Altruis explains how to process rejections and denials that happen during the FQHC billing reimbursement phase.
It seems the label “Medicare for All” is being attached to all sorts of proposals. Plans to provide universal healthcare coverage to Americans abound, but they aren’t all Medicare for All. Broadly speaking, “Medicare for All” applies to only those proposals that would cover everyone, replacing private insurance.
Population Health and Telemedicine topped our reading list this week with proven models in improving the quality of healthcare in the Northeast. Can these positive strides be scaled and reach across the country into facilities providing care to our rural and underserved populations?
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.
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: