GHMS News & Blog

Expert Billing & Coding and Medical Practice Articles by Nationally Recognized Medical Practice Management Consultants, Global Health Management Services. 


4 Strategies for “Medical Necessity” Denial Prevention

  Denials are inevitable, but the key to those pesky denials piling up and costing practices valuable time and money is prevention. Now let’s get something out in the open right away, there will never be a time when denials will stop occurring; however, getting a low percentage of denials is attainable. Fact: 20% of[…]

Data Analytics and hand

Data Drives Profit – Performing a Revenue Analysis – MGMA19

  MGMA19 Financial Conference is coming in March. I’ll be speaking on how data drives profit and how to perform a revenue analysis for your practice. Below is MGMA’s podcast regarding the financial conference and my presentation. In this 15 minute podcast I review some of the Key Performance Indicators I’ll be discussing in Las[…]

Lean Thinking pill bottle

Lowering Medical Practice AR With Minimal Spending

“I’m concerned about leaving money on the table, so how do I get my A/R down and turn that A/R into money in the bank?” Earlier today, a practicing physician came to me and asked me a common and relevant question I hear all of the time. Chances are, if I’m hearing the question more[…]

Claim Denied

Implementing Denial Prevention

Fact: Every medical organization has experienced those pesky claim denials. Medical claim denials are a hassle and can often lead to financial difficulties. The good news is, many medical denials can be prevented and can be easily avoided. Approximately 90% of denials within any healthcare organization are preventable. The bad news is, there will always[…]

Medical Billing and Collections

Healthcare Revenue Analysis: Gaining Insight and Perspective

Healthcare Revenue Analysis: Gaining Insight and Perspective Time is valuable as a provider. You may only have a few moments between patients or with the office administrator. Therefore, why spend an endless amount of time peering at reports for your medical practice. Transparency is defined as when a medical practice firm supplies your healthcare practice[…]


Top 3 Effective Solutions to Diminish Healthcare Accounts Receivables

Top 3 Effective Solutions to Diminish Healthcare Accounts Receivables There are three top effective solutions for diminishing healthcare accounts receivables. On any given day, medical practices are inundated with administrative responsibilities such as scheduling, patient registrations, patient eligibility and coverage verification, pre-certification, patient payments, coding, billing, denial management, and not to mention office staff issues.[…]

Analytics concept

Top 3 Benefits of In-House Vs. Outsourcing Medical Billing: A Practice Manager’s View

Top 3 Benefits of In-House vs. Outsourcing Medical Billing: A Practice Manager’s View Having 30 years of experience as a Medical Practice Administrator dedicated to managing medical practices which did billing in-house, I would like to share the benefits of outsourcing versus in-house medical billing. Today I am devoted to developing efficient and cost-effective revenue[…]

Medical and health insurance claim form with stethoscope on clipboard

3 Top Ways Healthcare Providers Can Increase Revenue and Profits

3 Top Ways Healthcare Providers Can Increase Revenue and Profits How can I increase my profits? This is a question I hear quite often from providers and practice organizations. With the healthcare shift from fee for service to value-based, Revenue Cycle Management is becoming more essential than ever before. Providers may now be experiencing larger[…]

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5 Top Reasons Healthcare Analytics Add Value

5 Top Reasons Healthcare Analytics Add Value We live in a society where information is at our fingertips at all times. If you ever want to know an answer to a question, you just ask Siri or Google. So why not have that information for your practice as well? Having worked in the technology field[…]

Pros Cons MACRA small practices

Small practice positives and challenges regarding the implementation of MACRA

Small practice positives and challenges regarding the implementation of MACRA There are positives and challenges for the small practice regarding the implementation of the Medicare Access & CHIP Reauthorization Act (MACRA). Small practice positives with MACRA The flexible “pick your pace of participation” route permits practices to report one active quality measure per provider for[…]

