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A COMPREHENSIVE CARE MANAGEMENT MODEL - BY DR. SINGH

May 19, 2017

Navigating the present healthcare system is like riding a boat in stormy seas with a floor made of sponge. It is designed to leak. As you plug one hole, another begins to flow

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THE TIPPING POINT IN A HEALTHCARE NETWORK - BY DR. SINGH

May 02, 2017

The tipping point of a healthcare network in a selected geographic area is reached when the growth of the network begins to happen on its own, when the resistance to the development begins to melt away

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CUSTOMER SERVICE: THE SINGLE BIGGEST SHIFT IN HEALTHCARE - BY DR. SINGH

March 31, 2017

Gone are the days when physicians told patients what they were going to do. Gone also are the days when a physician's bedside manners and ability to communicate were not some of the most important criteria in evaluating a physician.

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COMPLIANCE: THE NEW STANDARD OF CARE - BY DR. SINGH

March 17, 2017

Compliance means to comply with the law, the ethical standards and professional standards of care. Compliance with these standards is or should be the focus of each practice, from the physician to the secretarial staff.

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ACOs: THE NEW MANAGED CARE - BY DR. SINGH

March 14, 2017

Is accountable care an underhanded way by which the federal government is foisting managed care on more and more Medicare fee- for-service patients? It appears so. It is clear that what the leaders of the country had no gumption for is being expected out of physician groups and private organizations.

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HOSPITAL PRIVILEGES

March 10, 2017

Individuals who complete medical school are indeed doctors and once they obtain their medical license they are able to see patients in their own practices. However, they are not yet able to serve patients at hospitals.

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SYSTEMS THINKING IN HEALTHCARE AND CULTURAL SHIFT – BY DR. SINGH

March 07, 2017

Any attempt to change healthcare and the culture of providers, patients or employees involved in healthcare must involve a systems thinking approach. An appreciation that one is dealing with a complex human social, financial and cultural web of interactions.

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PROS AND CONS OF BEING A PART OF A GROUP PRACTICE

March 01, 2017

A group practice is where several physicians get together to create an entity through which they can provide quality healthcare services to their patients. Every venture brings along with it certain advantages and some disadvantages. It becomes the physician’s prerogative to evaluate the kind of practice where they would like to treat patients.

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TOOLS TO SCALE – BY DR. SINGH

Febuary 28, 2017

What are the challenges that confront a provider who has just come out of residency and started a practice? Or for a provider who has been in practice for years? Uniformly, one of the most important concern or point of action is getting good contracts and getting credentialed with insurances.

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EMR: A QUIET REVOLUTION – BY DR. SINGH

Febuary 27, 2017

Not too long ago having an EMR in a practice was a rarity. Within a decade, we have seen EMRs become the norm for a practice, thanks to the incentives for Meaningful Use and the soon-to- come disincentives for their non-use. Despite all their difficulties and deficiencies, EMRs are here to stay.

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PHYSICIAN-HOSPITAL ORGANISATION (PHO) REVISITED – BY DR. SINGH

Febuary 24, 2017

A PHO is a physician-hospital organization. A technical definition would be “a separate legal entity formed by one or more physicians and one or more hospitals whose objective it is to negotiate contracts with payer organizations.”

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MEDICARE RISK ADJUSTMENT: CODING AND CONCEPTS – BY DR. SINGH

Febuary 07, 2017

To understand MRA, one may wish to understand where healthcare is moving. In my mind, MRA as part of coding is as integral to standardizing healthcare, auditing, billing and collections, such as CPTs or ICDs, Star rating, PQRS, HEDIS criteria, etc.

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CONTINUITY OF CARE : THE LIMITATIONS OF HOSPITALIST PROGRAMS – BY DR. SINGH

January 12, 2017

Over the last few years, we have seen a massive consolidation of physician practices into bigger groups or as part of a vertical integration with HMOs, MSOs or hospital-owned networks. With this wave of change, we have also seen the growth of hospitalists in these hospital networks and groups.

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NURSE PRACTITIONERS’ LAWS AND REGULATIONS

December 28, 2016

There has been a huge gap between the healthcare demands and the availability of Primary Care providers in the United States. Following the passage of the Affordable Care Act, hundreds of thousands of citizens are now seeking healthcare facilities offered by the government which leaves an even further gap in the number of available Primary Care Providers.

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ALL YOU NEED TO KNOW ABOUT CAQH

December 21, 2016

CAQH (Council for Affordable Quality Healthcare) is a non-profit organization, set up in the year 2000, for the purpose of bringing together health plans, healthcare providers and trade associations. Its primary goal is to make high-quality healthcare easily accessible to patients and to reduce the stress associated with healthcare administration.

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HOW TO BUILD A STRONG HEALTH CARE NETWORK?

May 16, 2016

When the providers or insurance companies consider you as the first choice, it can be said that you have build a strong health care network. As there are lot of IPAs or physicians have the same dream as yours, the competition is high. You must fulfil the below requirements to accomplish the target of becoming.

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HOW CAN SYSTEMS HELP IN CULTURAL SHIFT IN HEALTH CARE DOMAIN?

May 16, 2016

We leave in a complex human society and the health care domain is not an exception. If you suddenly try to go and change the work culture of an IPA then there is bound to be dissatisfaction among the employees. In these cases a system thinking approach can generate positive results as per your expectation.

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SCALING A MEDICAL PRACTICE

May 16, 2016

Over the last two decades or so in private practice and being part of the leadership of a practice that could scale from a couple of providers to a couple of hundred, I have often been asked by interesting providers and businessmen how we did it. This is often followed by the question how they..

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DO MEDICAL PRACTICES NEED TO BE HIGH RELIABILITY ORGANIZATIONS?

May 16, 2016

While the doctor’s office cannot be compared to a nuclear facility or a space program or an air-traffic control system, the need for more and more precision and elimination of errors cannot be emphasized enough. A strong safety program is a sine qua non in any good medical facility to reduce complications, mortality and morbidity.

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HOW TO CREATE A HEALING AND LEARNING ORGANIZATION? – BY DR. SINGH

May 16, 2016

Is it possible to create a learning organization while restrained by the rules of health care? To take risks and be innovative while watching for patient safety, worried about OIG and adhering to all the rules and requirements of compliance and quality? To be non-hierarchical while being a part of a rigid structure?

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HOW, WHAT AND WHY FOR A NEW VENTURE?

May 16, 2016

EVERYTHING YOU NEED FOR A NEW VENTURE… Experts for credentialing and contracting for making your business profitable. Part 1/6 How it all works! Important Tips Starting a new business venture for a provider who is just out of medical school can be an exciting step to practicing medicine outside of the educational venue Fellowship, Residency

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ABIM REVERSES POLICY ON MOC ENROLLMENT AND CERTIFICATION STATUS

May 16, 2016

Last month, after receiving feedback from multiple industry stakeholders and medical societies, the American Board of Internal Medicine (ABIM) released a statement reversing changes made to its Maintenance of Certification (MOC) program. In the statement, Dr. Richard Baron – President and CEO of ABIM – asserted: “Effective immediately, diplomates who are meeting all other programmatic

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