Etactics

APRIL 12, 2024

My point in beginning with this is that I write weekly blogs about healthcare and human resources and I STILL find myself getting pretty confused on all the different components that come into play with medical billing. Essentially third-party payers reimburse healthcare organizations. What is Medicaid ? It’s a group effort.

Healthcare 52

Healthcare Medicaid Doctors Medicare 52

HIT Consultant

SEPTEMBER 14, 2022

– Utilizing flexible staffing programs, to address resource gaps and IT catch-up projects, stands as a top-of-mind focus for hospital and health system CIOs, according to Stoltenberg Consulting’s 10th annual Health IT Industry Outlook Survey. With staffing strain and resource costs mounting, IT support performance metrics may slack.

Hospitals 98

Hospitals Healthcare Hospital IT 98

NASHP

DECEMBER 10, 2021

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. Medicaid Reimbursement. Medicaid Reimbursement.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

Healthcare Leadership Council

MAY 4, 2022

We welcome Barclay Berdan, the chief executive officer of Texas Health Resources, a faith-based non-profit healthcare system, to share his expertise on the subject. by Barclay Berdan, chief executive officer, Texas Health Resources. Americans Deserve the Full Truth About Medicare-For-All and its Ramifications for their Healthcare.

Medicare 75

Medicare Healthcare Medicaid Healthcare Finance 75

Home Health Care

NOVEMBER 3, 2022

Second, realigning and reallocating certain resources to drive efficiencies and operating leverage, while freeing up teammates so they can continue to improve the member and customer experience, and drive organic growth.”. First, solidifying a high-performing executive leadership team, which includes finding my successor as CFO,” he said.

Medicaid 89

Medicaid Home Care 89

NASHP

OCTOBER 20, 2022

Care coordination addresses interrelated medical, social, developmental, behavioral, educational, and financial needs to achieve optimal health and wellness outcomes and efficient delivery of health-related services and resources within and across systems.”[8]. Providing training for families on a range of roles and topics.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

NASHP

MAY 1, 2023

Read the accompanying policy brief : Medicaid Reimbursement for Home Visiting: Findings from a 50-State Analysis. Y/N) Federal Authority and Medicaid Benefit Category Medicaid Covered HV Services Eligibility and Duration of Covered HV Service Medicaid Reimbursement Structure HomVEE Model(s) Required by Medicaid? (Y/N)

Medicaid 98

Medicaid Nursing Prevention Hospitals 98

HIT Consultant

FEBRUARY 7, 2024

It was the topic of countless articles, reports and even court cases. Because every touch negatively impacts margin and with the continuing growth in costs to deliver care and the declining reimbursement every penny counts. Matt Seefeld, EVP of MedEvolve Artificial intelligence (AI) dominated the headlines in 2023.

Healthcare 59

Healthcare Accountability Life Sciences Performance improvement 59

NASHP

DECEMBER 19, 2022

Reimbursing telehealth services at in-person rates. The law requires contracts between health plans and providers to specify that a provider will be reimbursed for diagnosing, treating, or consulting via telehealth on the same basis as the provider would be for providing the same service in-person. Providing billing guidance.

Medicaid 52

Medicaid Regulations Prevention Primary Care 52

Healthcare Leadership

FEBRUARY 27, 2023

In recognition of Rare Disease Week and Rare Disease Day, the HCLDR tweetchat on Tuesday February 28, 2023 at 8:30pm ET will be dedicated to this topic. Together, our guest hosts wrote the following blog to preview this week’s topic. The last day in February is Rare Disease Day around the world.

Healthcare Providers 65

Healthcare Providers Healthcare 65

NASHP

APRIL 3, 2023

Federal action on the national 988 Suicide & Crisis Lifeline as well as the enhanced Medicaid reimbursement rate for mobile crisis services informed state policies and financing strategies. See NASHP’s resource Mobile Crisis: Maximizing New Medicaid Opportunities for more information.

Medicaid 81

Medicaid Telemedicine Prevention Medical Services 81

NASHP

SEPTEMBER 28, 2022

In the past year, Kansas, Louisiana, Maine, Maryland, New Hampshire, and Tennessee increased coverage of dental services for adults in their Medicaid programs, and ten states increased Medicaid reimbursement rates for certain dental services. Primary, Oral Health, and Behavioral Health Care Integration. Oral Health Workforce.

