Altruis Blog

Medical billing collection rates: Is gross vs net margin hurting your mission?

Jun 4, 2019 7:03:00 AM / by Chris Caspar, CEO posted in FQHC, medicare chronic care management, medicare reimbursement, Revenue Cycle Management, Chronic Care Management, Medicare, denials, reducing hospital readmissions

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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.

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Reducing Hospital Readmissions: Adjusted re-admission penalties may now be fairer, but they remain potentially devastating to safety-net hospitals

May 7, 2019 2:12:23 PM / by Chris Caspar, CEO posted in FQHC, medicare chronic care management, medicare reimbursement, Revenue Cycle Management, Chronic Care Management, Medicare, denials, reducing hospital readmissions

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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
edge. 

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What We're Reading- April 23rd

Apr 23, 2019 7:03:00 AM / by Ingrid Korgemagi, VP Marketing posted in FQHC, Revenue Cycle Management, Medicaid, Medical Billing Service, News

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No matter if you are on the facility or the partner side of Revenue Cycle Management, there is a lot of information, both legal and regulatory, to keep up with to maximize reimbursements. Here are a few things of interest that we are reading right now: 

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What We're Reading- April 15th

Apr 12, 2019 4:14:36 PM / by Ingrid Korgemagi, VP Marketing posted in FQHC, Revenue Cycle Management, Medicaid, Medical Billing Service, News

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No matter if you are on the facility or the partner side of Revenue Cycle Management, there is a lot of information, both legal and regulatory, to keep up with to maximize reimbursements. Here are a few things of interest that we are reading right now: 

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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, RetroPay, Revenue Cycle Management, Medicaid, Medical Billing Service, 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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