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Get the Latest Update on Medical Billing with our January Getting Paid Newsletter

January 10th, 2012 by Kathy McCoy

The January issue of our monthly e-newsletter, Getting Paid, just went out this morning, and it featured a variety of articles you will want to review in order to improve your medical billing results. Also, be sure to subscribe to the newsletter so you receive it in your inbox automatically. The articles featured included:

Learn about improving your self pay collections and more in our January issue of Getting Paid

 

Latest from Kareo

Surviving the Deductible Reset in 2012: How to Collect Deductibles and
Improve Self Pay Collections

By Sara M. Larch, MSHA, FACMPE

Lessen the impact of deductibles on your bottom line by implementing “best practices” for self pay collectionsAt the beginning of each calendar year, medical groups feel the impact of deductibles on their bottom line unless they implement “best practices” for self pay collections. I have read that there are two factors that motivate patients to pay… Read More

 

Complimentary Webinar – Let’s Collect Deductibles in 2012: Tips for Improving Self Pay Collections

Thursday, January 19, 2012
10:00 AM – 11:00 AM PST
Speaker: Sara Larch, MSHA, FACMPE

Sara Larch will discuss strategies that will help manage deductibles and increase revenue collected at time of service in this complimentary webinarMedical practices will have even more self pay patients in 2012 and the deductible category is the fastest growing portion of self pay.  In this webinar, we will focus on strategies that will help manage deductibles and increase revenue collected at time of service.

We will discuss how to improve self pay collections and attendees will learn:
• The importance of patient communication
• What the practice’s staff needs to know
“Best Practices” in self pay collections at time of service
• And much more

Register Now!

 

Medicare Update: Getting Paid for Depression and Alcohol Misuse Screening and Obesity Counseling in a Primary Care Practice

By Betsy Nicoletti, M.S., CPC

“Medicare pays primary care clinicians for Behavioral Health services? Since when?” Here’s a Medicare update of particular interest to primary care practices… Read More

Best Practices: Three Financial Danger Signs for Medical Practices

By Judy Capko

In the best of all worlds, physicians and practice managers solve practice problems before they get big enough to have an impact on overall financial performance.  However, experience tells us otherwise. As a result, physicians are sometimes blind-sided when there is a sudden deterioration in practice finances… Read More

Use Results-Oriented EHR Implementation to Avoid EHR Failure

By Ron Sterling

In order to understand the status of EHR implementation and deployment, you need objective measures to monitor status and trend results.  Otherwise, you could be pushing forward with EHR strategies and an operational model that is not effective for your practice… Read More

Learn to Streamline Your Medical Billing in a Kareo Demo Webinar

Considering a switch to Kareo, but want to see how Kareo’s easy to use medical billing solution can help streamline your office and ask questions specific to your concerns? Then you are invited to join us for our next free demo webinars… Read More

Case Study

“I recommend Kareo to any solo practitioner looking for a low-cost way to manage your medical billing and finances.”

Dr. Sangita Parab says, "I recommend Kareo to any solo practitioner looking for a low-cost way to manage your medical billing and finances.”Sangita Parab, MD, Sangita Parab Medical PC

When Sangita Parab, MD, opened a small internal medicine practice in New York two years ago, she used a clearinghouse to send her claims electronically. But the arrangement was time-consuming and inefficient… Read More

Case Study

“Kareo is the best medical billing software I have ever used!”

Medical billing service owner Dorothy Trottier says, “Kareo is the best medical billing software I have ever used!”Dorothy Trottier, Medical Specialty Billing, LLC

According to Dorothy Trottier, the longer she uses Kareo’s web-based software, the more she finds to like about it. And that’s saying quite a bit, considering she has been using Kareo for nearly six years… Read More

Billing Tip of the Month

How to Improve Your Collection Calls Results

Marline Juarez, Valley Springs Physical Therapy, Acampo, CA

After our collection process (each office has a certain number of statements they send for collection notices – our office usually sends 3), I follow up with a phone call. Instead of the usual “Your account is overdue”, I follow this plan… Read More

