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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How the Right Technology Helps with Behavioral Health Diagnosis

Dec 11, 2018 2:27:33 PM / by Chris Caspar, CEO posted in Behavioral Health, medicare chronic care management, PreValuate, behavioral health assessments, Chronic Care Management, Medicaid, Medical Billing Service, Billing Solutions, CMS, HRSA

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The gradually maturing discipline of affective neuroscience is beginning to showcase emotion as much more than a simple reaction to stimuli. Biologists are beginning to accurately predict behavioral states from emotional databanks. Psychologists are collaborating with technologists and neurologists to define a new wave of behavioral health studies, and the results may affect us sooner than we think.

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Medicare Chronic Care Management – A Look at the Numbers & CCM Vendors

Jul 17, 2017 1:39:10 PM / by Altruis posted in medicare chronic care management, Chronic Care Management, Medicare

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CMS continues to encourage and financially incentivize providers to implement Medicare chronic care management (CCM) programs. A few big-picture numbers help explain why.

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