category resource-topic claims-processing 
p3care
JULY 16, 2023
Mainly, these are the CMS-approved entities that collect and report clinical data from myriad resources. The resources can be electronic health records, patient surveys, and claims data. QCDR and QR are Not the Same Before moving to the main topic, please clarify one of the biggest confusions about QCDR. Now, let’s begin!
Healthcare Success
JULY 5, 2022
As marketing to doctors is such a vast topic, we’ve developed a 5-part blog series to help people in virtually every industry successfully market to physicians and other health care professionals. Decision process: How many of your targeted specialists work in an independent office? This is the first blog in the series.
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Home Health Care
MARCH 1, 2022
Additionally, SmartCare, which is Select Data’s AI engine, allows us to deploy offshore resources and pricing while maintaining, and even improving upon, the quality that clients expect from onshore resources. The primary code establishes the clinical category, and the secondary codes drive potential comorbidity adjustments.
NASHP
DECEMBER 10, 2021
categories ?of? A note: All Medicaid managed care organizations (MCOs) can reimburse for CHW services through administrative dollars, so unless a state explicitly noted their MCOs do reimburse for services, that is not included in the category. HRSA Health Resources and Services Agency. CRF Coronavirus Relief Funding.
Vie Healthcare
FEBRUARY 28, 2024
Episode Introduction Zach explains why the lack of timely, accurate data can delay recovery of credits, and why most hospitals only have 50% visibility into their spend and accounts payable processes. But it comes down to them not having the time, resources, or insights to uncover their own data blind spots.
NASHP
JULY 22, 2022
While some select initiatives in state spending plans remain under review, all 50 states have received approval from the Centers for Medicare and Medicaid Services (CMS) to claim the enhanced Medicaid HCBS Federal Medical Assistance Percentage (FMAP) and begin to implement their proposals.[2].
Etactics
SEPTEMBER 7, 2023
There were nearly 50 million denied healthcare claims in 2021. Based on the total number of in-network claims submitted, that averaged out to a 17% denial rate. In other words, healthcare claim denials are a plague that every healthcare organization has to not only deal with but also try to figure out ways to manage them.
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