Etactics

JULY 20, 2021

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. How are you supposed to operate if your patients can’t pay you? You simply can’t afford to.

Accountability 52

Accountability Healthcare 52

Etactics

JANUARY 18, 2024

It’s no surprise that healthcare organizations need money to keep the lights on. In this blog, we’ll explain the importance of revenue cycle management in the healthcare space. A patient engagement doesn’t end once their appointment is over or they leave the premises. In fact, it may not be something you want to think about.

Healthcare 52

Healthcare Doctors Healthcare Providers Hospitals 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

JANUARY 26, 2024

In 2021, the amount of healthcare payments from the fee-for-service models equaled 40.5%. In this blog, we focus on unveiling the details surrounding the fee-for-service payment model. This helps distinguish it from Medicare managed-care plans, as well as any other new payment systems there might be. So how does FFS work?

Healthcare 52

Healthcare Primary Care Medicare Healthcare Providers 52

Health Care Success

FEBRUARY 7, 2022

Consumers are returning to their favorite social media platforms time and again to get the information they need from the sources they know and trust. . There was a time when marketing budgets didn’t allocate time and money for social media. Our blog has recently covered a few posts about generational marketing and personas.

Healthcare 96

Healthcare Medical Practitioners Accountability Integration 96

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

SEPTEMBER 1, 2023

Recovering revenue from healthcare insurance providers is one of the most important aspects of running a modern-day practice. In our 20+ years of providing services that help healthcare organizations streamline and collect on this intimidating process, we’ve noticed a pattern. The average doctor sees 2,500 patients per year.

Healthcare 52

Healthcare Accountability Healthcare Providers Doctors 52

Etactics

OCTOBER 11, 2023

Choosing not to resubmit claims that have a denied status is literally leaving money on the table. That takes effort and time…which costs money. That’s exactly the code that we’re going to take a deep dive into in this blog post. From a technical standpoint, denial codes are also known as claim adjustment reason codes (CARC).

Hospitals 52

Hospitals Healthcare Accountability Medicare 52

Etactics

JUNE 14, 2022

Your patients should expect to pay somewhere between $2,000 and $3,000 for your services based on those averages. You see, only 18% of patients who seek a chiropractor’s services have full insurance coverage. There are a couple of answers to that question that will get answered throughout this blog post. Let’s run some numbers.

Accountability 52

Accountability 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.

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Quality Assurance Medicaid Prevention Healthcare 76

Etactics

JANUARY 18, 2023

From claim scrubbing to real-time alerts on denials so you don’t have to wait weeks on insurance companies. Let’s take a closer look at CO-45 including what it is, how to correct it and how to collect on it. These contractual obligations stem from the valid contract held between healthcare providers and insurers.

Healthcare 52

Healthcare Healthcare Providers 52

Etactics

MAY 3, 2022

Patients’ ability to pay concerns almost 90% of dentists. What’s worse is the same study that that statistic came from found that the second biggest concern among dentists was practice revenue. Instead, they meet to figure out ways to boost their patient experience, improve claim submission to payers and increase patient volume.

Prevention 52

Prevention Patient Experience Healthcare Accountability 52

Etactics

JULY 14, 2023

Another report predicts that AI in healthcare will grow at a compound annual growth rate of 28.75% from 2023 to 2028. AI and related technologies have the power to revolutionize the medical field in ways that include patient care and administrative/billing processing, just to name a few. Learn from the insights. Problem-solving.

Medical Practitioners 52

Medical Practitioners Clinical Practice Integration Healthcare 52

NASHP

APRIL 25, 2022

Leading states are highlighting high prices for anti-inflammatory drugs, the impact of pharmacy benefit manager (PBM) regulation on drug spending and the use of rebates, and a discrepancy between prices along the supply chain that reduces the potential savings from decreasing generic costs. Identifying High Cost Drugs. percent in 2019 and 7.4

Regulations 52

Regulations Accountability Health Data 52

Etactics

JANUARY 10, 2024

In this blog, we walk through and explain what USPS is, what it does specifically, and explain its benefits. Chances are that you’re not too far from one. Money isn’t necessarily what drives the post office to get up and deliver mail every day, but it’s an indicator of how well everything operates. It’s quite fascinating.

Accountability 52

Accountability Doctors Healthcare 52

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. If you’re an organization, it’s not going to be easy to collect what’s owed. So, you send a bill and the patient received it. Collections?

Accountability 52

Accountability Healthcare Integration Hospitals 52

Etactics

APRIL 13, 2023

For instance, according to their 2022 State of Claims Survey , 30% of health professionals say that claim denials are increasing anywhere from 10% to 15%. If you look back at our previous blogs, you can even find a few of them. The “PR” in this equation stands for patient responsibility.

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Regulations Nursing Prevention Healthcare 52

Etactics

APRIL 6, 2023

In the medical billing industry, denial codes are messages sent back from an insurance company that specifies why they cannot accept the claim. First, if you’re wondering what the ‘PR’ stands for, it is ‘patient responsibility’. PR 31 specifically means that the patient isn’t found as a member of the insurance company in question.

