Insurance and Benefits and How They Relate To Good Health

Insurance and Benefits and How They Relate To Good Health

The future of healthcare and insurance is still uncertain.  Nitin Chhoda imparts how major changes are needed to be made in order to help policy holders maximize the use of their insurance policies.

insurance and benefitsWithout a good understanding of health insurance and benefits and physical therapy billing process, many patients make big mistakes that end up costing them money.

These are mistakes that also cost their healthcare providers time and money in the form of billing, rejected claims management, and late payment of fees.

Because so many people don’t understand that even with insurance and benefits they will still have to pay for some healthcare, the system can be very inefficient.

Some People Do Not Understand Their Insurance

But what about the cost to the health of people who have insurance and benefits but do not understand how the system works? Some people who do not understand will have certain healthcare procedures done without realizing that they will have to pay.

When they find out that they actually have a deductible of insurance and benefits which they are responsible for, they are shocked and disappointed to be suddenly in medical debt.

And even for patients who do understand the system, making these decisions is dangerous to health.

For a patient who has a problem with their skin and is wondering if they might have a melanoma, the correct and safe thing to do is go to the doctor right away. When skin cancer is caught early it is much easier and cheaper to treat and treatment is more likely to be effective without having to use paid insurance and benefits.

If a patient knows that they will have to pay up to a $3000 deductible, they may be nervous about going to the doctor for financial reasons. What good is an insurance and benefits plan if you still have to pay for medical care that you can’t afford?

What Patients Should Know Before Selecting Insurance and Benefits

insurance and benefits relationsThe best way to avoid a bad situation is to educate patients before they choose their insurance and benefits plan.

That way, patients can choose a plan with a deductible that they can afford and that makes sense for their health history.

Of course, for people working in the healthcare industry, it is usually too late by the time they see patients.

In many practices today, the induction process for new patients includes a somewhat sobering educational experience.

Rather than waiting until the billing process starts and services have already been provided, the reception staff or nurses will actually find out exactly what is covered by a patient’s insurance and benefits plan, and they will find out if the deductible has been reached yet.

Financial Future

This may take more time at the beginning, but in the long run it saves time and money for the practice. As a patient, if a practice wants to figure out how much financial responsibility you have, it is best to indulge them so you also know what you will be responsible for paying.

By working together, patients and medical practices can determine what the best course of medical treatment will be based on both the financial resources and insurance and benefits that the patient has.

Healthcare and Insurance and Its Future

Healthcare and Insurance and Its Future

The future of healthcare and insurance is still uncertain.  Nitin Chhoda imparts how major changes are needed to be made in order to help policy holders maximize the use of their insurance policies.

healthcare and insurance futureFor a long time, the healthcare and insurance industry has been entirely unregulated.

Insurance companies have been allowed to drop paying customers who suddenly become ill or injured, based on technicalities.

People who are diagnosed with cancer are often suddenly reviewed by their healthcare and insurance providers and if anything is outside the policy, even if it is unrelated to the diagnosis of cancer and has an effective physical therapy documentation, the insurance company will drop the patient, leaving them with the responsibility of paying hundreds of thousands of dollars for treatment.

Medical Care Is Unaffordable 

Most people in the United States cannot afford the high cost healthcare and insurance of medical care. The option for most patients in this situation is very bleak.

On the one hand they can forego treatment and die from the disease, but nobody expects a patient to make that choice. On the other hand, if they go forward with treatment they will be committing to financial debt that will most likely cause them to declare medical bankruptcy.

Not only does diagnosis with a serious disease like cancer put you in a bad financial position, it can also cause you to miss work and even lose your job. Treatment is often very uncomfortable and has side effects that make patients unable to do their work.

Just because someone is diagnosed with cancer, they should be condemned to medical debt, job loss, and potential financial ruin. Cancer is bad enough on its own.

Even if a healthcare and insurance company does not drop a patient, the policy may only cover up to a certain amount. Most insurance plans have a cap, and most caps are too low to actually cover the costs of treatment for a disease like cancer.

How Will This Situation Improve?

There are many potential improvements that can be made to the current system. In the government’s role to protect the people, laws are being introduced that restrict the way healthcare and insurance companies can drop patients without cause.

There are also provisions which restrict insurance companies from putting unfair caps on their insurance pay-outs for healthcare and insurance plans. We have seen that without legal protections for consumers, healthcare and insurance companies will go to great lengths to save money, at the cost of their policy holders.

The Reality of Healthcare and Insurance

healthcare and insurance outlookEven if someone pays their healthcare and insurance premiums for ten years, a health insurance company will not hesitate to find a loophole when the times comes to actually pay for some healthcare of their policy holder.

Some healthcare and insurance providers have simply changed the way they bill to adjust for people who need healthcare but don’t have insurance.

Or they do not assume they will collect any money from patients and increase prices so that the insurance company’s share of each bill is higher than it would have been otherwise.

These are desperate and unethical, if not completely illegal, ways to deal with the current situation. But the reality is that major changes will have to take place before healthcare and insurance become affordable for the average American.