Medical Claims Appeals

MACRA: The Medicare Access and CHIP Re-authorization Act of 2015

MACRA: Medicare Access and CHIP Re-authorization Act Understanding The Quality Payment Program & Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) MACRA: The Medicare Access and CHIP Re-authorization Act of 2015 is the new CMS (Centers for Medicare & Medicaid Services) program that consolidates together the Physician Quality Reporting System (PQRS), Value-based Modifier (VBM),[…]

anesthiology two

Solutions for the Ambulatory Anesthesia Value-Based World

Article 2 in a series: Ambulatory anesthesia providers resolve value-based payment issues. The first article in the series, The Ambulatory Anesthesia Value-Based World, addressed the problems associated with achieving effective results in the world of value-based payment models and ambulatory anesthesia.  This report features what practitioners are doing to resolve the issues and achieve desired[…]

AR Management

The Ambulatory Anesthesia Value-Based World

Article 1 in a series to help anesthesia providers survive and thrive using the new value-based payment models. The reality of the ambulatory anesthesia value-based world is that Medicare inadvertently set up the ambulatory anesthesiology practice for failure. Most of the non-hospital based practices were unable to achieve meaningful use which eliminated them from the[…]

Medical Coding Services

Anesthesia Reporting of PQRS for 2016

Anesthesia Reporting of PQRS for 2016 The Physician Quality Reporting System (PQRS) is at the core of a much larger mandate that requires a significant amount of clinical data reporting.  This type of accounting does not work fluidly without the use of electronic medical records (EMRs). In order to avoid a financial penalty over the[…]

Medical Practice Managers

PQRS and Value Based Payment Modifiers: The Path to Success

The Future of Quality Reporting and Value Based Care for All Healthcare Services The past few years have created many changes in how healthcare is provided to patients, the quality of that care and the distribution of the reimbursement for those services. These changes are a direct result of the Patient Protection and Affordable Care[…]

Medical Billing Services

Dashboard Analytics Achieve Improved Healthcare Delivery and Prevent Rising Healthcare Costs

Dashboard Analytics Replace Inefficient Static Data Compilation Systems Dashboard analytics provide the necessary data for healthcare systems operations to stay ahead of the curve, efficiently giving organization members the essential information for delivering superior patient service. Rather than having to locate and gather data, dashboards allow practitioners to focus on understanding and interpreting data and[…]

Medical Claims Appeals

Simplifying Medical Provider Credentialing and Enrollment

Simplifying Medical Provider Credentialing and Enrollment Credentialing and enrollment are separate requirements made of all medical practices in order for providers to care for patients and receive payments. Taking note of these critical components of healthcare delivery and revenue cycling, the industry is working towards improving how provider data is being managed.  Independent service providers that[…]

Practice Management Services

Hire the Most Qualified Healthcare Provider Billing Experts

Medical billing experts specialize in integrating technology and experience to swiftly and efficiently secure maximum revenue for providers while minimizing costs and stress A highly qualified healthcare billing service should be experts in health management services including AR management, medical billing and collections, coding, claims appeals, payer contracts and negotiations, credentialing and enrollment, practice start-ups, dashboard[…]

Healthcare Practice Analytics

Start Your Medical Practice’s New Year Off Right with a Complimentary Medical Practice Comparison…

How Does Your Medical Practice Compare with National and Regional Measures?  Request a Free Medical Practice Analysis Today! Comparing Your Healthcare Practice Global Health Management Services offers a complimentary benchmark medical practice analysis that demonstrates the performance of your practice in accordance with national and regional measures. Our courtesy evaluation provides a customized assessment of[…]

Medcial Provider Credentialing

Anesthesia Informatics, Data-Driven Practice Management

Anesthesiology medical billing specialists understand the specific coding and billing guidelines for all aspects of anesthesiology medical billing and collection Americans are insisting on consistency, reliability and accountability from their healthcare system and providers. This demand has triggered a broad-based commitment to seeking a much improved approach to managing quality and cost, one in which[…]