Prevention 52

Prevention Healthcare 52

Briggs Healthcare

AUGUST 1, 2023

This final rule updates payment rates, including implementing the second phase of the Patient Driven Payment Model (PDPM) parity adjustment recalibration. Civil Money Penalties: Waiver of Hearing, Automatic Reduction of Penalty Amount X. Collection of Information Requirements XII. billion increase resulting from the 6.4%

Regulations 52

Regulations Nursing Medicare Healthcare 52

Etactics

OCTOBER 27, 2023

In 2022, 707 healthcare breaches affected 52 million patients. This is a concern for not only patients but healthcare providers and insurers as well. Medical professionals and patients must understand this kind of fraud can happen in several ways. Whether it’s from a large-scale breach or the theft of an individual’s data.

Prevention 52

Prevention Accountability Healthcare Providers Medicare 52

Etactics

MAY 19, 2023

Having a secure structure in place to assist your company in managing different areas of your billing ecosystem can save you time and money. This tool is great for catching those pesky front-end denials, allowing you to fix errors in real-time instead of waiting days to hear back from your insurance payer. What is Denial Code CO 151?

Healthcare Providers 52

Healthcare Providers Medicaid Healthcare Prevention 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

NASHP

MAY 8, 2023

States are modifying data collection, analysis, and interpretation approaches to effectively capture and address differences in health outcomes by population (including geographic, demographic, and socioeconomic variability). The table below displays included metrics.

Medicaid 52

Medicaid Quality Improvement Quality Assurance Hospitals 52

Briggs Healthcare

AUGUST 23, 2023

Hospices provide care for the “whole person,” which means not only providing care directed at meeting the patient’s physical needs, but care that meets their emotional, social, and spiritual needs as well. Unfortunately, hospices are profiting from fraud at the expense of beneficiaries far too often.

Hospice Care 40

Hospice Care Integration Medicare Medicaid 40

Etactics

APRIL 11, 2023

The scheduler must collect accurate patient demographic information and insurance numbers. Registration must verify the patient’s information. Clinical or support staff need to note potentially non-covered services and obtain beneficiary notices from Medicare patients in advance. All good to go right?

Prevention 52

Prevention Doctors Medicare Nursing 52

Etactics

OCTOBER 25, 2022

Providing healthcare no longer just stays between a doctor and the patient, it now involves many different parties. Having the stress of wearing many hats within a company naturally takes you away from providing your best patient care. 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

Etactics

JULY 1, 2021

But I’ll answer that question the long way for the rest of this blog post. First, it means that there’s a lot of money on the table for the technology company that comes up with an AI solution that helps coders perform their job faster and better. That’s a ton of money left on the table. The short answer to that question is no.

Regulations 52

Regulations Healthcare Accountability Doctors 52

Health Populi

NOVEMBER 19, 2018

The Index score runs from a low of 0 to a high of 100. In planning for our conversation, our intention was to discuss the data elements of the social determinants of health, and challenges in (1) collecting particularly useful and elusive data points from peoples’ everyday lives; and, (2) challenging issues of data privacy.

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Healthcare Accountability Doctors Hospitals 66

Health Populi

JUNE 26, 2018

I’m blogging live while attending HXD 2018 in Cambridge, MA, the health/care design conference convened by Mad*Pow, 26th and 27th June 2018. from parent to child. Performances by students from the Berklee Musical Artists for Social Impact project moved the hundreds of attendees in the room.

Healthcare 75

Healthcare Accountability Integration Patient Experience 75

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. You came out from the collision unscathed but decided to go to your physician for safe measures.

Accountability 52

Accountability Doctors Healthcare Patient Experience 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

SEPTEMBER 21, 2021

Out of all of the different types of attacks that hackers have to choose from their utility belt, one particular technique was more heavily relied upon than others. Almost a quarter of all breaches from 2020 involved phishing. Almost a quarter of all breaches from 2020 involved phishing. But, I’m not done.

Prevention 52

Prevention Accountability 52

NASHP

MARCH 22, 2024

It includes examples from various states organized by the framework buckets: integrated primary and behavioral health care, crisis continuum of care, in-home and in-community based, and out-of-home and community. An action plan dashboard tracks targets.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Healthcare Success

APRIL 26, 2022

Leveraging automated software and artificial intelligence (AI) to collect real-time data gives key stakeholders complete visibility over where their ads appear. Choosing the right one helps businesses stop marketing dollars from flowing into irrelevant market segments while focusing resources on the most beneficial opportunities.

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Integration Accountability Healthcare Health Technology 236

NASHP

AUGUST 26, 2021

Explore a Mathematica resource on the demographics, methodology, and implications for contact tracing, a NASHP blog, States Re-think Contact Tracing and Case Investigation Strategies as COVID-19 Cases Rise , and a Mathematica podcast, Understanding the Variation in States’ COVID-19 Contact Tracing Approaches.

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Nursing Prevention Health Science Healthcare 131

Healthcare Success

APRIL 26, 2022

Leveraging automated software and artificial intelligence (AI) to collect real-time data gives key stakeholders complete visibility over where their ads appear. Choosing the right one helps businesses stop marketing dollars from flowing into irrelevant market segments while focusing resources on the most beneficial opportunities.

Integration 130

Integration Accountability Health Technology Healthcare 130