Monthly Archives: July 2020
What We’re Reading – Here’s how employers are changing benefits due to COVID-19
Although some companies have been hard hit by the economic effects of the COVID-19 crisis, experiencing closures or scaling back benefits, such as reducing or suspending 401(k) contributions, others are in wait-and-see mode or adding benefits for their employees. This … Read Full Post
Knowledge is Power: Why Open a Long-Term Care Related Business? (updated)
Perhaps you’ve been wondering if a long-term care related business makes sense in today’s economy and what the process entails. This short blog series is intended to help new entrepreneurs understand a little more about the licensure process with the … Read Full Post
Long-Term Care: A Second Career for You
Uncertain economic times and dwindling retirement accounts sometimes lure individuals to pursue entrepreneurial ventures. The motivations range from wanting to exert more control over one’s future and finances as well as serving people in need to the challenge of delivering … Read Full Post
What We’re Reading – DOJ Launches Lawsuit Against Anthem for Risk Adjustment Fraud
As detailed in this article, Anthem is facing a lawsuit initiated by the Department of Justice (DOJ) for allegedly failing to remove erroneously submitted diagnoses from CMS’s database despite knowing that inconsistencies might be present. The health insurance carrier commissioned … Read Full Post
What We’re Reading – Amazon Partners on Employee Primary Care Centers Near Fulfillment Centers
Amazon announced a pilot program to provide accessible primary care services to its employees by opening 20 Neighborhood Health Centers in cities across the US. In this article, the author explains that Amazon’s employee benefits program provides comprehensive health care … Read Full Post
Did You Know… Medicare Pays for Counseling for Smoking Cessation
A staggering amount of research shows the detrimental effects smoking can have on a person’s health, and public service announcements abound on this topic. Some providers may not know that Medicare is also on this bandwagon and pays for PCPs … Read Full Post
Did You Know… Medicare Pays for Counseling for Obesity & CVD?
Intensive Behavioral Therapy (IBT) is a series of counseling sessions aimed at reducing the risk of cardiovascular disease (CVD), which can lead to heart attack or stroke. It is also used for helping patients make behavioral changes that facilitate weight … Read Full Post
Why Is July Relevant for MRA?
Risk adjusted reimbursement is based on the health status of the patient as summarized by certain ICD-10-CM codes reported by the provider. The reporting timeframe is twice per year in order to maintain stable funding; PCPs should assess, document and … Read Full Post
Wanna Bet Not All Your MDDs Are Valid?
Major Depressive Disorder (MDD) is fast becoming one of the most poorly supported conditions we find during audits, and it may stem from the fuzzily documented distinction between depression and major depression. After all, not all depression fits in the … Read Full Post
What We’re Reading – Overcoming Telehealth Reimbursement Risks
The advantageous use of technology to successfully treat and manage patients in a world that restricts physical consults to prevent the spread of the virus has served both patients and physicians. However, as explained in this article, telehealth’s quick implementation … Read Full Post