AllMed Healthcare Management’s Post

Preferred Partner Spotlight: A recently released white paper, https://lnkd.in/ehpCet_s from WHS Preferred Partner, ChartSpan Medical Technologies, uses 2023 claims data to demonstrate how chronic care management (CCM) can reduce costs and lower patient’s risk of hospitalization. The claims data shows that patients enrolled in CCM have 52% lower readmission rates, 36% lower inpatient costs, and 21% lower overall healthcare costs. ChartSpan has developed a scalable, turnkey CCM program that offers continuous growth and benefits to both patients and health systems.

Is your hospital stuck in the stone age? Single platform case management is here! #HealthcareUpgrade Imagine a world where doctors can see your entire medical history in one place! This article explores how a #singleplatform can #revolutionize #healthcare for patients and providers. Say goodbye to endless paperwork and hello to better care! Read full article to learn more and see how Genpact is leading the way in #patient-centric healthcare! #GenpactInsights #HealthcareforAll

Are you happy with #healthcaredelivery in the US ? Or the country in which you reside? If you have had a bad experience accessing care or are a clinician of any type experiencing challenges in delivering that care, please share and lets start making this a national issue of concern... PRE-election ! This brief article on a forward thinking website (for doctors and patients) provides some humble suggestions. SoMeDocs(Doctors on Social Media) Post your stories of broken care. #healthcarefromthetrenches Doc.Social Doximity American Medical Association Consumer Reports

What is a meaningful care plan for your patient? How do we create them in a way that anyone looking at a medical chart knows what to do to move that patient towards better health? How can we use the patient's problem list as a communication tool across the care team?

Interesting article here about Direct Primary Care (DPC) and the benefits above and behind your traditional fee for service model. TextCare is a form of the DPC model - a low monthly service charge or “subscription” for direct access to primary care. A flat monthly fee paid for by employers to give their employees access to medical providers 24 hours a day, 7 days a week, with a response time under 5 minutes. It’s something that everyone wants - like having a doctor in your pocket. #textcare

📢 The proposed Physician Fee Schedule (PFS) for 2025 includes a significant advancement in Medicare billing with the introduction of three new codes dedicated to digital mental health treatment (DMHT). This proposal represents a pioneering step by CMS, as it would be the first time Medicare reimburses for digital therapeutic products within the physician services benefit. These new codes cover a range of services, including: - Supply of the DMHT device - Initial patient education and onboarding - Monthly treatment management services (first 20 minutes and subsequent 20-minute intervals) What's important? Only FDA-cleared DMHT devices are eligible, ensuring they're proven to be effective and safe. This means that while countless apps claim to help with insomnia or anxiety, only those with FDA clearance have undergone rigorous validation. Under this proposal, DMHT devices can be used at home or in outpatient settings, provided they're prescribed and part of a patient’s ongoing care plan. #DigitalHealth #Medicare #MentalHealth #HealthTech #FDA #PFS2025 #HealthcareInnovation

Healthcare collaborations are made possible by collaborative practice agreements (CPAs), which allow advanced practice providers to give care and treatment to patients under the supervision of a physician. We explore the ways in which CPAs can make a significant impact on patient outcomes and provide some examples of real-world applications. #zivianhealth #healthcarecollaboration #collaborativepractice #healthcareinnovation

🚀 See how Norwood boosted healthcare revenue, accuracy, and compliance through improved MS-DRG assignment! 🏥💰 A healthcare organization with hospitals in New Hampshire and Pennsylvania was struggling with inpatient reimbursement and a growing DNFB backlog. Partnering with Norwood, our team of clinically credentialed CDI specialists and inpatient coding professionals delivered impressive results. 📝 Project 1: Audit of 584 inpatient MS-DRG cases in two hospitals. 📊 Results: 💵 Identified $294k in missed revenue 📈 Impact identified was $584 per case 🔍 40% of cases revealed opportunity for added specificity 📝 Project 2: Audit of 70 inpatient MS-DRG cases in one hospital, with addition of leveraged inpatient coding expertise to decrease backlog of 300+ pending cases. 📊 Results: ⏱️ Decreased DNFB by millions of dollars in several weeks 💸 Identified $41k in missed revenue opportunities across 70 cases 🔍 47% of cases revealed opportunity for added specificity Norwood is your solution! 🌟 Norwood is not just a staffing company—we solve your organization’s problems with tailored consulting and managed services. 🤝 📧 Contact us at solutions@norwood.com. #Norwood #NorwoodSolutions #NorwoodStaffing #Healthcare #MSDRG #RevenueCycleManagement #HealthcareConsulting #HealthSolutions #HealthcareInnovation

Denial Tip #15 “We are requesting an external review by a peer endocrinologist!” Those were the bold words I saw handwritten on the first page of the appeal packet. Yes!! Remember, your health plan does not employ every medical specialty. Physicians are intelligent and have vast knowledge across specialties; however, there are specialties for a reason. Request a specialty match review of your appeal to have it reviewed by a physician in the same field as the ordering or treating provider. If that specialty is not on staff(it most likely is not), it will be located via a vendor. The peer review is often more detailed, with further insight given. Please note that there is a caveat with vendor reviews that we will discuss later. Good Luck! #healthinsurance #utilizationmanagement #appeals #denialsmangement #patientadvocate #ACA #ERISA #priorauthorization #healthcarereimbursement #medicareadvantage #cms #healthcarelaw #medicalnecessity #legalnurse #legalnurseconsultant

Transforming Chronic Care Management (CCM) Nurse-led care management agencies are excellent partners for medical practices focused on enhancing their chronic care management (CCM) programs. With a large proportion of Medicare enrollees battling multiple chronic conditions, the need for continuous, integrated care has never been more critical. These nurse-led agencies offer a viable solution to primary care practices. By embedding comprehensive care management directly within practices, and ensuring that patients receive consistent, proactive health checks we help keep patients out of emergency rooms and away from unnecessary hospital stays. Despite the clear benefits, the uptake of #CCM among healthcare providers has been slow. Many are deterred by the stringent #Medicare documentation requirements and the perceived burden of additional patient engagement responsibilities. Outsourcing CCM to specialized nurse-led agencies can streamline these processes, shifting the focus back to patient care rather than backend compliance and coordination. This not only enhances patient outcomes by ensuring more focused and personalized care but also improves operational efficiencies within medical practices. Embracing nurse-led CCM agencies could revolutionize patient management by reducing the strain on resources and allowing providers to deliver care that truly makes a difference in their patients' lives. #ChronicCareManagement #HealthcareInnovation #NurseLedCCM #PatientCare