Top News and Ideas from Industry

Extension of the 2011 Physician Payment Rates and Other Policies

Susan Vecchi-Cedrone, Becker’s ASC Review, Jan, 6, 2012

On Dec. 23, 2011, President Obama signed the Temporary Payroll Tax Cut Continuation Act of 2011 (TPTCCA), which included postponing the SGR reduction of 27.4 percent through the month of February. While the physician fee schedule will be a zero update, other changes to the RVUs used to calculate the fee schedule rates must be budget neutral and is accomplished by adjusting the 2012 fee schedule… Read More

More Consumers Choosing High-Deductible Plans

Emily Berry, Amednews, Jan. 2, 2012

Patients are taking on health insurance that requires them to pay more out of pocket — but they’re not necessarily putting money aside to cover the cost… Read More

CMS Announces New FAQs for 90 Day Discretionary Enforcement Period of 5010

CMS, Dec. 29, 2011

Medicare Fee-For-Service (FFS) issued an announcement Wednesday, December 14, 2011 regarding its plan for the 90 Day Discretionary Enforcement Period for non-compliant HIPAA covered entities.  CMS has published six FAQ items related to this plan… Read More

Healthcare Industry Not Ready for 5010; MGMA Calls for 6-month Contingency Plan

HIMSS News, Dec. 20, 2011

The latest research from the Medical Group Management Association (MGMA) on the transition to the new HIPAA Version 5010 electronic transaction standards highlights the need for the Department of Health and Human Services (HHS) to immediately issue an expanded contingency plan… Read More

Anticipated Regulations for 2012 from CMS and ONC

HIMSS News, Dec. 22, 2011

Several Notices of Proposed Rulemaking (NPRMs) are anticipated to come from CMS and ONC this winter. This chart, updated Dec. 22, outlines the regulations that are currently anticipated… Read More

OIG Releases Health Care Provider Compliance Videos

AAPC News, Dec. 15, 2011

If you are interested in learning about the fundamentals of health care compliance, the Office of Inspector General (OIG) has just what you need. The OIG has released Health Care Fraud Prevention and Enforcement Action Team (HEAT) provider compliance training videos and podcasts… Read More

Medicare Drug Plans to Withhold Pay If They Suspect “Doctor Shopping”

Charles Fiegl, Amednews, Dec. 22, 2011

Federal officials have written a memo instructing Part D payers to end the “pay-and-chase” model for fighting improper drug claims. The Dept. of Health and Human Services has asked Medicare Part D sponsors to take extra precautions to stop improper payments for prescription drugs. The administration wants drug plans to raise red flags when they see suspicious claims… Read More

Physicians Are Paid Less to Give Combination Vaccines

Victoria Stagg Elliott, Amednews, Dec. 21, 2011

Medical practices generally earn less giving a single shot that protects against five diseases than injecting component immunizations separately, even though the same amount of counseling time is often required for combination shots as single vaccinations, according to a study… Read More

New “Independent at Home” Demo Revitalizes the House Call

AAPC News, Dec. 30, 2011

The Centers for Medicare & Medicaid Services (CMS) would like to reintroduce the concept of the “house call” to modern medicine with a new demonstration project. Under the “Independence at Home Demonstration,” participating practices will provide home-based primary care to targeted chronically ill Medicare patients for a three-year period… Read More

Tick, Tick, Tick: Strategies for Reducing ICD-10 Anxiety

Lisa Eramo, For the Record, Dec. 5, 2011

Coder anxiety is bound to grow as the ICD-10 deadline approaches, but there are several strategies to help ease the tension… Read More

Kareo.com|Benefits|Demos|Features|Reviews|Support|Pricing & Sign Up|Unsubscribe
111 Academy, Suite 250, Irvine, CA 92617|888.775.2736

We hope you enjoy this issue of the newsletter. Be sure to subscribe now to the newsletter in order to insure you receive future issues.

Read More | No Comments | Filed in Company, General

Twas the Night Before 5010

December 19th, 2011 by Kathy McCoy

We just can’t resist the chance to have a little fun at the holidays. So with sincere apologies to Clement Moore, we offer up our (slightly) humorous take on medical billing and the challenges faced by medical practices.

Twas the night before 5010...a humorous take on medical billing

Twas the night before 5010 and all through the land

Many a practice was ready and the deadline at hand

The changes were made to the software we had

When CMS said, “If they’re not ready, this will be bad!”

