Practical Healing’s Post

https://lnkd.in/gKgJQ4ET Starting Jan 2025, CMS will require specific wait time limits for new patients seeking appointments with providers contracting with MCOs administering Medicare and Medicaid plans. This may have a negative impact on saturated FQHCs participation in such plans. More so if the FQHC is the primary source of care for patients within the panel of covered patients. primary care 15 days behavior health 10 days surgical care 30 days

If you’ve never heard of a Direct Primary Care (DPC) practice before, don’t worry! We’re breaking it all down for you to understand what it’s all about, and how it can benefit you. DPC is an innovative healthcare model where physicians partner with their patients to provide a more personalized primary care experience. This means that the care you receive is uniquely tailored to YOU! We follow a membership model, which is a low monthly fee, but keep in mind that this is NOT medical insurance or concierge care. You will not have copays, there will be no deductibles to meet, and you won’t get any unexpected bills. We talk about everything up front! So what’s the benefit to this type of primary care? You get a personal physician who knows you, who listens to you, and has the TIME to spend with you during your visits. You’ll also be able to avoid urgent care or the emergency room, as we offer in-office labs, medications, procedures, IV fluids and infusions, joint injections, and more — all at deeply discounted prices with COMPLETE PRICE TRANSPARENCY. We believe in going back to old school medicine — not the type of care that’s dictated by third parties. We focus on you and your needs. It’s our goal to make sure you are provided with the best care that’s affordable, convenient, and personal. Comment LEARN MORE below to see if the DPC model of healthcare is right for you! #puredpc #dpcpractice #directprimarycare #familymedicine #integrativemedicine #powertothepatient #saintaugustine #saintaugustinedpc #personalhealthcare #healthcare #dpchealthcare #affordablehealthcare #health #wellness

#physicians I don't mean to scare you, but you need to be careful when selecting a #remotepatientmonitoring and #chroniccaremanagement company to care for your patients. These companies are using your NPI to bill Medicare on your behalf, and many of them are not fully compliant in their documentation nor diligent in ensuring they adhere to best practices for patient engagement and consent. They do this because they know if Medicare performs an audit, it's YOU they are coming after, not the RPM/CCM company operating on your behalf. How do I know this? Because I've seen it. Clients come to ViTel Health because, as a physician, I uphold the highest ethical standards and maintain compliance and diligence to ensure that you are never at risk in the case of an audit. We provide the best possible care to patients, with the lowest administrative burden and the highest level of documentation that you can find in the market because, at the end of the day, WE CARE ABOUT DOCTORS SO THAT YOU CAN CARE FOR PATIENTS. So, if you have been thinking about adding a truly #passiveincomestream to your practice, that is safe, efficient, and gets results, send me a message and we can talk about what we do at ViTel Health

Thanks to the regulations set out by the Hospital Price Transparency Rule and the No Surprises Act, pricing simplicity and clarity for hospitals is the new standard. While each policy has different rules and requirements, they share a similar goal of requiring hospitals to publicly disclose their charges in a transparent, accessible manner so that patients are provided information on medical costs. While these rules have existed for several years, many hospitals still struggle to meet their compliance obligations. According to the Patient Rights Advocate’s Fifth Semi-Annual Hospital Price Transparency Compliance Report, only 36% (721) of 2,000 hospitals analyzed in 2023 fully complied with the Price Transparency Rule requirements. Read more about the challenges and opportunities here: https://rsm.us/3vURr2C

III. History of Medicare Coverage of Air-Fluidized Beds Medicare has covered the home use of air-fluidized beds since July 30, 1990. The original policy was based largely on a 1989 Technology Assessment performed by the National Center for Health Services Research and Health Care Technology Assessment. Current provisions for Medicare coverage of air-fluidized beds are found in the Coverage Issues Manual § 60-19. The policy was last modified and effective November 1, 2000 to specify the components of conservative wound treatment to be employed before initiating use of an air-fluidized bed in the treatment of Stage III and Stage IV pressure ulcers. Section 60-19 of the Coverage Issues Manual covers the use of air-fluidized beds only for the treatment of Stage III and Stage IV pressure sores that fail to show progressive healing with conservative treatment. Conservative treatment must have been provided for at least 30 days and includes the use of a Group 2 support surface. This requirement applies regardless of the setting in which the patient is treated. However, the use of an air-fluidized bed is not covered for home use under certain additional circumstances, such as when the patient has a coexisting pulmonary disease.

Medicare compliance in therapy can be complex so let's break down each elements that are essential for providing high-quality, effective therapy while ensuring compliance with Medicare regulations. 1. Dx Codes - Accurate coding ensures proper billing and avoids claim denials. 2. Patient History - Comprehensive documentation aids in creating effective treatment plans. 3. Plan of Care (POC) - Regularly update POCs to improve patient outcomes. 4. ADLs & Functional Deficits - Tailor interventions based on detailed assessments. 5. Goal Tracking & Billing - Adhere to the 8-minute rule for precise billing. 6. Cap Management - Navigate the Auto KX Modifier and stay within Medicare caps. 7. Medication Management - Keep track of medications to ensure patient safety. Mastering these areas, can help you focus on improving patient outcomes and maintaining a sustainable practice. Simplify your practice and stay Medicare compliant with HelloNote! Share this with your fellow practitioners for a more informed and compliant therapy practice. #MedicareCompliance #TherapyPractice #PhysicalTherapy #OccupationalTherapy #SpeechTherapy #Healthcare #EMR #ElectronicMedicalRecords #Billing #Documentation #PatientCare #HelloNote #HelloNoteEMR

For medical practices and healthcare organizations looking to enhance patient care, improve clinical outcomes, and optimize resource utilization, remote patient monitoring (RPM) has emerged as an invaluable tool. However, one significant challenge providers often face is the reimbursement process. To shed some light on this crucial topic, we are sharing some of the most frequently asked questions and answers around RPM reimbursement. Get all the details in our recent article@ https://hubs.li/Q02rQ4mG0

Succeeding in Medicare Advantage (MA) is a marathon. Plans must excel in CMS Star Ratings and manage health risks accurately. The toughest part? Engaging high-risk, complex members in quality care. These members often drive costs, are non-adherent to meds, and affect Star Ratings negatively. Accurate identification and proactive engagement are key. Data is essential. Effective analytics help MA plans target high-risk members, improve adherence, complete HRAs, and schedule crucial screenings. Reach out to Rapid Talent Group to prevent Star Rating drops and improve engagement with our adherence platform and PTCB-certified pharmacy technicians. #MedicareAdvantage #Healthcare #DataAnalytics #StarRatings #PatientEngagement

An interesting look at value-based care arrangements and the unique features, benefits and challenges of this model. The insights provided in the article underscore the importance of understanding the intricacies of each value-based care model to effectively implement strategies that optimize patient care delivery and financial outcomes. We are seeing a notable trend in the adoption of value-based care arrangements and are helping clients navigate these evolving relationships. HealthPayerIntelligence

Patients want quick and streamlined #registration processes. Shifting from manual paper-based registration to online patient intake is the key to improving #patientexperiences. See how West Tennessee Healthcare was able to modernize this process after implementing Registration Accelerator.