Integration 64

Integration Primary Care Medicaid Prevention 64

NASHP

JANUARY 9, 2023

The Aging Policy Academy will have the following three policy priority tracks: Home and community-based services Nursing home system reform Direct care workforce States can choose in their application to work on the three topics together and holistically OR states can opt to work on one or more of the topics individually.

Nursing 59

Nursing Medicaid 59

Sheppard Health Law

JULY 5, 2022

The panel discussions assessed which changes to healthcare delivery and reimbursement would continue after the pandemic, and in what format. Here, we provide an overview of what our healthcare law experts learned at the conference across relevant topic areas: Technology. Mental/Behavioral Health. Counseling Clients in Changing Times.

Healthcare 52

Healthcare Regulations Healthcare Providers Prevention 52

Home Health Care

DECEMBER 6, 2023

The home-based care industry, subject to stringent regulations, must navigate frequent changes that can greatly affect providers, including shifts in state and federal laws, reimbursement models, and quality reporting. Editor’s Note: This article has been edited for length and clarity. Visit our website to learn more.

Regulations 79

Regulations Care Transition Telemedicine Patient Safety 79

NASHP

DECEMBER 15, 2021

This updated resource was informed by a survey that was completed by state Medicaid officials, public health officials, and CHW association representatives as well as through publicly available information. State leaders are continuing to think about more flexible reimbursement for CHWs who do not work in clinical settings.

Medicaid 52

Medicaid Accountable Care Accountability Quality Assurance 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. Most states are at least matching Medicare rates for COVID-19 vaccine reimbursement. percent) children.

Medicaid 98

Medicaid Primary Care Medicare Accountability 98

NASHP

JUNE 17, 2022

The Oral Health Program works closely with the Minnesota CHW Alliance on curriculum, continuing education, deployment of CHWs in oral health settings, and reimbursement policy. This initiative aims to prevent tooth decay in children by providing education and resources to pregnant women and caregivers of children up to the age of three.

Prevention 98

Prevention Integration Primary Care Medicaid 98

Home Health Care

APRIL 18, 2023

From a reimbursement standpoint, it could also be important. Later this year CMS will require home health agencies to report the use of telemedicine technology in services, signaling a potential shift in how virtual care is accepted and, eventually, reimbursed. For more information on Voices, please contact sales@agingmedia.com.

Telemedicine 80

Telemedicine Medical Services Nursing Health Technology 80

NASHP

JUNE 13, 2022

Though there is variation across PDABs, several PDABs share core responsibilities that can be categorized as follows: Educate PDAB Board members, and Advisory Board members as needed, on topics of interest, including but not limited to prescription drug pricing and policy, the U.S. Proposals are due by 5 p.m. consumer impact). Expectations.

59

59

Twistle

DECEMBER 5, 2021

A familiar topic came up in several sessions: value-based care. William Shrank, of Humana, was surprised when, even with full reimbursement for virtual care, fee-for-service providers did not significantly increase billing for virtual care. Reimbursement must adjust to focus on payment for prevention instead of treatment.

Telemedicine 52

Telemedicine Prevention Primary Care Integration 52

NASHP

NOVEMBER 3, 2023

States enacted legislation on the following topics: facility fees; health care market oversight and certificate of need; competition; community benefits; transparency and oversight; surprise billing; and 340B transparency.

Hospitals 72

Hospitals Medicaid Quality of Care Medicare 72

NASHP

MARCH 14, 2022

To entice providers to deliver remote care, states mandated or encouraged parity in reimbursement and/or cost-sharing between in-person and telehealth services. Stay tuned for more NASHP resources to support states interested in exploring emerging telehealth and behavioral health policies.

Telemedicine 113

Telemedicine Remote Care Medicaid Accountability 113

Sheppard Health Law

FEBRUARY 2, 2023

Rollover consideration can be a uniquely hot topic, since it binds equityholders to terms that survive closing. healthcare compliance and reimbursement), and sometimes tax and employee benefits. For two recent developments on the topic of restrictive covenants, see our articles here and here. Define purchase price adjustments.