 

So an enforcement delay was announced with a sigh of relief

But others merely shrugged in frustrated disbelief

When out in the practices, there arose such a clatter

That we sprang up to see what was the matter

 

“5010, ACOs, ICD-10 and medical homes!” cried the docs

“Don’t you know we can only take so many shocks?!”

When what to our wondering eyes should appear

But web-based computing and medical billing without fear

 

No contracts, no setup fees, no expensive upgrade

Billing much easier could hardly be made

The docs sprang to their PCs quick as a whistle

And away they all billed like a lightning-fast missile

 

But I heard them exclaim as they won the hard fight,

“Happy billing to all, now on to ICD-10…right?”

 

If you have verses you’d like to add, we’d love to hear them! Just enter them in the Comments box, and we’ll be happy to share them with our readers. Happy Holidays to all!

Read More | 4 Comments | Filed in Company, General

Learn the Latest in Medical Billing with Our December Newsletter

December 15th, 2011 by Kathy McCoy

Kareo recently released the December issue of our monthly e-newsletter, Getting Paid, and it featured a variety of articles you will want to review in order to improve your medical billing results. Also, be sure to subscribe to the newsletter so you receive it in your inbox automatically. The articles featured included:

Latest from Kareo 

CPT Changes for 2012: An Overview

By Betsy Nicoletti, M.S., CPC

Betsy Nicoletti reviews key CPT code changes for 2012Isn’t getting a new CPT book a little like a birthday present?  The excitement of unwrapping it, the suspense about what’s inside.  A new CPT book may not be as much fun as a new video game or as intriguing as a jewelry box, but coders eagerly anticipate it. A listing of code changes for the year can be found… Read More

Complimentary Webinar – Getting Paid in 2012: What You Need to Know Now to Make it Happen

Thursday, December 15, 2011
10:00 AM – 11:00 AM PST
Speaker: Elizabeth Woodcock, MBA, FACMPE, CPC

Learn how to navigate compliance and other medical billing challenges for 2012 with Elizabeth WoodcockThe 2012 reimbursement environment isn’t just about fee schedules. New incentives, new coding rules and more are headed your way – and fast. National speaker, trainer and author Elizabeth Woodcock, MBA, FACMPE, CPC, will give you the practical tips and realistic strategies you can put into play now.

After attending this session, you will be able to:
• Identify the major changes in CPT codes in 2012 and how they will affect your practice
• List the critical points in Medicare physician reimbursement for 2012
• Describe the government’s incentive plans – and penalties – for 2012
• Summarize the trends in private insurance most likely to impact physician reimbursement in 2012

Register Now!

 

ICD-10 Training Camp: ICD-10-CM Changes You Can’t Afford To Miss!

By Nancy Maguire, ACS, PCS, FCS, HCS-D, CRT

The purpose of this article is to highlight several changes in the ICD-10 code structure and the rules that could be missed when learning this new system. Be aware of the following changes (Part 1)… Read More

Best Practices: Strategic Planning for Medical Practices – A Means to an End

By Judy Capko

It is easy to understand why many physicians aren’t particularly interested in strategic planning. It seems they have enough on their minds just trying to keep the practice on firm ground today. In my opinion, they are missing out on a powerful opportunity to protect and guide their future… Read More

4 Steps to Get the Most from Your EHR Effort

By Ron Sterling

Many EHR implementations have failed to meet practice expectations and, in the worst cases, have damaged the practice. EHR implementations by necessity will impact every process and activity in the practice. In order to set the stage for EHR success, practices need to… Read More

Kareo Medical Billing Software Demo: How to Streamline Your Medical Billing

Tuesday, December 20, 2011

Learn how Kareo medical billing software will make medical billing easy for you as you improve your profitability. You’ll hear how you can reduce your cost of ownership by eliminating costly software and upgrades, keep things from falling through the cracks with an easy-to-use “To Do List,” and more…

Register Now!

Case Study

“I wish I’d had Kareo when I started my practice. It was definitely the right decision.”

Chester Minarcik, MD, Child Neurology Services of South New Jersey

Chester Minarcik, MD, says Kareo medical billing software was definitely the right decision for his practice“Our office had not changed its accounting and medical billing procedures since it opened in 1992,” recounts Chester Minarcik, MD. “While we did have computerized billing, we didn’t have electronic claims submission… Read More

Case Study

“I have been a satisfied Kareo client for five years. Selecting Kareo was one of our best business decisions.”

