Home Health Care

APRIL 15, 2024

Lajeunesse is also in the process of starting a new support group in town. Plus, the agency talks to clients and their families about the APDA and all the resources the organization offers. “A The site also includes video content. A lot of our families don’t really know where to start,” Lajeunesse said. “I

Home Care 101

Home Care Prevention Doctors Hospitals 101

Home Health Care

JUNE 29, 2023

Agencies are now competing with hospitals for the same staff, and hospitals can offer more resources and better pay. One of the most important best practices is to keep unbilled claims to less than 10% of your monthly revenue. Unbilled claims mean no cash coming in the door and the payor doesn’t have it either.

Medicare 52

Medicare Accountability Hospitals Healthcare 52

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.

Healthcare 52

Healthcare Doctors Prevention Medical Services 52

Sheppard Health Law

JANUARY 13, 2023

One of the topics I followed with keen interest this week at the J.P. All of these companies focus on therapy, supportive resources, and, in some cases, psychiatry. One other fun note on this topic. They reported, among other things, a 90+% automation rate for their claims processing function.

Healthcare 98

Healthcare Primary Care Integration Urgent Care 98

NASHP

MARCH 22, 2024

Additional data collection activities included conducting supplementary interviews with eight subject matter experts in MLTSS and reviewing publicly available resources and documentation related to states’ oversight approaches. Participating states were selected to reflect diversity in geographic region and age of MLTSS program(s).

Medicaid 75

Medicaid Nursing Medicare Integration 75

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. What did we do a month ago?

Healthcare Analytics 98

Healthcare Analytics Healthcare Hospitals Accountability 98

Sheppard Health Law

NOVEMBER 9, 2023

The GCPG provides information about relevant federal laws, compliance program infrastructure, OIG resources and other general information useful to the health care compliance community. The GCPG is presented in a new format that is easy to read and includes links to OIG documents, reference citations and other helpful resources.

Integration 52

Integration Regulations Medicare Pharmaceuticals 52

Icanotes

DECEMBER 23, 2022

This option can open up some important doors for accessing confidential care when minors might otherwise forego treatment, such as when therapy involves abuse, sexual activity or other topics that they may not want their parents to know about. They may not be willing to discuss sensitive topics like abuse or sexual activity, either.

Accountability 105

Accountability Healthcare 105

Etactics

MARCH 23, 2023

According to research from Embroker, workplace harassment claims increased by 29% between 2020 and 2021. The EEOC investigates, mediates, litigates and adjudicates thousands of harassment claims a year. What does this mean? Harassment in the workplace is evolving and shows no signs of slowing down. Let’s talk about sexual harassment.

Prevention 52

Prevention Accountability 52

Etactics

MARCH 23, 2023

According to research from Embroker, workplace harassment claims increased by 29% between 2020 and 2021. The EEOC investigates, mediates, litigates and adjudicates thousands of harassment claims a year. What does this mean? Harassment in the workplace is evolving and shows no signs of slowing down. Let’s talk about sexual harassment.

Prevention 52

Prevention Accountability 52

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.

Doctors 154

Doctors Private Practices Accountability Hospitals 154

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 bottleneck and backup of records is minimized, and the process of billing is completed more efficiently.

Nursing 78

Nursing Quality Control Accountability Integration 78

Etactics

APRIL 5, 2024

All patient information and results are in one place so patients can also view documents using telemedicine resources. This decreases waiting time for results and altogether makes the process more efficient. If not, you can expect claim denials and belated payment processing. What is a GT Modifier?

Telemedicine 52

Telemedicine Doctors Regulations Medicare 52

Home Health Care

DECEMBER 5, 2021

Session] topics could be about nutrition or maybe understanding your medications,” she said. “It It could be the impact of stress on your disease process or a variety of different topics. Those are focused on giving high-risk members and their families “all the resources they need” to avoid costly re-hospitalizations.

