Main Street Medical Blog

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November 17, 2017

Revenue Cycle Management by the Numbers

A Look at Important KPIs for your Practice We talk a lot about managing your practice’s revenue cycle effectively and that Key Performance Indicators, or KPIs are needed to do so quite a bit.  In this post, we’ll take a closer look at which specific KPIs our experts and software helps you to track so that you can take the necessary steps to improve them.   Laying the Groundwork Before you can monitor and improve KPIs, you first need a method to track them.  There are different software options available for your practice, but Main Street Medical has selected and partnered with dashboardMD.  Our experts have researched and tested many different software tools and feel most confident in our client’s’ […]

November 14, 2017

Maintain Your Independence With Main Street Medical

Year over year, more and more doctors are losing the battle for independence, and joining up with a hospital or medical group in order to reverse the work/revenue balance.  But giving up your freedom as a doctor or practice, and becoming beholden to a larger entity, isn’t the only option.   Many doctors ultimately end up joining a hospital or medical group because they are working harder and longer, and making less money than their counterparts who have been absorbed by a larger entity.  Some argue that this is just a perception and that these doctors are not actually making more under a larger group – but one thing is becoming apparent, those who do, become beholden to the bottom […]

November 3, 2017

CMS Publishes Final Rule for 2018

For the Quality Payment Program On November Second, Centers for Medicare and Medicaid (CMS) published their final ruling for the Quality Payment Program (QPP) under MACRA for the year 2018, outlining changes that have been implemented to make participation more bearable.  The ruling achieves this through simplification of certain aspects of the program, and by reducing the burdens it has placed on clinicians.  The changes to “Year 2” of the QPP aim to transform 2018 into a second transitionary year, incrementally preparing clinicians for full participation in the year 2019. The Final Rule from CMS weighs in at 1,658 pages.  That’s a lot of reading to do in the little spare time that most clinicians have to implement the changes […]

October 20, 2017

MACRA’s Implementation Has Many Asking

Is MACRA a Threat to Revenue Cycle Management in 2018? With so much changing as a result of the MACRA legislation, many practices are wondering how they will manage to maintain their current revenue cycle management, let alone improve it.  With the new legislation comes new data to track and report, data that will be used to compare your practice with others in order to identify ways to improve healthcare.  Your practice’s ability to track these details will result in boon or bust; either earning positive or negative reimbursement payment rates, which will definitely impact your revenue cycle. The devil is definitely in the details when it comes to MACRA, but that doesn’t mean you have manage them alone.   […]

October 6, 2017

Don’t Fall Behind on MACRA Deadlines This Year

Avoid the Fear with These Simple Tips   As Halloween approaches, we know that the end of the year is also near.  This year is the first of mandatory compliance to avoid penalties in 2019.  Many practices and clinicians were under the impression that this year was still part of the grace period, and are panicking to learn that this isn’t so.  As a result, we keep hearing the question, “Is it too late?”.   The answer is no.  Just ask the Medical Group Management Association and their professionals.  Their Associate Director of Governmental Affairs, Suzanne Faulk, was recently interviewed, during which she gave a few simple tips on how you can comply before it’s too late.  To paraphrase her […]

September 22, 2017

Focusing on Physician Based APMS with Main Street Medical

Taking a closer look at Physician Focused APMs in MACRA One major concern, as we make the shift over to value based care and the new Alternative Payment Models (APMs) under MACRA, is that the current seven payment models aren’t enough to cover all of the different situations that individual private practices and hospital managed practices face.  CMS has heard this concern and considered it valid, creating a vehicle for practices to submit their own customized APMs for approval.   APMs for Physicians, By Physicians To see why physician created APMs are so important, let’s take a quick look at the current or existing Alternative Payment Models.  Below you’ll find the seven current models listed.  While they cover a wide […]

September 15, 2017

Is the changing landscape causing your practice to fall behind?

Tips to make sure the leaves are the only thing Falling this year Is your practice falling behind on its performance this year? With all of the changes happening across the field of medicine it can be hard to keep up and it’s no wonder that some practices are facing difficulty.  Main Street Medical wants to help you stop from falling further behind, and help you keep pace with high performing practices.  With the following tips and a bit of tech, you can make sure the only thing falling this season, are the leaves.   Let’s take a look at some of the hurdles that might have hurt your progress Regulatory Changes In 2017, many regulatory changes the stem from […]

September 1, 2017

A Plethora of Policies in the Pittsburgh Market and Beyond

And the challenges and opportunities created by their abundance   The passing of The Affordable Care Act created many changes for the insurance markets and providers across the United States.  Main Street Medical is helping private practices and hospital managed practices navigate these changes.  Here in our home state of Pennsylvania, as in many other markets, new insurance products were created to offer consumers affordable options in healthcare and making it easier to comply with the health insurance mandate.   While the mandate was a new precedent in and of itself, the insurance products created as a result were also new territory for many healthcare practices. Both private practices and hospital managed practices across the country, are finding themselves navigating […]

August 25, 2017

Lean on Main Street Medical for your medical billing needs

Lean on us for your medical billing, data analytics and insights to improve the health of your practice Your patients lean on you for expert advice and guidance about their health and wellness, but who is there for you when you need expertise and guidance navigating complex issues like MACRA and it’s new requirements?  MACRA has created a lot of changes, and these changes have the potential to bring about positive change in healthcare, but change can be daunting.  We get it.  That’s why Main Street Medical has brought together experts to offer assistance and guidance in the many different parts of successfully managing your practice.   Patients lean on your for advice and guidance.  Lean on the experts in […]

August 18, 2017

Make it easy to measure analytics

With dashboardMD and Main Street Medical As a result of the MACRA legislation, and the recent changes in certain deadlines, many in the healthcare and medical billing industries are talking about Electronic Health Record Software, or EHRs.  The use of these pieces of software are now being mandated as a part of MACRA, as they help to improve the tracking of patient care, the coordination of medical professionals treating a single patient, and therefore cause a reduction in unnecessary or duplicative procedures.  Ultimately, EHRs help to improve the quality of care a patient receives, while lowering the cost of healthcare.  EHRs are important, but they are just one piece of the modern technology suite that can help practices and hospitals […]