Healthcare and Insurance Solutions in the United States

Healthcare and Insurance Solutions in the United States

Healthcare and insurance issues in the United States remain unsolved. However, Nitin Chhoda shares how the Affordable Care Act is planning to revise the provisions of insurance by changing the age limit of dependents, and amending the law when it comes to pre-existing conditions of a potential policy holder.

healtcare and insurance solutionsThere is no single, simple solution to the problems with physical therapy documentation of healthcare and insurance in the United States. In fact, the problems have become circular in a way that feels like a loop; nobody knows if there is a way out.

We have been traveling in a direction that is destructive and unhealthy for a long time, and turning around is not going to be easy.

However, there are plenty of healthcare and insurance systems in many other countries that do work. With some research and open-mindedness, the U.S. could start to invest in new strategies and at the same time the American people could get better healthcare and insurance, leading to better health overall.

There will not be a perfect solution anywhere else, because every country is different. But for the price that the U.S. government pays in tax breaks to the health care industry, a better solution could probably be designed.

The Near Future

In the near future, we may see some improvements if the Affordable Care Act is implemented well. Some provisions which have already become effective have ensured that 3.1 million young Americans have healthcare and insurance.

Previously, as soon as a child reached the age of 18, they were no longer eligible to remain on their parents’ healthcare and insurance policy. The Affordable Care Act changes that age to 26, so that students and young people looking for work can still be included in their parents’ plans.

Additionally, the Affordable Care Act has made it illegal for healthcare and insurance companies to institute lifetime limits on healthcare benefits. For parents with children who become ill with life threatening diseases, the lifetime limit was like a death sentence.

Insurance Limit

If at the age of 7 a child is no longer insurable because they have reached a lifetime limit, the parents must somehow pay for healthcare and insurance on their own, which is impossible for the majority of Americans.healthcare and insurance solution

And finally, one more perk about the Affordable Care Act is that insurance companies can no longer reject a potential policy holder because they have a pre-existing condition.

In the past, if someone lost their job and subsequently their healthcare and insurance, any pre-existing condition could be reason enough to reject an application for insurance.

If you have diabetes, a mental illness, or any other disease that will cost money to treat, no insurance company will provide insurance for you. But because of the new healthcare and insurance law, insurance companies can no longer deny people with pre-existing conditions.

The Bigger Picture

While these changes are exciting and potentially life-saving for the people who benefit from more protective laws, they are really only patches for a system that has not really been working.

The bigger picture shows that the price of healthcare and insurance in this country is unaffordable to the majority of Americans. The question that will need to be answered eventually is whether or not it is worth it for the people of the United States to be given high quality healthcare and insurance.

Medical EMR Solutions Give Clinicians More Power

Medical EMR Solutions Give Clinicians More Power

Clinicians who already use medical EMR know that this technology is helping them and their staff work more efficiently. Nitin Chhoda shares the many benefits that EMR can offer to your physical therapy practice, helping it succeed.

medical EMR solutionsThe ability of any clinician in any medical practice is limited by financial factors. If a practice doesn’t make a profit, or at least break even, nobody can continue to provide healthcare.

Because the prices of healthcare in the United States are so high, patients cannot afford to pay for their own healthcare.

The majority of U.S. citizens cannot afford to pay the average prices for healthcare. As a result, both patients and clinicians must rely on healthcare insurance companies.

Insurance companies provide a sense of financial safety to patients, and patients can better afford to make monthly payments towards healthcare than they can afford to pay a $20,000 hospital bill all at once.

About Medical EMR

For medical EMR clinicians and health care practice management, knowing that part of every bill will be covered by insurance provides some financial security, even in a market where the patients who need the services cannot pay for those services.

Medical EMR systems make everything about a healthcare provider practice run more smoothly and efficiently if implemented well. The upfront cost of a medical EMR may seem restrictive, but the benefits tend to outweigh those costs relatively quickly.

A medical EMR system can bring stability to a practice and can turn into a tool that clinicians use to better serve their patients.

Spending More Time on the Important Stuff

Most clinicians would spend a whole lot less time handling paperwork if they had the choice. The truth is that everyone who works in healthcare has to know how to fill out forms and make correct notes about their patients.

The same should be applied when it comes to medical EMR. This can even get in the way of how well a clinician can care for patients, especially in a busy practice where limited time is given for each appointment.

medical EMR cliniciansBefore and after each appointment, a clinician needs time to review the previous patient’s file as well as refresh their memory with information about the next patient’s medical history.

Medical EMR software makes doing these tasks faster and more intuitive. Rather than requiring that a staff member find a paper file and have it ready, the clinician can pull up the information on the computer in seconds, or even on a hand-held tablet computer.

Advanced Technology

Software is becoming more and more advanced, and not just because using computers is fun or flashy. Clinicians who use successful electronic medical records systems find that they are more efficient and can spend more time with patients when they use a medical EMR.

And of course, that staff member who used to pull files and return them to their place all day long can now spend time doing other, more important things.

Perhaps that staff member can now handle a more efficient and time-saving induction process, so that new patients’ health insurance information is more complete.

Medical EMR companies and billers benefit because they can reduce the number of rejections and denials. And patients can be better prepared for the costs that will come their way – allowing them to focus on their treatment plan.