Medicare 102

Medicare Urgent Care Nursing Prevention 102

HIT Consultant

JUNE 29, 2022

The increasing volume of data coupled with emerging technologies such as Artificial Intelligence (AI), which encompasses machine learning, robotic process automation, deep learning and natural language processing, has accelerated the rate of innovation across all stakeholders.

Regulations 98

Regulations Life Sciences Pharmaceuticals Accountability 98

Etactics

AUGUST 9, 2022

During the event came the release of the much anticipated CMMC Assessment Process (CAP). draft of the CMMC Assessment Process published, the Cyber AB and accredited CMMC 3rd Party Assessment Organizations (C3PAOs) are moving forward with the voluntary assessment program The CyberAB coined the phrase "Joint Surveillance" during the townhall.

Regulations 52

Regulations 52

Home Health Care

JULY 20, 2022

One area of focus, using the lowest hanging fruit mentality, was streamlining the backend operations: recruiting, human resources, finance, revenue cycle management, compliance and OASIS review. It’s really a function of three things: your OASIS documentation, HCAP scores and the claims data.

Medicare 82

Medicare Nursing Regulations Hospitals 82

Home Health Care

OCTOBER 28, 2022

The star ratings are based upon OASIS measures — such as how often the home health team taught patients about their drugs — and claims-based measures, such as how often home health patients had to be admitted to the hospital. The data are publicly available and include the CMS star ratings.

Patient Safety 77

Patient Safety Performance improvement Quality Improvement Accountability 77

NASHP

AUGUST 31, 2023

Equity: A commitment to prioritizing health equity and reducing health disparities includes actively partnering with communities in the policy and decision-making process to ensure that a modernized public health system not only reaches every community, but also meets its needs.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

Home Health Care

OCTOBER 11, 2021

I have seen other vendors close any deal with a pulse just to turn around and lose that customer in the implementation process. This important partnership lets us put our best resources back on the core product and deliver for our customers. This is a real-time scrubber as opposed to the overnight process other vendors offer.

Home Care 98

Home Care Accountability Regulations Medicaid 98

HIT Consultant

MARCH 15, 2022

They’ll also be able to access clinically-backed educational content on topics like medication, nutrition, and stress from the ACC’s CardioSmart patient program. Healthcare payments platform Enter , which is on a mission to simplify that process on both sides of the transaction, has just come out of stealth mode after raising a $5.7

Life Sciences 97

Life Sciences Health Data Healthcare Hospitals 97

Icanotes

SEPTEMBER 30, 2021

Part of making that decision involves researching the process. Boost to reputation: The process for insurance credentialing is rigorous, and many people see it as an indicator of the quality of care. Strict and time-consuming billing requirements: The paperwork of filing insurance claims can require a lot of labor.

Primary Care 52

Primary Care Quality of Care Medicaid Healthcare 52

NASHP

DECEMBER 3, 2021

Provide technical assistance and communications resources to providers. State Medicaid programs, MCOs, and providers have aligned resources to vaccinate their patient populations against COVID-19. Data from the state IIS is matched with Medicaid claims data to provide MCOs with lists of their members and their vaccination status.

Medicaid 98

Medicaid Primary Care Medicare Accountability 98

NASHP

JUNE 22, 2022

This resource is designed for stakeholders that are at various stages of developing and improving their care coordination systems. This section of the guide outlines considerations, examples, and resources for: Identifying stakeholders and establishing partnerships across care coordination and child-serving systems.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52

NASHP

SEPTEMBER 25, 2023

Postpartum care can also include counseling on nutrition, breastfeeding, and other preventive health topics that support maternal and neonatal health. This resource outlines key policy considerations related to extending Medicaid postpartum coverage, highlighting state examples of early adopters of extending postpartum coverage. [2]

Medicaid 80

Medicaid Performance improvement Prevention Health Data 80

NASHP

DECEMBER 14, 2021

Others are more flexible and potentially more politically expedient, may be less resource-intensive to operate and may not require special enabling legislation, but may also be less likely to yield profound impacts on prices and spending. It is one promising option within a range of approaches that a state may consider. payment reform.

