Etactics

APRIL 19, 2022

Not to mention the direct relationship that exists between increasing your patient volume and your organization’s operating risk. That last sentence hinted at the entire reason why you’re reading this blog post in the first place. The last thing you want is your practice to end up on the list of HIPAA horror stories.

Regulations 52

Regulations Accountability Healthcare Healthcare Providers 52

Best Medical Billing Company | Physicians Revenue Group, Inc.

MARCH 30, 2023

Offer orthopedic services with freedom while we manage the Orthopedic Medical Billing A/R collections and claim follow-up for fast payment approval. We have made it easier to practice your orthopedic services without the fear of outstanding claims or missed account receivables. We don’t stop after creating patients’ bills.

Regulations 52

Regulations Quality Assurance Quality Control Accountability 52

Etactics

FEBRUARY 15, 2024

Having to regularly handle these denials means time stripped from other duties such as collecting patient payments and processing existing claims. We have addressed a few of these denial codes in previous blogs such as CO 97 , CO 151 , and PR 204 just to name a few. So let’s continue the saga with denial code CO 29.

Prevention 52

Prevention Regulations Medicare Healthcare 52

Etactics

APRIL 26, 2022

Collecting from your patients is easy, right? Between patient pay preferences and communicating with insurance organizations on the claim side , things get a little dicey. Oh yeah, there’s also the statement designing and delivery , and collections side of the coin as well. I’m being facetious. Yes, it works.

Accountability 52

Accountability Patient Experience Healthcare Healthcare Providers 52

Etactics

JUNE 21, 2022

88% of dentists worry about their patients’ ability to pay. According to the same source, patient payment is the number one concern that dentists have related to their organization. It outranked acquiring patients by 8%. But why is patient payment the biggest concern for dentists? via Bankers Health Group.

Accountability 52

Accountability Healthcare 52

NASHP

JANUARY 3, 2022

This report accompanies an increasing number of stories detailing AI’s shortcomings , such as a Science study that found that an algorithm commonly used in health systems disproportionally keeps Black patients from being included in targeted care outreach. Preliminary results unveiled inconsistent approaches and processes.

Quality Assurance 73

Quality Assurance Medicaid Prevention Healthcare 73

Etactics

JULY 20, 2021

If you’re a healthcare professional or practice manager and you read that statistic, it’s discouraging. I could go into further detail based on the survey’s results and break down all of the reasons why so many modern-day patients struggle with paying off their medical debt, but that falls outside the scope of this blog post.

Accountability 52

Accountability Healthcare 52

Sheppard Health Law

JANUARY 9, 2024

It’s not worth collecting all the personalized data from wearables unless we can process and analyze it, and now it looks like we may be starting to get there. This is a critical objective, as patients with kidney disease often have multiple chronic conditions that are difficult and expensive to treat, unless earlier identified and addressed.

Healthcare 59

Healthcare Medicare Life Sciences Prevention 59

Etactics

APRIL 4, 2022

According to TransUnion almost half of all patients don’t pay off hospital bills of $500 or less. If you’re an organization, it’s not going to be easy to collect what’s owed. But even conquering all of those preliminary steps doesn’t guarantee payment. So, you send a bill and the patient received it. Collections?

Accountability 52

Accountability Healthcare Integration Hospitals 52

NASHP

MARCH 22, 2024

Achieving effective behavioral health integration can be customized through various care delivery models, adapting the implementation to specific patient demographics and local factors. This is one section of Modernizing Behavioral Health Systems: A Resource for States. See the full resource guide.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Etactics

MAY 11, 2023

This goes without saying that millions of dollars sat with those denied claims, and some practices missed out on that revenue. But how do you avoid a situation like that happening to you and your practice? So we are here to help you with this blog! That percentage ended up equaling about 48 million denied claims!

Physical Therapy 52

Physical Therapy Urgent Care Quality Assurance Hospitals 52

NASHP

NOVEMBER 15, 2021

This report accompanies an increasing number of stories detailing AI’s shortcomings , such as a Science study that found that an algorithm commonly used in health systems disproportionally keeps Black patients from being included in targeted care outreach. Preliminary results unveiled inconsistent approaches and processes.

Quality Assurance 52

Quality Assurance Medicaid Population Health Prevention 52

Etactics

JANUARY 18, 2022

Whether you’re a seasoned behavioral health professional that just opened a private practice or a biller that just landed your first job at a facility, you have to figure out how to bill insurance companies for counseling services. That’s exactly what this blog post covers. That’s exactly what this blog post covers.