Health Care for Patients with Modern Technology

Health Care for Patients with Modern Technology

Using modern technology for health care management such as EMR can help many patients foresee their medical expenses. Nitin Chhoda explains how medical EMR can determine the status of the patients’ insurance so that they can prepare and get ahead of their expenses.

health care technologyIn a system of health care practice management where insurance seems to be primarily concerned with the financial bottom line, patients often get caught in a bad place.

Patients are left to shoulder hefty bills because their insurance and benefits don’t cover what they expected them to cover.

Patients are often thrown into medical debt through no fault of their own, losing their jobs, sometimes their homes, and often their ability to get back out there and find work again is hampered or completely destroyed by their health care medical condition.

The Modern Technology

So how can modern technology help to make the patient experience less of a downward spiral? There may be nothing that a private practice health care can do to change the laws, so that insurance companies cannot drop patients for irrelevant technicalities.

However, for health care practice management professionals who want to continue to provide services and help people to get better, there are some ways that technology can improve the way things go for patients.

Preparation Rather Than Reaction

One problem that many patients run into is that they are unprepared for the amount of work it will take to recover, and they are unprepared for the amount of money they have to pay for their health care.

Even for patients with insurance, a serious injury or the diagnosis of a serious medical condition or disease can spell financial ruin due to the high price of medical care in the United States.

As a result, patients are terrified that they will end up at the doctor’s office, hearing bad news. They begin to avoid regular check-ups, even without realizing that they are doing so. In fact, many people actually make their health care worse by avoiding their medical care.

Medical EMRs can make a practice more efficient from within, and for many patients, that becomes a benefit. If health care clinicians can access patient files more quickly, easily, and efficiently, they will spend more time learning about the patient and what they need.

If billers and other staff members have more time to figure out what the patient will owe after the insurance company pays their part, the stress of an unexpected bill will be lifted.

health care patients

Open Communication

Technology can help patients to prepare for what is going to happen as part of their health care treatment or recovery. This empowers them to make the right moves and take the right steps to getting better.

Additionally, with technological advances, it is possible for everyone within the practice to communicate faster and more clearly. If everyone in the health care practice is aware of the needs of patients, patient care improves.

When the staff is in better communication, they will also communicate more effectively with patients. And the more informed your patients are, the better they will understand their role in the process of healing and recovering.

There are ways for clinicians and staff members to make things easier for patients. Many technological options exist today that will help to empower patients and bring better efficiency to everyone involved in the health care of patients.

Health Care Practice Management for Patients to a Better Practice

Health Care Practice Management for Patients to a Better Practice

Nitin Chhoda shares how modern technology such as EMR, and having a good vision about your staffs’ efficiency help you provide better health care for your patients and good management for your practice.

health care practice management patientsIf you ask anyone working in health care practice management, they will probably say that their main goal is to help patients who need medical attention.

The jobs of clinicians, doctors, nurses, and even receptionists revolve around the ability of everyone in the practice to take care of the patients that come through the doors.

And yet, the way that most health care practice management are run does not align with that primary goal.

The Technology of Today

Today, healthcare practice management professionals must put their focus elsewhere; someone has to be watching the income and expenses to make sure that the practice will continue to run.

Most recently, medical EMRs have surfaced as one tool that health care practice management professionals have implemented in an effort to streamline the practice and become more efficient.

Staff members are taught to be focused on time management, and medical billing and coding staff have to constantly fight to improve their rates of accepted medical claims so claims submission is not just a job of futility.

EMR of Health Care Management

Medical EMRs of health care practice management certainly help staff members, who are often set in their ways, to adjust workflows and become more efficient and more effective at their jobs.

But how does this affect the way that patients experience healthcare at your practice? Will improvements in technology really benefit patients? Can health care practice management clinicians care for patients more attentively if they’ve got a tablet computer in front of them rather than a file folder full of paperwork?

The truth is that everyone in the health care practice management, including patients being treated, benefits when the practice runs more smoothly.

Transitioning to new technology is never simple or easy, but once staff members settle into new rhythms, they may find that they are faster and that they feel more confident about their jobs as a result.

Everything Should Be At the Right Time

Of course, it takes time and a lot of very attentive and well-planned health care practice management to get to that point, but in the new economy, this kind of investment may be the only way to survive into the future. Anything that slows down the practice will reduce competitiveness, and the medical community is trending towards switching to medical EMRs.

health care practice managementFor health care practice management where the implementation of a medical EMR seems like too much work and not worthwhile, it may take a little bit of visioning for everyone to get on board.

But imagine a practice that has an integrated medical EMR already installed and functioning properly.

Vision Is the Key

Imagine that the entire staff is already comfortable with the way the program works. Imagine that patients know how much they will pay for each visit, and they even pay up-front because the billing staff knows what their insurance company will pay.

Imagine that health care practice management clinicians have more time with each patient, even though appointments stay the same length, because it is easier and more intuitive for clinicians to review a patient file using the medical EMR.

Everyone benefits, and that includes patients. A confident, happy, and productive health care practice management staff will improve the patient experience. A medical EMR can improve productivity and bring a bit of extra confidence to the staff.

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