decisionhealth Newsletters, Part B News - 2012 Issue 10 (October)
New practice ownership means major changes for your billers and coders
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Article Overview
This article explains how practice ownership changes can affect billing and coding workflows during a transition to hospital or health system ownership. It covers broad topics such as EHR changes, documentation and audit expectations, staff relocation, training needs, hospital outpatient billing processes, and communication changes with providers. The piece is aimed at practice administrators, billing managers, coders, and billers who need to anticipate and manage transition-related disruption.
Why This Topic Matters
Ownership transitions can alter how claims are prepared, reviewed, and reported, which can affect reimbursement and staff efficiency. Understanding the kinds of organizational and workflow changes discussed in the article can help practices prepare for a smoother conversion.
Article Sections
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Practice alignment
Introduces the transition from independent practice to hospital or health system ownership and the broad operational impact on billing and coding staff. It includes a short example and the kinds of questions practices may want to ask before a sale.
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6 tips to make mergers manageable
Outlines several broad management areas practices may need to address during a merger or acquisition. The section focuses on workflow changes, staff access, organizational expectations, specialty training, and billing environment differences.
What You Will Learn
- How practice ownership changes can affect billing and coding operations
- What kinds of workflow adjustments may occur during a hospital or health system acquisition
- Why documentation, audits, and EHR access may become more important in a transition
- What broad training areas billing and coding staff may need to address
- How staffing structure and reporting lines can change after a merger
Who Should Read This
- Medical practice administrators
- Billing managers
- Medical coders
- Medical billers
- Revenue cycle staff
- Physician group leaders
Codes Discussed
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