Top Challenges Providers Face In Alternative Payment Models

1. Over the time, even the different ways by which payments can be made in medical practices are undergoing a significant change. • In fact, a physician whether as an individual practitioner, an employee of an extensive healthcare system, or a hospital has never faced such a challenging time before. But now they are required to navigate a series of challenges every day and one of them is the payment hassle. • It’s mainly because of the alternative payment models (APM) that are being incorporated into the healthcare system now. Top Challenges Providers Face In Alternative Payment Models info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

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3. Challenge 1: Resource Crunch • The practices can follow these steps to ensure that they can manage the APM transformation with their resources. • Identify the practitioners and the staff who will back the project and take charge as a leader • Understand the design of the model, the eligibility, and the requirement for the transformation before the change begins • Get the model practice and thereafter, identify the data required. Based on that, start collecting and monitoring that data to finally assess them  • Lastly, identify and distribute the responsibilities and other related management practices within the practice that are key to the model info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

4. Challenge 2: The Ever-changing Rules & Policies • Undoubtedly, the medical billing and coding system in itself is a challenging process.  But simultaneously, APMs are also adding a burden on the healthcare providers as an arduous progression for the practices. • Moreover, like any other medical billing system, the alternative payment method models are also undergoing continuous changes in their rules and policies. Hence, the entire process becomes quite a complex space that the practices navigate. • Another challenging aspect of the APMs is the quality measurement program embedded within its rules and requirements. Additionally, the constant and frequent start date changes of APMs make the process difficult for the practices especially when they plan and prepare for the procedure. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

5. Challenge 3: Data Monitoring and Analysis • One of the ways to succeed in the practice is by offering the best medical services to the patients. It is possible only when the practice monitors and analyses the data they have. • The situation is the same for APMs, but it has limited information despite CMS is offering feedback reports to the APM participants. Also, the EMRs have data that can be used for model performance, restricted on the basis of knowledge. As a result, it fails to provide the entire journey. • Similarly, many practices cannot collect and analyse even the available data. In fact, they have low bandwidth to collect this data. Though the practice may require this data, fails to have the additional resources to collect this data especially that is outside the EMR. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

6. Final Words • Though these are the key challenges faced by the healthcare practices along with several others in APMs, they can also be mitigated, and practices can navigate it to offer better services to their patients with better performance. • Moreover, there is a need on the part of the practice to train their staff and practitioners for the AMPs. One of the most accessible options is to hire a team such as 24/7 Medical Billing Services who specializes in APMs and work with them to overcome the hurdles and reap the benefit of the model while focussing on taking care of the patients and the practice. • Read more: Why To Outsource Your Medical Billing Services? info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

7. About us • We are a medical billing company that offers ‘24/7 Medical Billing Services’ and support physicians, hospitals, medical institutions and group practices with our end to end medical billing solutions. We help you earn more revenue with our quick and affordable services. Our customized Revenue Cycle Management (RCM) solutions allow physicians to attract additional revenue and reduce administrative burden or losses. • Our company was founded in 2005 and is now a leading organization of highly motivated and certified coders & billers in the US medical billing industry. Our current employee strength is 500+ and we have ambitious plans to grow more rapidly. • As a leading Medical Billing Outsourcing Company we take care of the complete setup & enrolment in about one to four weeks time depending on the complexity of the project. We have certified trainers with 10+ years of experience to train the newcomers so they can get acquainted with the specialty jargons & stay updated with the recent coding developments. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

8. Contact us 24/7 Medical Billing Services 16192 Coastal Hwy, Lewes, DE – 19958 USA Phone no : +1 888-502-0537 Email Address : info@247medicalbillingservices.com info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537