Essen Health Care’s Post

Why Physicians Dislike the Term 'Provider' ?🤔 ➔ Since 1965, the government and commercial insurance sectors use "provider" for entities receiving Medicare payments, including physicians (AMA report). ➔ Some physicians find it negative and derogatory, belittling their extensive training (Bayhealth's Dr. Thomas Vaughan). ➔ Physicians feel "provider" is too generic, inadequate to convey their qualifications. ➔ AMA policy urges physicians to be identified as such, emphasizing professionalism. ➔ Bayhealth actively removes "provider" from medical staff bylaws, ensuring publications use "physician." Let's advocate for respectful and accurate language in healthcare! 🩺💬 #PhysicianNotProvider #HealthcareCommunication #physicians

#DangersOfLivingHealthcare2MarketForces Pervese incentives (e.g kickbacks) to boost physician profits can affect referral and admission practices to the detriment of patients or their families, ultimately causing above inflation increases in medical costs.

"This proposed legislation would eliminate deductibles and copays for patients at practices who opt-in. The power of primary care emanates from the patient-clinician relationship. Free primary care (no copays/deductibles) would be a complete gamechanger, allowing patients to build on these relationships and achieve better health. The evidence is clear. Primary care delivers better health and increased equity at a lower cost. This legislation removes obstacles between the patient and primary care. The bill would double primary care investment without increasing insurance premiums." https://lnkd.in/eBedufr3

CHF is concerned about the growing practice of charging patients membership fees to access bulk-billed medical care. A report by the ABC discovered that almost 100 GP clinics have started charging consumers membership fees which experts have slammed as a breach of Medicare rules and taking advantage of already vulnerable patients. The practice has also been occurring in areas where they are a few bulk-billed services available, such as regional and rural areas. Bulk-billing services are provided to consumers at no cost. Health professionals bill Medicare directly and accept the Medicare benefit as full payment for their service. CHF support The Royal Australian College of General Practitioners (RACGP) in calling out this unacceptable practice. We'd like to know, have you paid a membership fee to access bulk-billing services? Let us know in the comments. https://ow.ly/WwNh50Tg5ox

📰 Check out this insightful article discussing the challenges posed by the doctor shortage in the medical industry. NCMS President Dr. David Podwall and SCMS President Dr. Leslie Marino highlight the importance of addressing this issue to ensure everyone has access to quality healthcare. #Healthcare #SCMS https://lnkd.in/euppfEdi

#CMS has proposed a 2.8% cut to physician pay for fiscal year 2025, in an attempt aimed at promoting advanced primary care models. The proposal suggests new policies supporting primary care, #telehealth flexibility and new bundled payments for primary care, which are intended to incentivize practices to adopt advanced primary care models and support the ongoing shift toward #valuebasedcare. This proposed 2.8% pay cut has drawn significant criticism from medical professionals who argue it threatens the financial viability of their practices. #ACO #MSSP #Medicare #Hospital #Primarycare

What is private practice—and is it right for you? via American Medical Association: https://bit.ly/4ed5jGH. "A private practice is wholly owned by physicians rather than a hospital, health system or other entity. A recent AMA Physician Practice Benchmark Survey showed that 49.1% of U.S. physicians delivering patient care work in practices wholly owned by physicians. The private practice setting can be particularly rewarding for the freedom and other benefits it offers physicians, but it also has its share of challenges. It’s important to consider both before diving in." READ MORE HERE: https://bit.ly/4ed5jGH #IsPrivatePracticeRightForYou #AMMG #AgeManagementMedicine #CMEEducation #ContinuingMedicalEducation #CMEConferences #OnlineMedicalEducation

Medicare enrollment applications continues to decline due to the enormous complexities surrounding enrollment application requirements. The cost of getting these enrollment application submissions wrong can have systemic consequences on an organization, including cash flow delays, credentialing issues, coding issues, denial management issues, patient satisfaction, and even impact quality scores. Learn key terminology, what ancillary documentation is needed with enrollment submission, applicable fees, most common errors, and best practice tips for successfully completing the 2024 CMS 855 forms. To know more click on https://lnkd.in/gMZVuTSB #medicalcodingspecialist #medicalbillingspecialist #medicalauditingspecialist #physicians #managedcareprofessionals #practiceadministrators #officemanagers #chiefmedicalofficer #cmo #complianceofficer #medicareenrollmentrevalidation #cms855submission #

In the ever-evolving landscape of healthcare, the alarming rate at which medical claims are initially denied—nearly 15% as recently reported in an article from revcycleintelligence.com—highlights a critical challenge for healthcare providers and patients alike. These denials not only strain administrative resources but also put financial and emotional stress on patients who are left uncertain about their payment responsibilities. At AAPC, we understand the profound implications of these challenges. Our Denial Management services were designed to address this very issue. By systematically working through denied claims, we assist revenue cycle teams by securing the right reimbursements and safeguard patients from the burdens of undue financial liabilities. Together, we can build a more efficient, compassionate, and patient-centric healthcare system. #HealthcareManagement #DenialManagement #PatientCare #AAPC #RevenueCycleManagement #FinancialHealth #AAPCServices https://lnkd.in/gVysCmE2

🌟 Strengthen Your Family Medicine Practice with Credentialing! 🌟 Family medicine practitioners are the cornerstone of comprehensive healthcare. Ensuring your practice is properly credentialed and contracted with insurers is crucial for delivering quality care and maintaining a thriving practice. Credentialing not only verifies your qualifications but also ensures compliance and secures insurance reimbursements. Why credentialing is essential: 🔹 Demonstrates Your Expertise: Showcases your qualifications and commitment to quality care. 🔹 Ensures Compliance: Meets industry and regulatory standards. 🔹 Secures Reimbursements: Facilitates payments from government and commercial insurers. At Tranquil Medsolutions, we understand the unique needs of family medicine practitioners. Our credentialing services are designed to be seamless and efficient, allowing you to focus on your patients. We offer: 🔹 Initial Credentialing and Enrollment 🔹 Re-credentialing and CAQH Maintenance 🔹 Rate Negotiations and Demographic Updates 🔹 Comprehensive Billing Support Let us handle the administrative burden while you focus on providing exceptional care. We streamline the credentialing process, minimizing delays and maximizing your practice’s efficiency. Ready to elevate your practice? Contact us today and see how we can support your credentialing needs! 💼✨ #FamilyMedicine #Credentialing #HealthcareSupport #TranquilMedsolutions