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Harold Gibson

Harold Gibson

Harold R Gibson is the Chief Financial Officer at M-Scribe - a medical billing service company. Harold is an accomplished healthcare professional with extensive experience in the medical billing and coding industry. You can follow him on Twitter @mscribetech. He is interested in getting your feedback/suggestions. Please email him at h.gibson@m-scribe.com.

Author's Posts

Five Common Myths About Out-of-Network Ambulatory Surgery Center

Harold Gibson

Should you consider running an out-of-network ambulatory surgery center? While it may not work for everyone, it’s not as crazy as you might think. Plenty of myths have circulated surrounding out-of-network ambulatory surgical centers, yet the truth behind those myths shows that there are some key opportunities available if you do decide to continue with out-of-network offerings.

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Topics: Out of Network Ambulatory Surgery Center

How Medical Practices Can Avoid Medicare Fraud and Abuse

Harold Gibson

According to data from 2016, CMS spent around $1.1 trillion on coverage for approximately 145 million people across America, yet $95 billion of that constituted improper payments that were connected to fraud or abuse. Unfortunately, it’s estimated by the FB that fraudulent billing constitutes between 3-10 percent of total health spending, a huge driver of waste and inefficiency.

Unfortunately, mistakes that lead to administrative areas like incorrect billing or even upcoding claims can both lead to charges of Medicare fraud and abuse for your medical practice. This can result in legal consequences like being excluded from federal healthcare programs, and could even lead to the loss of professional license in some cases. Some of the laws governing Medicare fraud and abuse include the Social Security Act, United States Criminal Code, Physician Self-Referral Law, False Claims Act, and the Anti-Kickback Statute.

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Topics: Medicare farud

Medical Billing Process: Gross vs. Net Collection Rate Explained

Harold Gibson

Building a strong financial future for your medical practice involves being familiar with your financial numbers, utilizing the data you collect to improve practice revenue. Two of the common terms you’ll hear are ‘gross collections rate’ and ‘net collections rate.’ Unfortunately, there’s a lot of confusion surrounding these terms, how they’re defined, and how useful they are for determining practice performance.

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Topics: medical billing process, Gross vs. Net Collection Rate

Medical Billing and Coding Changes in 2021

Harold Gibson

If you’ve been paying attention to any sort of medical billing and coding news lately, you already know that a few large changes are coming in the new year. And they are big ones that will make a difference on how your practice gets paid.

On September 1, the American Medical Association (AMA) released a total of 329 new changes that all providers should expect for 2021. But what are these changes and why do they matter? Here’s what you need to know before they go into effect on January 1, 2021.

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Topics: Medical Coding Changes in 2021, Medical Coding 2021

Artificial Intelligence (AI) is Changing the Revenue Cycle Management Processes

Harold Gibson

Navigating a global pandemic led to many changes in healthcare, both on the practice side and when it comes to behind-the-scenes operations. As we move forward into 2021, practices and healthcare systems are considering how to adapt and recover in the coming months, making the topic of artificial intelligence (AI) in healthcare and revenue cycle management a hot topic.

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Topics: AI in healthcare, AI in RCM, AI RCM

About this blog

A place for physicians and other healthcare stakeholders to share and discover information about everything related to running efficient medical practices.

Established in 2002 by a group of physicians, we are a national provider of medical billing services to group practices, clinics, and individual physicians. We also specialize in provider credentialing, payer contract reviews, and medical coding for a wide range of clients - from solo practitioners to multi-site, multi-specialty practices.

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