GeBBS Healthcare Blog

Shedding Light on Alternate Payment Models

Posted on Thu, May 02, 2019 @ 02:55 PM

The shift to value in healthcare is no easy feat.  While the Centers for Medicare and Medicaid Services (CMS), accountable care organizations (ACOs) and healthcare systems are all working towards it, true success requires a commitment to collaboration, communication and transparency.

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Tags: Accountable Care Organizations (ACOs), Coding Accuracy, CMS, Medicaid, Medicare

Encounter Data…Why Getting It Right is More Important Than Ever

Posted on Tue, Apr 23, 2019 @ 10:41 AM

Earlier this month, CMS announced changes to future payments for Medicare Advantage plans that will take effect in 2020.  While a pay raise is part of the plan, what’s causing a stir is that payment will now be based on a higher percentage of patient encounter data (up to 25% from 10%).  Many (especially payers) have argued that encounter data is often incomplete and inaccurate when compared to diagnoses, since encounter data relies on provider documentation.

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Tags: Medical Coding, Remote Medical Coding, Coding Accuracy

Medical Coding Outsourcing is More Than Staffing

Posted on Thu, Feb 18, 2016 @ 06:00 AM

Outsourced medical coding's traditional approach has been staff augmentation. It has been typically used to meet short-term gap needs due to turnover, extended absences, or electronic medical record (EMR) changes. In other words, it has been used when a healthcare provider needed temporary additional resources to supplement its existing resources. However, from our experience, this traditional staff augmentation model is not keeping up with the rapidly changing needs in the healthcare industry.

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Tags: Business Process Outsourcing (BPO), Offshore Medical Billing, Offshore Medical Coding, Outsource Coding, outsourced medical coding, outsourced medical billing, Offshore Revenue Cycle Management, coding outsourcing, Medical Coding Outsourcing, Remote Medical Coding, Medical Coding BPO, Coding Accuracy