Dan Milosevic, Medical Billing and Consulting Services

Dan Milosevic has been a satisfied user of Kareo medical billing software for five yearsAfter starting Medical Billing and Consulting Services in Houston, TX,  Dan Milosevic was so effective — he doubled his client’s monthly revenue — that his client began talking about him to other practitioners. That was when Dan decided… Read More

Billing Tip of the Month

Using Kareo to Prepare Accounts for Collections

Tammy Chidester, CPC, CPMA, CEMC, PCS, Mera Consulting

Kareo helps me manage my accounts that I am preparing for collections. These are the steps I use: Under Settings > Other Lists > New/Find Collection Category, add the verbiage that you want to print on the statement… Read More

Top News and Ideas from Industry

Super Committee Gone, 27% Medicare Pay Cut Threat Remains

Charles Fiegl, Amednews, Dec. 5, 2011

The failure of the congressional debt panel leaves the 2012 SGR cut unresolved and threatens physicians with additional pay reductions starting in 2013. Lawmakers again find themselves with less than a month to pass legislation to stop a steep decrease in Medicare payments… Read More

New CMS Demonstration Projects Crack Down on Improper Payments, Conduct Prepayment Reviews

AAPC News, Dec. 2, 2011

Beginning Jan. 1, 2012, the Centers for Medicare & Medicaid Services (CMS) will begin three demonstration projects aimed at eliminating Medicare fraud, waste, and abuse. The first of these, the Recovery Audit Prepayment Review, will allow Medicare recovery audit contractors (RACs) to review claims that historically result in high rates of improper payments before they are paid… Read More

Practices Get More Time to Switch to HIPAA 5010

Emily Berry, Amednews, Dec. 12, 2011

Physicians and health plans have a kind of grace period for the first three months of 2012 before they must comply with new HIPAA Version 5010 claims transaction standards. The deadline for the electronic claims format remains unchanged, but the threat of losing Medicare payments for noncompliance is delayed… Read More

New CMS Program to Assist Physician ID Theft Victims

Charles Fiegl, Amednews, Dec. 5, 2011

The remediation initiative will offer a doctor relief if personal and professional information are used to defraud Medicare or Medicaid. The Centers for Medicare & Medicaid Services has created the provider victim validation/remediation… Read More

3% Tax Withholding on Medicare Pay Repealed

David Glendinning, Amednews, Nov. 28, 2011

The IRS regulation was designed to target delinquent government contractors but would have affected some Medicare physician payments… Read More

Dec. 21 Nat’l Provider Call to Discuss Payment, Risk

AAPC News, Dec. 6, 2011

The Centers for Medicare & Medicaid Services (CMS) will hold a National Provider Call to discuss changes to the Medicare Physician Fee Schedule’s (MPFS) Physician Feedback Program and the value-based payment modifier (Value Modifier) for calendar year 2012… Read More

Make Sure the Way You Use an EMR Doesn’t Unwittingly Look Like Fraud

Pamela Lewis Dolan, Amednews, Nov. 21, 2011

Physicians might not realize it, but how they and their staffs use an electronic medical record system could open themselves up to accusations of fraud or misrepresentation… Read More

Anticipated CMS/ONC Regulations for 2012

HIMSS News, Dec. 9, 2011

Several Notices of Proposed Rulemaking (NPRMs) are anticipated to come from CMS and ONC this winter. This chart outlines the regulations that are currently anticipated, the agency from which they will be administered, and the date for which public comments are due to the government. Also included is the anticipated timeframe for release of final rules… Read More

Medicare Now Covers Heart Disease, Obesity Screening, Expands Telehealth Services

Charles Fiegl, Amednews, Nov. 23, 2011

The Medicare program has expanded its coverage policy manual to include annual visits that screen for hypertension and prevent cardiovascular disease, covering office visits with primary care physicians to discuss how to prevent heart disease… Read More

AAPC News, Dec. 2, 2011

Medicare is adding coverage for preventive services to reduce obesity. Screening for obesity and counseling for eligible patients by primary care providers in settings such as physicians’ offices are covered under this new benefit… Read More

AAPC News, Dec. 2, 2011

Physicians and their patients are embracing web-based health solutions at a rapid rate, according to CNBC.com. In keeping with the times, Medicare will cover smoking cessation services in 2012, including those furnished remotely… Read More

