players at each level are able to perform and execute his/her responsibilities seamlessly and without hesitation to achieve the desired result or to make a play.

After reading the above passage you are probably wondering what does that have to do with my medical practice right? Well I’ll tell you and explain the direct correlation to the passage above. With any business, and as we know a medical practice at the end of the day is a business after all, you have a base, and standard that you started with and want to continue to build upon.  Granted you are not coaching a sports team but you are leading patients and your staff. The correlation to a sports team and your practice is simply this, you are trying to orchestrate the performance of the individuals that collectively make up your staff and you want them to achieve a common goal that will ultimately lead you to success.

Establishing Goals

With anything in life we have to set goals and benchmarks that we wish to achieve our ultimate goal of success. So I would like to pose a question to you, what are the goals of your medical practice?
When faced with the above question, often providers will respond with “well that’s obvious” or “isn’t that pretty evident what we want to achieve”. But when asked to clarify or specify verbalize the actual goals they have for their practice they have trouble clearly stating those goals. The question I have is why? It should be obvious, but its truly not. Which takes us back to the fundamentals of running a successful team, organization, or medical practice. So it is safe to say that when starting out one must clearly specify their goals and objectives also known as a “mission statement” and it should take a considerable amount of effort to layout the mission of your business. Now lets discuss how you as the provider can build from the bottom up and improve your revenue in your practice by using some simple steps.

1st Step to Increasing Your Revenue

Write a clear concise statement that outlines the goals and objectives that your practice is trying to achieve. 

2nd Step to Increasing Your Revenue

Be sure to effectively communicate the goals you have set forth for your medical practice.  Work closely with your employees to ensure that they are developing sub-objectives to the primary objectives that will most effectively support the goals you have for the practice. You should be reviewing the sub-objectives to ascertain that they are truly supportive of your goals for your practice.

3rd Step to Increasing Your Revenue

Keep a close eye and monitor the gap in performance, understanding and training. It is virtually essential that an ongoing program be implemented to monitor the performance of the staff members to ensure that all of the goals and objectives are fully understood and that they are all putting their best foot forward to attain success and patient satisfaction. It is imperative that an evaluation system be established to show growth in performance, this ensures that all of the staff is actively working toward the goals established in the “mission statement”. Such management review might indicate that additional staff training may be required to effectively meet their sub objectives.

4th Step to Increasing Your Revenue

Periodically update the goals and objectives as they may be required by changing circumstances. Some examples of changing circumstances are implementation of a new EMR/EHR system, or practice management system, transitioning from ICD-9 to ICD-10 coding, and conforming to new HIPAA and HITECH guidelines under the new health reform. It is imperative that management is effective and demands that the objectives and sub-objectives of your practice are updated to refelect the changes and keep the staff in line with the mission and vision of the practice.

Here at Triple E Medical Solutions LLC we offer the solutions that are needed to get your practice on track to increasing your revenue and developing a lasting brand that will give you the comfort you deserve. Let the Evolving Efficient Experts in Healthcare give you real time solutions to the real time problems you are experiencing. You will be given the time to focus more on patients and not on paperwork. Let Triple E Medical Solutions handle your business.

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