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HQ Analytics Blog

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Your Practice Success and Medical Billing

Tips to get success for your practice.

June 12, 2016 Medical Billing
Your Practice Success and Medical Billing

Running a business is always inclined to success and it’s very much necessary that every part of business should be planned, organized and executed for its right purpose in right direction. In Medical Practice industry, a provider success does not relates to his/her own success only but also it is directly linked with other peoples sustainability and professional growth that are associated with that Medical Practice. Recent studies have shown that a doctor produce 13.9 jobs in US society as per AMA studies; so if a practice is successful, it’s a great contribution towards the health of society as well as the economy of the country […]

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Secure the Quality Measure Incentives

Improved Outcomes!

May 26, 2016Medical IncentivesMedical InsuranceMedical Billing
Secure the Quality Measure Incentives

Advancement in practice development extends the physicians not to focus only with treating patients and billing insurances but also to look for other incentives and advance benefits offers from insurances and government. There are many incentives like Meaningful use of EHR, PQRI and HEDIS etc. By taking care of all such incentive programs providers can go for maximum reimbursement for their practices. HQ Analytics can help you to get all possible reimbursement for following incentives […]

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Support Staff and Their Impact on Your Business

Those who work selflessly

April 14, 2016Staff
Support Staff and Their Impact on Your Business

You just have to take your hat off to support staff i.e. patient coordinators, billing agent, front desk staff etc. They spend their careers helping doctors, nurses and other healthcare professionals. Their roles are so selfless that you often wonder if they ever actually think of themselves […]

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Physician Credentialing:

Evaluation of qualifications and competency

March 29, 2016Medical Credentialing
Physician Credentialing

Physician credentialing is the process of gathering information regarding a physician's qualifications for appointment to the medical staff, whereas delineation of clinical privileges denotes approval to provide specific services or perform specific procedures by a physician […]

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Outsourced Claim Creation for Practices

Outsourcing Billing Operations

April 10, 2016Medical Insurance
Outsourced Claim Creation for Practices

A great deal of expertise goes into running a successful physician practice – from the skilled clinicians who deliver patient care, to the front and back-office staff who manages the business aspects of the practice. Yet, after focusing on the care delivery aspects of the business, many providers often don’t have enough time to properly focus on their billing. This prevents practices from achieving the maximum reimbursement for the services they provide. […]

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NCQA SAID IT THE MOST IMPORTANT EVENT OF 2016!

3 days to understand PCMH

Oct 11, 2016NCQA
Outsourced Claim Creation for Practices

Providing comprehensive and continuous care to the patients that is what PCMH all about. This refers that Patient Centered Medical Home is not a specific place but this term is conceptual which indicates about the approach a primary care physician could adopt to help patient in a patient centric manner. The concept for medical home is old and goes back to 60s but PCMH a model and its guiding principles were released in 2000s. These principles describes few areas within which the primary care physicians work with patients and their families to improve overall quality. […]

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DENIAL MANAGEMENT

A Key to Collect your Account Receivables.

June 05, 2016Medical BillingNews
DENIAL MANAGEMENT

Denial Management means to resolve the denials by taking corrective measures using EOB/ERA, Web portal, IVR to get reimbursement on denied claims. Studied has shown that there are some major areas of the denial production & if we focus on the elimination of their reasons, we can get rid of these denials. Below are the top 10 commonly received denials which are taken care proactively at HQ Analytics to accelerate your revenue cycle management. […]

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Value-Based Payment Model

A Transition from Quantity to Quality

November 08, 2016Medical BillingPayment Model
DENIAL MANAGEMENT

It's the Quality that Matters!


Value Based Payment programs are not very old to US healthcare industry. These programs focus more on the value which the patients get out of their doctors’ visit rather than how much more patients a doctor examines. To explain this phenomenon in an equation:

Value = Quality Measures + Patient Experience + Cost of care


This explains in a way that if a patient visits the doctor then what are the quality measures through which the patient has been going through, what is the cost of treatment the responsible persons have to bear and if someone asks about the patient’s feedback then what is it? In old orthodox way of care giving to patients the more the number of treatments or procedures the better was the quality of the services, but this approach […]

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Hierarchical Condition Category (HCC) Coding

A Transition from Quantity to Quality

December 23, 2016Medical BillingHCC Coding
DENIAL MANAGEMENT

Hierarchical Condition Category (HCC) coding is mandated by the CMS (Centre for Medicare and Medicaid) in 1997 and it is a payment model which has been employed in 2003. This model is also known as risk adjustment model. This model points out persons with serious or lifelong illnesses and assigns a risk factor score to the person depending upon a combination of the person’s heath conditions and demographic details. The patient’s health conditions are identified through ICD-10 (International Classification of Disease-10. There are more than 9000 ICD-10 codes that map to 79 HCC codes in the HCC Coding Model.

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