Monthly Archives: March 2012

What We’re Reading – 5 Ways to Build Customer Loyalty

For almost all businesses, customer service is crucial in solidifying customer loyalty is one key to a successful business. Loyal customers will do anything they can to help your business grow and become successful by turning first to your company … Read Full Post

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Latest ADR Update as of 02/22/2012 – Jurisdiction 11- Home Health and Hospice

Palmetto GBA conducts probe reviews on services provided by Medicare providers within Jurisdiction 11. These reviews are in an effort to prevent inappropriate payments. Data analysis is performed at regular intervals to determine the types of services or providers that … Read Full Post

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What We’re Reading – How to Turn Customer Complaints into Profits

For obvious reasons, it’s safe to say that companies never want to receive customer complaints. Businesses risk losing existing clients and potential new ones as well as ruining the image of the company. According to this article by Robert Moment, … Read Full Post

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What does it mean to be “at risk?”

The concept of being “at risk” has to do with the level of financial risk the entity has in funding the care its patients receive.   As profit-oriented enterprises, insurance companies generally assess the insured’s risk and base the premium on … Read Full Post

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CMS Risk Adjustment Data Submission Deadlines and Payment Schedule

The nature of capitation and the risk adjustment payment method requires specific deadlines for data submission that correlate to dates of service and affect capitation payments.  The Centers for Medicare and Medicaid Services (CMS) observes the following three deadlines each … Read Full Post

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What We’re Reading – How to make a Personal Connection with Customers

It’s no secret that people buy from those to whom they can relate.  Rapport solidifies the connection with your clients; one idea is to keep a mental note of one or two details about your customer and then bring them … Read Full Post

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The Employer’s Role in Determining Employee Competence

When was the last time you questioned whether the individual who provided you or a loved one with a health care service was qualified or competent?  I don’t know about you, but the last time I had blood drawn, I … Read Full Post

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What We’re Reading – Keeping and Motivating Employees in the Current Economy

Given today’s economic issues, our outlook of the American Dream maybe somewhat altered because of the difficulties many Americans are currently facing. It’s no surprise that our uncertain economic environment is causing pressure on all social classes and in all … Read Full Post

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Overtime Pay Exemption for Companionship Services Comment Period Ends March 12

Comment Period extended until March 21, 2012. In 1975, the U. S. Department of Labor (DOL) exempted companions and live-in workers from the requirement for overtime pay.  On December 27, 2011, the DOL published a ‘Notice of Proposed Rulemaking’ to … Read Full Post

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Resolution of the 5010 Electronic Claims Submission 496 Edit

Jurisdiction 11 Home Health and Hospice With the implementation of Accredited Standards Committee (ASC) X12 Version 5010, the Medicare Administrative Contractors (MACs) have received a large increase in calls from billers regarding the 496 edit, more commonly referred to as … Read Full Post

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