Monthly Archives: August 2021
Hidden MRA Treasure – Part 1
In the early days of the CMS-HCC model, providers were not versed at all on the inner workings of the risk adjusted payment paradigm or the conditions included. And admittedly, much has changed in these 18 years. Most providers know … Read Full Post
What We’re Reading – Burnout is soaring. Here are 7 ways employers can help.
Is there a human being on the planet who hasn’t been affected in some way by COVID? Highly doubtful. We’ve seen (actual or reports of) people becoming infected and/or dying; regular and often quickly-changing recommendations for safety; disruptions to our … Read Full Post
Billing No-Nos: Selective Billing Activities
Much in the same way no one instrument is the most important in an orchestral piece, so no one aspect of the billing process is the most important. The stops along the billing route all contribute to the steady flow … Read Full Post
Kaiser Permanente: Most Recent to Fall Under DOJ Scrutiny
Kaiser Permanente is the latest Medicare Advantage (MA) plan to be embroiled in allegations of False Claims Act violations for risk adjusted coding activities. As you might recall, Humana was flagged for reporting unsupported risk adjusted diagnoses, Anthem allegedly failed … Read Full Post
What We’re Reading – Major trend coming as COVID-19 vaccines show up in job listings
Recent reports mentioned in an HRExecutive article show a huge – 5,000% since January! – increase in the number of high-level job postings requiring candidates to be vaccinated against COVID-19. It’s also interesting to note that this requirement is not … Read Full Post
What We’re Reading – Your Employees Are Vaccinated. Now What?
One of our home health clients recently asked how to handle a patient’s request for a vaccinated caregiver. While confusion and misunderstanding still seem to rule the day when it comes to employers and their workforce’s vaccination status, Fisher & … Read Full Post
Knowledge is Power: AHCA Financial Projections
We continue our short series on Knowledge is Power geared to new entrepreneurs by discussing financial projections. You can catch up with earlier posts by reading the first installment and moving through all our stops on the new business journey. … Read Full Post
MRA Issues from the Trenches
We have blogged quite extensively on all things MRA and especially the need for solid documentation. Historically, a provider’s charting improves when the spotlight is shined on it, but old habits are hard to break; we find that, sadly, documentation … Read Full Post