Altruis Blog

Artificial intelligence (AI) and automation are making big changes in the medical field, reshaping how healthcare happens in the United States. A nationwide study found that 90% of healthcare companies had an automation strategy in place by the year 2020, up from 53% the year prior. Today, almost every healthcare organization is actively planning its future with AI.

Why are billing and coding such significant aspects of the AI discussion? It’s because they fit naturally into the skillset of automation.

How efficient is your community health organization’s mental health billing? The community healthcare model presents a different set of challenges from the traditional healthcare billing process.

Below, we’ll explain this model in more detail and share five best practices you can use to improve your billing for mental health services.

Learn the six most important things a healthcare organization should consider for proper FQHC billing services during the credentialing process.

Finding Patients with Insurance Who Are Medicaid Eligible

Medicaid eligibility can be a huge source of untapped reimbursements for providers of every size. By identifying patients who presented as self-pay but are actually Medicaid eligible, providers can grow their revenue by up to 10% annually, according to a study byTransUnion.

The Trump administration couldn’t abolish the Affordable Care Act (ACA), but it did make significant changes to it and work requirements for Medicaid likely to reduce the availability of coverage or discourage enrollment. So, after years of declining uninsured rates, the U.S. saw coverage gains stall--and for some groups, even drop. That’s a key takeaway from The Uninsured and the ACA: A Primer, a 2019 report from the  Kaiser Family Foundation (KFF). It provides information on how insurance has changed under the ACA, how many people remain uninsured, who they are and why they lack health coverage. We’re taking a look at what this means for our clients--and how Altruis can help.