Hospitals 114

Hospitals Primary Care Regulations Accountability 114

NASHP

DECEMBER 10, 2021

HRSA Health Resources and Services Agency. A component of the section 1115 demonstration is the use of “Resource Mothers” which is a population-specialized CHW model. Care management organizations using Resource Mother Outreach are required to provide supervision by a nurse case manager or similarly qualified program staff member.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

HIT Consultant

JANUARY 16, 2023

Incorporating digital health early: I believe that incorporating digital health tools earlier in the prescription process and combining digital with traditional medication therapy will increase in 2023. – Overpayments in claims processing: This can ensure both providers and payers are fairly compensated.

Patient Experience 97

Patient Experience Nursing Primary Care Prevention 97

Medi Leadership

JANUARY 23, 2023

The book resonated with me and I remember being curious about the topic because of its bold claim: that a person’s success and effectiveness in life is determined more by EQ, a measure of emotional intelligence, than IQ, a measure of cognitive intelligence. Ultimately, this process leads to an outcome.

Regulations 75

Regulations Nursing Hospitals Accountability 75

NASHP

MAY 20, 2022

States can utilize other resources for family caregivers such as federal funding, including the National Family Caregiver Support Program and state general revenue dollars. Given limited resources, states often blend and braid funds from multiple funding sources for family caregiver services. Medical treatment. Medications.

Medicaid 115

Medicaid Nursing Hospitals Home Care 115

Vie Healthcare

MAY 4, 2023

Episode Introduction Jonathan explains why the value of healthcare related cases under the False Claims Act ($1.8 But I took his case and through that really learned a little bit about the False Claims Act, which is the statute we operate under mostly. ” And I said, “I don’t even know what those words mean.”

Healthcare 52

Healthcare Nursing Hospitals Doctors 52

Medi Leadership

JANUARY 23, 2023

The book resonated with me and I remember being curious about the topic because of its bold claim: that a person’s success and effectiveness in life is determined more by EQ, a measure of emotional intelligence, than IQ, a measure of cognitive intelligence. Ultimately, this process leads to an outcome.

Regulations 52

Regulations Nursing Hospitals Accountability 52

Health Dialog

APRIL 14, 2020

By focusing on patients taking multiple-measure qualifying scripts, health plans can use limited resources more efficiently. . After the presentation, I opened the floor to attendees with questions on the topic. Below is a list of some of t­­he most pertinent questions I received during and after the live broadcast.

40

40

NASHP

DECEMBER 13, 2021

Efforts to rein in the high cost of prescription drugs will continue to be a hot topic in state houses in 2022 and beyond. [2] Because the analysis of affordability is data-intensive, PDABs in states with existing data assets such as all payer claims databases are also at an advantage.

Medicaid 105

Medicaid Pharmaceuticals Regulations Accountability 105

NASHP

AUGUST 23, 2021

www.ruralhealthinfo.org/topics/health-care-workforce#characteristics. [vi] For example, to move from tier 3 to tier 4, the provider must meet all the requirements of tier 3 and several new requirements, such as having a well-established quality improvement process. The state conducted a procurement process to secure the contractors.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

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]. Training and Peer Support for Families of CYSHCN.

Medicaid 105

Medicaid Rehabilitation Nursing Medicare 105

Vie Healthcare

OCTOBER 28, 2022

Topics include the risk of ‘’Medicare fraud’’, how hospitals are throwing away cash, why financial and legal responsibility lies with the explanting hospital, and a detailed presentation on the compliance and revenue benefits of SpendMend’s innovative software solution. Show Topics. Main Topics. and $2 million finding.

Hospitals 52

Hospitals Nursing Accountability Medicare 52