Obamacare’s Affect on Medical Billing and Coding

The Patient Protection and Affordable Care Act, more commonly known as Obamacare, has redefined how Americans interact with the healthcare system and the role it serves is incredibly important to how individuals will obtain the care they need in everyday life. The legislation was enacted with the goals of making healthcare more accessible, affordable, and higher quality, while reducing consumer and government costs, and ultimately helping make fewer people uninsured. The legislation has also been incredibly important in helping establish minimum health insurance standards, which eliminate problems related to getting turned down due to preexisting conditions. Obamacare is a particularly complex piece of legislation though and it will take a long time to digest all of the ways it will affect those working in the field, as well as patients.

The implications of Obamacare stretch far beyond patients and trickle down to touch virtually every part of the medical field. Billing and coding is particularly situated to benefit from this legislation, namely because of changes related to how many people do their jobs in the field, but exactly to what extent has yet to be seen. Nonetheless, people will continue to go to the hospital, urgent care, and private practice doctors in higher numbers, so these services will, of course, need billed. Below we look at some of the different ways that Obamacare will impact professionals working in medical billing and coding. While it’s not always an upgrade, it’s sure to make the industry stronger overall:

Increased Demand for Work

One of the undeniable facts about Obamacare is that more Americans will have health insurance, which means that demand for coding and billing professionals is bound to increase. Regardless of workload, there will be more jobs available and increased opportunities. It’s important to think about what areas of the country will be most impacted by the legislation because those will be the populaces most eagerly seeking skilled billing and coding specialists. This is most likely to occur in urban areas because there are more of these individuals that have often been more susceptible to an inability to afford coverage. Additionally, while these individuals exist in suburban and rural areas, urban environments have previously been much more dense with these individuals.

Cumbersome Government-Related Processing Issues

A definite concern of Obamacare though certainly rests in various technical aspects of billing and coding jobs. Issues such as retro-termination denials are already plagued with notoriously long processing times, which could definitely impact how long eligibility verifications take. Government agencies’ capacities are notoriously low for handling issues like this in a timely manner and as this aspect of healthcare is made further public, it could prove to be an issue. Other notoriously slow aspects of the job, like pre-certification, can be expected to have even longer wait times to address issues since there will be an additional component of consulting a government agency first. Another concern expressed from those in the field is that as the government has a hand in the prices for medical services, costs will be reduced and ultimately reduce the amount of profits available for doctors, nurses, as well as billing and coding professionals. Fortunately, due to high demand for medical professionals, it’s very unlikely that those involved in billing and coding will experience a reduced wage.

Increased Medicare Efficiency

The expansion of the accessibility of health insurance will provide an impressive increase in the number of individuals involved in the healthcare system, which will help increase the amount of billing and coding professionals needed across the country. The overhaul of Medicare will make sure that more elderly people are able to receive the care they need in a more effective manner. Efficiency is increased through restructuring reimbursements as bundles instead of a fee per service.

Job Outlook

The Bureau of Labor Statistics projects that growth for medical billing and coding professionals will increase by 22 percent from 2012 to 2022. These numbers have been updated since Obamacare was implemented, so it’s important to note that the government doesn’t see any negative consequences hitting the profession because of this legislation. A rate of 22 percent is much higher than the national average, which can be attributed to the two-fold increase of growth in the medical field, specifically because of “baby boomers” entering the geriatric portion of their lives, which will see the largest number of elderly people in the United States in its history. The other reason is because of how many new enrollees will be involved in Obamacare.

Obviously, as with change and implementation new practices in an industry, there are various gains and drawbacks that will impact professionals. Understanding the opportunity cost though is how coding and billing professionals can make the best of these scenarios and most aptly advance in their career. Obamacare is so new that there are assuredly changes that will take place that will refine the industry and try to increase efficiency. More information can be found on The Patient Protection and Affordable Care Act here

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eLearning and Efficiency in Medical Billing

Medical billing is a field that is expected to have above average growth over the next decade and it’s no surprise due to the combination of technological advancements and higher need for these individuals. With the “Baby Boomer” generation approaching their elder years, the medical field is poised to grow significantly overall. Since demand for jobs will be increased, the field will also become more competitive as more individuals are turned on to the idea of getting involved in medical billing. This makes it even more important to figure out ways to stay at the forefront of the job prospect pool and burgeoning eLearning technologies are making that easier than ever.

eLearning it aptly situated to assist medical billing and coding specialists and allow them to become much more proficient in their position. Medical coding and billing is increasingly accessible through computers and technology, so eLearning courses can give individuals the perfect leg-up to stay ahead of the competition. Classes are loaded with useful information related to government and private health care payer systems, outpatient guidelines, application of V-codes, and extensive detailing of systems such as ICD-9 and 10.

Aside from eLearning courses setting individuals apart from their counterparts, the rapidly updated content helps convey the latest developments to those involved in coding. With unique breakthroughs constantly development, it’s important to know how to automate the more time-consuming processes, while devoting more time and effort to more significant tasks. The courses also help individuals to have increased flexibility to learn from the comfort of their own homes when they’re off the clock. This is an important way that people can stay informed on regulatory developments and the newest coding systems while not having to sacrifice time at work or pay.

Since medical billing is predominantly a computer-based field today, eLearning can familiarize one with various programs that are necessary to process data. It’s great to also use worthwhile simulations to become more proficient in the profession. This can save individuals time, companies money, and create a more viable career path for those involved. eLearning over the last decade has greatly transformed the accessibility of materials, so medical billing specialists will definitely be able to benefit from these technological developments.

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6 Reasons Why Medical Billing Employment is Booming

Medical billers work behind the scenes in the health care industry. From the 2010 – 2020, the area of medical billing is expected to grow 21%. That’s about 37,000 employees being added to the workforce. So what created this burst of hiring in the field?

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How the iPad is Measuring Up With Medical Information

Has the iPad leveled the playing field between patients and doctors? The iPad is easy to use, but it is sophisticated enough to handle applications that can monitor health issues, diagnose medical problems, and communicate progress and statistics between medical staff and patients — especially concerning medical information. The big issues about using the iPad for health include security concerns, Health Insurance Portability and Accountability Act (HIPAA) compliance, and user experience. In the meantime, within two short years, the iPad and its possibilities for medical use has gained attention from hospitals, the government, and medical schools. Where does the iPad stand now on medical information, and where can it go in the future? Continue reading

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