Regulations 52

Regulations Healthcare 52

NASHP

MARCH 4, 2022

These issues do not exist in isolation; many of these topics, including mental health, education, workforce, and equity, are woven throughout the speeches and require a whole-of-government approach to address. Governors also mentioned their priorities for investing American Rescue Plan Act (ARPA) funding. Polis of Colorado and Gov.

Medicaid 119

Medicaid Nursing Prevention Doctors 119

NASHP

AUGUST 3, 2022

With new dollars come new rules, and policymakers are challenged to avoid duplicating efforts across systems and resources. Multiple federal and state resources are being blended for treatment for parents and families. 3) Multiple federal resources are being blended for treatment for parents and families.

Medicaid 98

Medicaid Prevention Integration Quality Improvement 98

NASHP

NOVEMBER 29, 2021

Medicaid Reimbursement. Medicaid Reimbursement. Alabama does not reimburse for CHW services through its Medicaid program. Alaska Medicaid reimburses for CHW services through MCOs as authorized under the state plan. Arizona does not currently reimburse for CHW services through its Medicaid program.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

NASHP

JULY 22, 2022

States are also targeting specific workforce supports beyond reimbursement rate increases to youth-serving behavioral health providers, which are covered later in this brief. Reimbursement Rate Increases. States are proposing Medicaid reimbursement rate increases as one mechanism to directly support HCBS providers.

Medicaid 105

Medicaid Rehabilitation Nursing Medicare 105

Home Health Care

OCTOBER 3, 2023

The hearing covered a number of topics, including the Centers for Medicare & Medicaid Services’ (CMS) home health payment cuts, referral rejection rates, the Medicare Payment Advisory Commission’s (MedPAC) view of the industry and more. We need resources in order to pay those nurses and pay those clinicians appropriately.

Medicare 106

Medicare Rehabilitation Home Care Nursing 106

Etactics

APRIL 5, 2024

All patient information and results are in one place so patients can also view documents using telemedicine resources. This brings us back to our topic of “What is a GT modifier?” The GT modifier + the appropriate CPT code = accurate billing and reimbursement for services! We’re specifically talking about a GT modifier.

Telemedicine 52

Telemedicine Doctors Regulations Medicare 52

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. Select Data also launched Spotlight, an on-demand e-learning set of sessions, utilizing trends and topics of interest.

Nursing 79

Nursing Quality Control Accountability Integration 79

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. There’s ongoing education on HHVBP that’ll impact the quality scores and reimbursements.

Medicare 83

Medicare Nursing Regulations Hospitals 83

Healthcare Leadership

JULY 31, 2023

Often, these players have substantial resources and the power to influence public policy and opinion by attacking or helping the innovator… Patient advocates seek influence with policy makers and politicians, who may have a different agenda altogether—namely, seeking fame and public adulation through their decisions or votes.”

Healthcare 52

Healthcare Regulations Healthcare Innovation Doctors 52

Icanotes

NOVEMBER 7, 2022

If insurance companies can convince you there’s something wrong with you and your work, then the odds of you pushing to get reimbursement for the great work you do goes down and their expenses go down. Looking for more resources to change your relationship with documentation? How can I make this valuable to me and my clients?

Private Practices 97

Private Practices 97

Home Health Care

MAY 10, 2022

The resources weren’t there, the people weren’t there, and the staff wasn’t there.”. Mayo Clinic and Medically Home explored that topic as part of a 2021 case study, proving the viability of the hospital-at-home model in Northwest Wisconsin.

Hospitals 95

Hospitals Medicare Urgent Care Nursing 95

NASHP

DECEMBER 22, 2022

Topics can include advanced care planning, care management, reimbursement, managed long-term services and supports, regulations, and licensure and more. Technical assistance needs : Applicants should describe what specific expertise, technical support, and other resources would be helpful in making progress.

Medicaid 52

Medicaid Regulations 52

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. There’s also the possibility of re-basing provider reimbursement rates over time.

Hospitals 114

Hospitals Primary Care Regulations Accountability 114