Jeff Robertson, CMPE, FMC

I am in the Healthcare Delivery Business; that allows Independent Physicians to Practice Medicine, and stay INDEPENDENT.

[Jeff Robertson, CMPE, FMC @NexsysBilling]

@DutchRojas This!

[Medical Group Management Association @MGMA]

The '90s were a pretty great time at MGMA. 😎 A few things have changed over the years, but some familiar faces are still with us today!

What decade should we look back on next?

[Jeff Robertson, CMPE, FMC @NexsysBilling]

@MGMA Great video. Thanks for sharing. We have come so far but always on the shoulders of those who fought the good fight before us. Proud to be Board Certified by the MGMA. CMPE.

[Jeff Robertson, CMPE, FMC @NexsysBilling]

@NeilFlochMD @rasmd Also, when the govt. starting cutting checks around 2004 to pay doctors to get a certified EMR and paid them $25k or more to do it, thousands took the money and went with free software (wink wink Practice Fusion & Office Ally). Those EMRs were worse than paper…:)

[Jeff Robertson, CMPE, FMC @NexsysBilling]

@NeilFlochMD @rasmd As for sharing data across healthcare, that was always the goal & intent, but that data became an asset and valuable and not in the interest of vendors to share it (wink wink EPIC). I agree interoperability and sharing data would be great and is needed. They did it for Rx.

[Jeff Robertson, CMPE, FMC @NexsysBilling]

@NeilFlochMD @rasmd I have been doing EMR since 1997, way too early on it. But mature, robust EMR with great templates was super fast and thorough, 20 yrs ago. Relaxed charting requirements in 22’ and AI have only made it easier.

[Jeff Robertson, CMPE, FMC @NexsysBilling]

@RonaldLCollins Did they have to sell or were/are the offers just too enticing? I have a client of 13 years. 3 providers, 2 locations and they have done really well for a long time and are still doing well. Thriving. The hospital came calling with an offer they couldn’t refuse. More common.

[Jeff Robertson, CMPE, FMC @NexsysBilling]

@SarahGreerSmith @NeilFlochMD @rasmd About 30% of denials are as a result of patient intake/registeation. Front office staff in a clinic is the lowest wage level and the lowest skill level (billing knowledge) and the HIGHEST turnover rate. Payer responsibility with managed care is extremely complicated. Payers win.

[Jeff Robertson, CMPE, FMC @NexsysBilling]

@NeilFlochMD @rasmd I have found the exact opposite to be true. EMR is just a tool. Like a microphone and a transcriber, or a pen with a paper chart. Just tools. It’s how you use them. When used correctly (not typing) you should be able to see more patients a day and document faster and easier.

[Jeff Robertson, CMPE, FMC @NexsysBilling]

@DutchRojas It definitely works. Outsource everything you can, keep only staff and services you HAVE to have on staff. Stay lean, no leakage, get help from pros on RCM, contract negotiations, get a collection agency. It works. 28 years of supporting Independent Physicians.

[Jeff Robertson, CMPE, FMC @NexsysBilling]

@greenhousemd @AnnieAndrewsMD

[Jeff Robertson, CMPE, FMC @NexsysBilling]

@drmoneymatters @anish_koka The amount of times per month I have to explain to non healthcare citizens why Charges are not Payments…I need to print it on a card and carry it and hand it out from now on..

[Jeff Robertson, CMPE, FMC @NexsysBilling]

@AOC Part 1: An announcement from OMB this afternoon clarified that this pause does not impact Medicaid and SNAP. Some states have said the portal they use to access their Medicaid funding was closed off.

[Jeff Robertson, CMPE, FMC @NexsysBilling]

@AOC Part 2: White House Press Secretary Karoline Leavitt acknowledged this but clarified that access to Medicaid funding will be restored soon.

[Jeff Robertson, CMPE, FMC @NexsysBilling]

@AOC Medicaid covers more than 70 million people, or about 1 in 5 Americans.
"Medicaid is the backbone of the U.S. healthcare system; you weaken the backbone and the whole system gets scoliosis," said Matt Salo, head of the nonpartisan National Association of Medicaid Directors,

[Jeff Robertson, CMPE, FMC @NexsysBilling]

@DrDiGiorgio @Upstate_iron @DrHarryDOesHep UHC bought Change Health, clearinghouse. Once they acquired that they could see what other payers were paying their providers. They then knew where and whose UHC contract could be reduced, renegotiated or just terminated. Which is exactly what they did.

[Jeff Robertson, CMPE, FMC @NexsysBilling]

@DrDiGiorgio @Upstate_iron @DrHarryDOesHep In Alabama, I believe Blue Cross has 83% market share. Not a lot of options for providers to just go somewhere else..

[Jeff Robertson, CMPE, FMC @NexsysBilling]

@DrDiGiorgio @DrHarryDOesHep @Upstate_iron You are also ignoring our now current “Virtual Subsidy”. As exorbitant as the current cost of Private Insurance premiums are, they are actually way lower than market rate. Patients/customers will age out of their liability & Risk at 65 and then be Medicare’s costs.

[Jeff Robertson, CMPE, FMC @NexsysBilling]

@DrDiGiorgio @DrHarryDOesHep @Upstate_iron This is the missing item in your Burger stand analogy. You needed to add that all the “Burger Stand” providers get together and set the pricing for Burgers. Doctors currently set pricing in a closed door meeting that CMS then follows. Then commercial payers use that as benchmark

[Jeff Robertson, CMPE, FMC @NexsysBilling]

@DrDiGiorgio I am sure it can be figured out. Others have done it.