What is ICD-10? ICD-10 codes are a powerful tool for community clinics to document and address social determinants of health--but they’re drastically underused. Perhaps because they aren’t fully understood. We’re going to start with the basics... You probably know most of this, but your team may not, so you may want to share this post with them. Then we’ll dive into what’s happening vis-à-vis ICD-10 and social determinants of health.
When it comes to medical billing collection rates, we’ve all heard “no margin, no mission.” That’s why you devote so much time to keeping your center afloat. But the reverse is also true: no mission, no margin. If you’re devoting too much time to the billing side of your practice, it’s the patients who suffer.
Hospital readmission penalties seem to have been working as intended, by driving down 30-
day hospital readmissions and saving Medicare roughly $2.3 billion between 2010 and
2016. The unintended consequence, however, was that hospitals serving the poorest of
the poor were the most frequently penalized. Medicare has made changes to mitigate
that, but safety-net hospitals still struggle with reducing hospital readmissions largely attributable to social determinants of care, and they still risk penalties that could push them over the fiscal
Medicaid expansion has helped safety net clinics stay afloat, reach more patients and reduce uncompensated care. That’s important to remember as the Trump administration again tries to repeal the Affordable Care Act, and as state and local leaders move ahead with efforts to limit--perhaps even undermine--Medicaid. Will Medicaid Expansion be repealed? If Trump has his way then it certainly will.
A whopping 21% of rural hospitals in the US are on the verge of closing, according to a 2019 report by Navigant. That's 430 rural hospitals across the country that are on the brink of closure. So, why are rural hospitals closing? They're closing because of declining populations in rural areas. As more people move to larger cities, fewer people go to rural hospitals, the number of Americans covered by government health plans has gone up and government reimbursement rates are low, resulting in the hospitals losing money. After losing money long enough, the hospitals close.