Private Practices 52

Private Practices Tricare Accountability Medicaid 52

Patient Safety Movement

JANUARY 1, 2023

There were several key changes this year for the Patient Safety Movement Foundation. Along with our Founder, Joe Kiani, we are laser focused on achieving a safer healthcare system, with zero preventable harm—both for patients and clinicians. Aligned Incentives—Payment for quality of care, not volume of care.

Patient Safety 52

Patient Safety Prevention Hospitals Nursing 52

Etactics

OCTOBER 25, 2022

Providing healthcare no longer just stays between a doctor and the patient, it now involves many different parties. trillion by 2030 , being able to receive faster reimbursement is essential to keeping practices’ finances afloat. Handling hours of tedious work with the click of a button free up more time for patient care.

Regulations 52

Regulations Doctors Healthcare Integration 52

Sheppard Health Law

OCTOBER 27, 2021

The Innovation Center, established in 2010 as part of the Affordable Care Act, began as an initiative to transition the health system to value-based care by developing, testing and evaluating new payment and service delivery models in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP).

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Etactics

MAY 26, 2023

The Health Insurance Portability and Accountability Act (HIPAA) is a topic we go over quite regularly in this blog. In this blog, we will be going over some of the most common HIPAA violations as it relates to Protected Health Information (PHI). This is in comparison to the 18% in other industries. Well, you would be wrong.

Healthcare 52

Healthcare Integration Regulations Accountability 52

Etactics

NOVEMBER 18, 2021

Almost 90% of hospitals and healthcare professionals offer patient portals to their clients. Just some of these make it simple for patients to… Access their personal health information Obtain helpful health data Communicate with professionals. Yet a majority of people still don’t access patient portals.

Accountability 52

Accountability Doctors Hospitals Nursing 52

Etactics

DECEMBER 21, 2021

Since both types of codes deal directly with the patient, they’re considered the front-end of the revenue cycle. International Classification of Disease (ICD) codes help define the problem that happened to a patient. International Classification of Disease (ICD) codes help define the problem that happened to a patient.

Accountability 52

Accountability Doctors Healthcare Patient Experience 52

Sheppard Health Law

NOVEMBER 13, 2023

The inclusion of MFTs and MHCs was spurred by the Consolidated Appropriations Act, 2023, which authorized payment for services furnished by these providers. As part of its Behavioral Health Strategy , CMS aims to improve access and quality of mental health care and services, such as substance use disorder prevention and treatment services.

Medicare 59

Medicare Medicaid Regulations Integration 59

Sheppard Health Law

JANUARY 5, 2023

The HEI for the 2027 Star Ratings would be calculated using data collected or used for the 2026 and 2027 Star Ratings, and would replace the current reward factor that has been in place since the 2009 Star Ratings. We’ve summarized some of the key changes in the Proposed Rule. Comments on due February 13, 2023. Star Ratings.

Medicare 52

Medicare Primary Care Medicaid Integration 52

Etactics

JANUARY 11, 2022

Although the billing rules within the mental health space seem archaic, the practice sends shivers down the spine across the entire medical world…regardless of specialty. ANSI-837P ANSI 837P is the accepted electronic format for practices that have to submit under the CMS1500 form. The “I” stands for “Institutionalized”.

Medicaid 52

Medicaid Integration Medicare Healthcare 52

Home Health Care

OCTOBER 2, 2023

A lot of what we’ll discuss relates to workforce shortages and payment challenges, which are driving technology innovation. There’s a lot that you can do for remote patient monitoring and for drug adherence, and there’s all kinds of stuff that you can do with this technology. It’s very exciting. What about long term?

Home Care 95

Home Care Hospitals Accountability Healthcare 95

Etactics

JULY 1, 2021

But I’ll answer that question the long way for the rest of this blog post. Insurance claim denials cost hospitals and practices around $262 billion per year. These records include details about the entire patient encounter. There won’t be a wave of unemployment. The short answer to that question is no. Ng’s statement.

Regulations 52

Regulations Healthcare Accountability Doctors 52

Briggs Healthcare

MARCH 1, 2022

Mid-afternoon Monday, February 28, 2022, the White House issued this Fact Sheet with the same title as this blog (bolding added by me): All people deserve to be treated with dignity and respect and to have access to quality medical care. And in no case should a health care facility be causing a patient harm.

Quality of Care 40

Quality of Care Nursing Accountability Medicaid 40