Altruis Blog

Is your center ready for a spike in uninsured patients? Medicaid Work Requirements, Immigration and ACA changes are coming

Feb 6, 2019 1:02:02 PM / by Chris Caspar, CEO posted in FQHC, Medicaid, Medical Billing Service, RetroPay, Revenue Cycle Management, Billing Solutions

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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.

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CMS Regulatory Changes and Potential FQHC Impact

Nov 28, 2018 10:39:28 AM / by Chris Caspar, CEO posted in FQHC, Medicaid, medicare reimbursement, Medicare, Medical Billing Service, Billing Solutions, RHC, CMS, MACRA, HRSA

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Need another resolution for 2019? Probably not, but we have one for you anyway, and it’s important. We’re counseling our safety-net clients to pay closer attention to what’s going on with CMS.

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Update: Medicaid waivers and expanding care by collecting on self-pay balances

Oct 16, 2018 3:06:17 PM / by Chris Caspar, CEO posted in RetroPay, Medicaid, FQHC, Medical Billing Service

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Don’t let the Kentucky case fool you. Medicaid waivers aren’t going anywhere. And they will likely include onerous work requirements and prohibit retroactive enrollment.

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For safety-net providers, Florida proves particularly challenging. It just may get worse.

Jul 27, 2018 4:18:44 PM / by Chris Caspar, CEO posted in Revenue Cycle Management, Medicaid, Medical Billing Service, RetroPay, Billing Solutions, RHC, FQHC

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It’s tough to be sick and poor and in Florida. It’s almost as tough to be a FQHC or CHC that serves the sick and poor in Florida.

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Managing Chronic Conditions Remotely: Telehealth for FQHCs and RHCs

Feb 27, 2018 12:49:43 PM / by Chris Caspar, CEO posted in FQHC, RHC

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Federally Qualified Health Centers (FQHCs) must be on top of many changes coming out of the Centers for Medicare and Medicaid Services or CMS - and many of these relate to specific kinds of care and categories of treatment and evaluation. So often, CMS is updating codes, protocols, or reimbursement details for a given range of medical services, and the individual change becomes a snowflake in a blizzard of transmittals and notices, so that it's difficult for administrators to track everything that they need to optimize revenue.

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