When it comes to medical billing collection rates, the phrase “no margin, no mission” can ring too true. After all, if a care center doesn’t bring in enough revenue to keep things running, any higher purpose they have is meaningless. That’s why you devote so much time to keeping your center or federally qualified health center afloat. But it’s important to remember that the reverse of this well-known phrase 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.
Medical Billing Revenue Cycle Management: Are Gross Versus Net Margins Hurting Your Mission?
Mar 14, 2023 7:05:00 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
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
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.
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
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.
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
CMS continues to encourage and financially incentivize providers to implement Medicare chronic care management (CCM) programs. A few big-picture numbers help explain why.