GeBBS Healthcare Blog

Becoming an accountable care organization (ACO) requires that your facility adopt a completely new point of view when it comes to revenue cycle management. The goal of an ACO is to reduce costs by improving the quality of care provided to patients. Providers are encouraged to and boost preventative efforts that may ultimately reduce the future need for high-cost medical services such as hospital stays. As a reward for the collaborative efforts of the ACO, participating insurers such as Medicare will generally offer financial rewards for lowering costs and meeting quality care goals for their patients. On the down side, this also means that ACO providers are accountable to Medicare and may risk losing money if their costs run higher than expected. Costs will no longer just affect overall profitability; for example, they will be evaluated in conjunction with efficiency to determine reimbursement parameters. Healthcare organizations need to be able to collect the correct financial and quality data, compile accurate reports and run predictive analytics in order to meet ACO objectives of better care at lower costs.

On October 1^st, 2014, the official use of and mandatory transition into ICD-10 in the United States will commence. In addition, it will be split into two systems: ICD-10-Clinical Modifications (CM) (a system that uses unique alphanumeric category classifications for the first time, includes more than 68,000 diagnostic codes, and has twice as many categories as ICD-9-CM), and ICD-10 procedure coding system (PCS) (a system for inpatient hospital procedure coding).

Long Island Radiology Practice Utilizes GeBBS Healthcare Solutions to Address Billing Issues and Develop Enhanced Practice Billing Guidelines

On January 20, 1953, Dwight D. Eisenhower succeeded Harry S. Truman as the 34th President of the United States. Later that year, Walt Disney’s feature film, “Peter Pan,” premiered, and the coronation of Elizabeth II took place at Westminster Abbey. While this event may not rate on the same scale as these world events, 1953 also marked the year Dr. Jerome Zwanger founded his radiology practice on Long Island, New York. Zwanger partnered with Dr. E.J. Pesiri in 1958, and the two doctors led Zwanger-Pesiri Radiology for more than 50 years.

Now owned and led by Drs. Steven and Susan Mendelsohn, Zwanger-Pesiri Radiology has grown to be one of the most respected radiology practices in the country today. The radiologists of Zwanger-Pesiri are subspecialty trained in areas such as neuroradiology and musculoskeletal, body and breast imaging and serve residents of the counties of Nassau and Suffolk on Long Island.