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If you missed our recent webinar, "Understanding Medicare's 2024 Final Additions and Changes to Remote Care Management," you can read a recap and view the recording here 👇. Learn about the impactful changes and additions in the latest CMS Physician Fee Schedule final rule from Prevounce founder and CEO Daniel Tashnek! #medicare #fqhc #remotepatientmonitoring #caremanagement #telehealth #preventivecare

Final denial rates on inpatient claims have surged by 51% from 2021 to 2023, as noted in a recent Becker's Healthcare piece. The increase has drained $1.2 billion in revenue, impacting hospitals' ability to provide care. Initial denials for prior authorization and precertification errors also rose, adding to the financial strain. The time to #FixPriorAuth is now. Read the full piece here: https://hubs.la/Q02yC9qB0 Learn more about how Valer automates prior authorization workflows to cut down on manual errors and increase patient access to care. https://hubs.la/Q02yCbrW0

Have you heard of the Medicare 8-minute rule? 🕒 Understanding this rule can be crucial for both providers and patients to ensure proper billing for physical therapy services. According to Medicare, the 8-minute rule helps determine how many units of service can be billed to ensure accurate compensation for the time spent on treatments. Check out the graphic below for a simple breakdown of how the 8-minute rule works! 📊👇 #Medicare8MinuteRule #PhysicalTherapy #MedicareFAQ

The goal of one K2 payer/provider partnership was to increase medication adherence rates among patients with chronic conditions in an underserved patient community. What were some outcomes of their combined efforts? A. In the first year of the program, patients were 20 times more likely to fill their prescriptions B. High-risk patients better managed their conditions, so the organization saw fewer hospitalizations C. The healthcare organization was able to increase the payer’s Medication Adherence Tracker (MAT) score from a 3.3 to a 5.0 D. All of the above. Enter your answer in the comments! To learn more about the K2 Collaborative, click here: https://shorturl.at/mowH5 #K2Collaborative #PayerProviderCollaboration

The outcome of the combined payer/provider effort—highlighted in a Points of Light case study—was D, all of the above. To learn more about the K2 Collaborative, click here: https://lnkd.in/gqtHid_j   Keep an eye on this space for the 2024 Points of Light Case Studies that will arrive early May.   #K2Collaborative #PayerProviderCollaboration

This article from NBC News discusses private equity's impact on ERs and cites major firms' concerns over patient care, billing, and anti-competitive behavior. Check it out: https://nbcnews.to/3JasAup #HealthcareNews #USHealthcare #ERCare #ER

Dive into member-exclusive insights with our latest resource: "Analysis: Final 2024 Medicare Physician Payment and Quality Reporting Changes." Prepare for changes that will generally take effect Jan. 1, 2024. Log in now to access: https://bit.ly/3R89ie2 #MGMAAdvocacy

With Medicare patients seeing specialists more frequently, #PrimaryCare teams must coordinate with more specialists than ever before, increasing the likelihood of fragmented care. To reduce fragmented care, CMS just announced a Request for Information (RFI) for a potential ambulatory specialty care model. It would test leveraging the Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs) to increase the engagement of specialists in #ValueBasedCare and expand incentives for primary and #SpecialtyCare coordination. Visit the Calendar Year 2025 Medicare Physician Fee Schedule Proposed Rule fact sheet to learn more: https://go.cms.gov/45XA3b5

Don’t let your bottom line be affected because you weren’t up to date on the latest Outpatient Prospective Payment System and Medicare Physician Fee Schedule Final Rule updates! Join us Wednesday, December 13 at 1 PM ET to ensure you and your staff are well versed in these updates as Cassandra Schenkenberg, RHIA, CCS-P, CPC, CIC, CPMA provides an in-depth review of these CY 2024 final rules and an overview of how they can affect your organization. Register now: https://lnkd.in/gQxeM9px #Outpatient #Medicare #Hospitals #MedicalCoding

Did you know that patient misidentification costs patients almost $2,000 per inpatient stay and over $1,700 per emergency department visit? A survey conducted by Black Book also found that 35% of all denied claims resulted from inaccurate patient identification, costing the average hospital $2.5 million and the US healthcare system over $6.7 billion annually. During Patient ID Week, help us to advocate for the MATCH IT Act, which will improve health information standards, improving patient matching and reducing costs for both patients and providers. Take action at bit.ly/3WJplm3 by participating in our campaign! #patientIDnow