CMS Issues Final Rule on Use of Medicare Claims to Assess Providers’ Performance

Jaimie Oh, Becker’s ASC Review, Dec. 6, 2011

The Centers for Medicare and Medicaid Services has issued a final rule that allows for the release and use of standardized extracts of Medicare claims data for qualified entities to measure the performance of providers of services and suppliers… Read More

Efficient Claims Handling: A Gift That Keeps On Giving

Amednews Editorial, Nov. 14, 2011

The American Medical Association wants more physicians to give themselves the gift of an improved, streamlined insurance claims process. Physician practices can take advantage of electronic claims processing to lower costs, save time and minimize headaches… Read More

Revenues Down? Examine Your Contract Prices

Rob Saunders, ScrubsandSuits.com, Dec. 8, 2011

Over the years, I mostly dismissed the claims of falling reimbursement because they did not accurately depict market conditions. Instead, we have seen minor fluctuations in reimbursement rates, which often averaged out to equal reimbursement stagnation. Now, however, things have changed. And it’s time for everyone to pay attention. Here’s a list of 12 points to pay attention to… Read More
  

Kareo.com|Benefits|Demos|Features|Reviews|Support|Pricing & Sign Up|Unsubscribe
111 Academy, Suite 250, Irvine, CA 92617|888.775.2736

We hope you enjoy this issue of the newsletter. Be sure to subscribe now to the newsletter in order to insure you receive future issues.

Read More | No Comments | Filed in Company, Features, General, HIPAA

Medical Billing Software Update: 5010 Checklist Available for Kareo Customers

December 8th, 2011 by Kathy McCoy

Kareo customers should make this change to their patient statements specs for 5010 complianceKareo is committed to keeping you up to date on compliance with 5010 to insure your revenue flow is not interrupted on Jan. 1, 2012. So, since we’ve received some questions about what changes Kareo customers need to make to their accounts, we’ve compiled an updated checklist you can use to insure you are ready to get paid after 5010 kicks in. You can also review all the information you need on 5010 on our site: what it is, what it means to your practice, what do Kareo customers need to do, and more.

Kareo customers should review the 5010 Compliance Checklist to ensure uninterrupted revenue flow after Jan. 1, 2012The updated information on the checklist is relating to Patient Statements:

Patient Statements: If your remit-to address is a PO Box, you will need to make two adjustments which ensure that your PO Box remit-to address is the one that appears on patient statements. First, under Practice Information, enter the PO Box address under either the “Administrator” or “Billing Contact” section. Next, under Patient Statement Options, select the appropriate “Remit Address” (whichever contact has the PO Box address you entered in the previous step).

Please be sure to make this change as soon as possible. For more information, you can also review Getting Ready for 5010 – Settings You Should Know, a recent post with video on this blog. If you have questions about 5010 and what you need to do to be ready, please feel free to write us in the Comments section on this blog, or on our Facebook page.

Read More | No Comments | Filed in General, HIPAA

Can Physician Practices Be Saved from Insurance Companies, Medicare Cuts and Being Forced to Provide Less-Than-Optimal Patient Care?

September 7th, 2011 by Kathy McCoy

Can Physician Practices Be Saved from Insurance Companies, Medicare Cuts and Being Forced to Provide Less-Than-Optimal Patient Care?Three news items caught my eye this week, and they add up to a real challenge for medical practices. First, in a recent NewYorkTimes.com article entitled An Insurance Maze for U.S. Doctors, author Pauline W. Chen, M.D., discussed the obstacles to practicing medicine in the U.S. vs. in Canada in terms of dealing with payers:

“But American doctors in the study spent far more (time) dealing with multiple health plans: more than $80,000 per year per physician, or roughly four times as much as their northern counterparts. And their offices spent as many as 21 hours per week with payers, nearly 10 times as much as the Canadian offices.”

Researchers had asked hundreds of physicians and administrators in private practices across the United States and Canada how much time they spent each day with insurers and other third-party payers, tracking down information for claims that were denied or incorrectly paid, resolving questions about insurance coverage for prescription drugs or diagnostic tests, and filing the different forms required by each and every insurance company.

Next, I read in Physician Practices Falter on Thinning Margins by John Commins in HealthLeaders Media that:

“Physician groups across the country operated at a significant loss in 2010, thanks largely to dwindling Medicare reimbursements. At the same time physician compensation increased by an average of 2.4%, according to the American Medical Group Association’s 2011 Medical Group Compensation and Financial Survey.

“’The trends are pretty much continuing and have been consistent over the last six years of so. The operating margins are getting smaller and the pay increases are getting smaller as well,’ Tom Flatt, director of communications and publications at AMGA, told HealthLeaders Media.

“’We are hearing from our own groups who are anticipating significant cuts in Medicare that they are really worried about it. They are operating at such a small margin now that this will have a tremendous impact on access for patients,’ Flatt says. ‘They’re really feeling like they are on the edge of a cliff and without some sort of revenue, it’s really going to impact patient care.’”

Finally, just this morning I read in EHRs Beat Paper in Head-to-Head Competition by Gienna Shaw, for HealthLeaders Media, that:

“Authors of a new study, published last week in the New England Journal of Medicine, say they are among the first to offer hard evidence that in a head-to-head competition, electronic records beat paper.

“The researchers tracked quality measures and outcomes for more than 27,000 Cleveland-area adults with diabetes and found that those who were treated at physician practices using EHRs enjoyed substantially better outcomes than those who were treated by doctors relying on paper records.”

All of these news items add up to one argument for me: Physicians need to take advantage of technology to protect their practices, be able to provide the best patient care in today’s healthcare system (and what is coming), and to maximize their bottom lines.

Could it be any clearer?

The time when practices could delay implementing technology is long past. Now it’s becoming a matter not only of providing optimal patient care even under the constraints of our current health system, which is key to any physician practice, but of simple survival.

Is the sky falling?

We’re not trying to say “The sky is falling” here; we’re saying, “Do what has been proven to make sense in order to keep the sky from falling.”

And what is that, you ask?

1. Adopt medical billing software that reduces your cost of getting paid, improves your speed of getting paid, and doesn’t reduce your margin with high costs.

Sure, I know that sounds self-serving. But that’s why we’re in this business: to help physician practices get paid. Kareo was developed to help smaller practices that can’t afford the practice management systems that cost tens of thousands of dollars. Many physicians have delayed adopting practice management systems because of that high cost, in terms of both money and training time, and that day is past.

Kareo is web-based, affordable and easy to use. You pay only a monthly subscription fee and no upfront fees or cancellation charges, plus training is included. That means the cost of entry is extremely low, both in terms of time and money. But you don’t have to take our word for it – hear what our customers have to say.

2. Use your medical billing software to reduce the cost of getting paid.

The idea of practices spending $80,000 per year simply to collect what they are owed is, frankly, horrifying. What do you do to reduce that figure? Make sure you’re using electronic real-time eligibility verification to avoid having your staff spend hours on the phone simply verifying benefits, and so that you know what benefits the patient has, including number of sessions available. Use your contract management report to insure you’re getting paid what you are contractually owed. Reduce the amount of paper your staff has to file and store with a document management tool. Your software doesn’t offer these tools? Switch. It’s time.

3. Choose the right EHR for your practice, and make sure it integrates with your medical billing software.

Again, many practices have delayed implementing an EHR because of the high costs of both the software and the lost productivity while getting up to speed. I’m glad to tell you that not only do you have the option of a free EHR that integrates with Kareo (Practice Fusion), but we offer you the option of 6 other EHRs that integrate with Kareo, providing you with multiple affordable billing/EHR choices that will suit your specialty while streamlining your practice and helping you improve patient care.

You can also take advantage of the webinars Kareo provides that are designed to help you improve your bottom line, starting with “What You Can Do to Prepare for Medicare Payment Reductions” featuring expert Betsy Nicoletti. Then follow up with webinars on improving your denial management, managing key performance indicators and more. Also, be sure you’ve subscribed to our monthly newsletters so you can get tips on how to get paid faster, better and with less effort.

The sky is not falling for medical practices; they’re the real “too big to fail” businesses in this country. But at Kareo, we want to make sure that they are able to not only survive, but be successful.

Do you think physician practices are an endangered species? Let us know your opinion in the Comments box.

Read More | 2 Comments | Filed in Features, General

About This Blog

Welcome to Building Kareo, a weblog by the team at Kareo about our products, our partners & competitors, medical billing, healthcare information technology, and much more.

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