Starting August 20th 🔔 REGISTER today for this fully-funded, virtual course, “Introduction to Revenue Cycle Management” Course Topics Include: 🔹 Health Insurance Reimbursement Guidelines 🔹 Payer Contracting 🔹 Insurance Credentialing 🔹 Financial Reporting 🔹 Denials Prevention 🔹 Revenue Integrity & More Beginning August 20th, this course runs every Tuesday for 15 weeks. Register @ https://lnkd.in/epbNMe8M ℹ️ This Fall (August 2024 - December 2024), Shawntea Gordon, MBA FACMPE CMOM and Kem Tolliver, FACMPE, CPC, CMOM will be instructing a Medical Revenue Cycle course for Howard University and the University of the District of Columbia as part of their PHIT4DC collaboration. The Office of the National Coordinator for Health Information Technology (ONC) will fully fund this comprehensive 16-week course and their book, Revenue Cycle Management: Don't Get Lost in the Financial Maze, for students. This free educational opportunity is geared towards healthcare workers in DC, MD, and Northern VA and those interested in joining the healthcare workforce. #HealthcareEducation #RevenueCycleManagement #PHIT4DC #FreeRCMCourse #MRCSPartnership #MedicalBilling #WashingtonDC
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Founding Partner at Medicare Plan Partners | Trusted Resource for Medicare Planning | We partner with Financial Advisors to help clients navigate Medicare
The Discovery Phase is one of the most crucial phases of fitting a client to a Medicare plan, and here are some of the questions that I ask. 1. What do you want in terms of a healthcare plan? 2. What has worked well for you in the past with insurance? (Or not) 3. What are your expected healthcare needs in the next 10-15 years? 4. Are you risk averse when it comes to healthcare? 5. Do you plan to pair Medicare and Medicaid? Many Medicare specialists will immediately try to sell you the plan that makes them the most money. Clients love that in the first meeting I spend multiple hours on a call just learning about them and their unique situation. I have nothing to "sell" them. I'm helping them get enrolled in Medicare through the Social Security Administration. So I'm not just like “here's what you have to do, go figure it out.” I am a full service Medicare specialist and I fit my clients to the best plan specifically for them.
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Investing in Higher Education - A Path to a Brighter Tomorrow Today, we celebrate Higher Education Day, a much-needed reminder of the importance of continuing learning and personal development. As we empower our Medicare health insurance agents through continuous education, we understand the transformative power of higher education. It opens vast new horizons and equips one with knowledge and tools necessary to thrive. Investing in higher education equates to investing in our future healthcare leaders. Let's ensure that we give them the opportunities and resources they deserve and need. #HigherEducationDay #MedicareMarketing247 https://bit.ly/3Kt9alo
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I am sharing some important survey results that was sent to me by the PAF (Patient Advocate Foundation) on March 5, 2024 Administrative Burden Micro Survey Patient Insight Institute (PII) surveyed patients and caregivers to learn more about administrative tasks and how they impact their medical journey. The detrimental impact of administrative tasks on healthcare access cannot be overstated. These burdensome processes often lead to delays or avoidance of care, particularly among marginalized communities facing healthcare disparities. By implementing measures to clarify paperwork requirements, streamline administrative procedures, and alleviate the associated burden, patients and caregivers can be empowered to acquire care without hesitation. Navigating Administrative Tasks: Understanding Their Impact on Patients and Caregivers — Patient Insight Institute If you are facing an administrative burden PAF has tools, resources, and tips that can help. Our Education Resource Library provides straightforward information in a variety of formats to help you make informed decisions throughout your healthcare journey. Learn about health insurance, disability, appealing a health insurance denial, medical bill management, and more. Visit https://lnkd.in/e8wBPVyw to learn more. https://lnkd.in/epesw_Cr
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Thank you Danny Short for writing this article on the new hb 350. This bill allows three political appointees to set price controls on an entire private market industry! Do you think government should be setting prices for the free market? Government overreach in our healthcare industry has actually led to increased costs for consumers. The State of Delaware’s practices have shut out healthcare competition leading to only a few companies that provide heath insurance. In the last year alone the State’s healthcare costs for employees have risen over 30% because no competition leads workers with virtually no choices. The State also established the Health Resources Board which has denied hospitals from building in Delaware in an effort to shut down competition among providers. Do you think we really believe that more government controls, instead of opening free market competition, is going to bring down costs to residents? —— New Intrusive State Bureaucracy is Not the Answer to Rising Healthcare Costs By State Rep. Danny Short A contentious bill that would require Delaware hospitals to get state approval for their spending is sparking concern about the future of healthcare in The First State. Sponsored by House Speaker Valerie Longhurst (D-Bear, St. Georges), House Substitute 1 for House Bill 350 seeks to create the Diamond State Hospital Cost Review Board. All hospitals in the state would have to submit their annual budgets to the five-member board, which would have the authority to approve them, negotiate modifications or, failing that, impose their own spending plans.
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Vickie, a 67-year-old retiree, loves her holistic approach to health. She has been seeing her doctor, a well-known functional medicine doctor, for years, but there was one catch: her doctor doesn’t accept insurance. When Vickie turned 65, she was unsure about enrolling in Medicare. "Why bother if my doctor doesn't take it?" she thought. But after joining The Medicare Coach, Vickie learned how Medicare could still benefit her. Here's how Vickie saved money: 1. Lab Tests Covered: Dr. Kelly orders comprehensive lab work regularly. While her doctors services weren’t covered, the lab tests were. Medicare took care of these costs, saving Vickie hundreds of dollars annually. 2. Specialist Visits: When Vickie needed to see a specialist for a heart condition, Medicare stepped in. Her cardiologist accepted Medicare, ensuring she got the necessary care without extra costs. 3. Peace of Mind: Vickie avoided late enrollment penalties by signing up for Medicare on time. This foresight protected her from additional expenses and ensured continuous coverage. Vickie's story is a testament to how Medicare can complement non-traditional healthcare. She continues to enjoy the benefits of her doctor’s care while leveraging Medicare to cover critical tests and specialist visits, keeping her health and wallet in check. Register for my next free online Medicare workshop by going here: https://lnkd.in/gifCENJn
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Just read some very recent articles by the AMA where physicians are still actively advocating for limiting the scope of practice for APRNs. One of the reasons cited was the increased expense of care under APRN leadership. The AMA maintains that unnecessary tests were ordered by APRNs, etc., etc. That is very interesting, simply because all APRNs must initially collaborate with physicians in order to practice. Physicians guide us, and we often mold our clinical decision making based on examples we have followed by our physician collaborators. If we truly order inappropriate diagnostics, where might we have learned this way of thinking? And where do the insurance companies fit into this narrative? Should any provider, be it an APRN, PA, or MD, become so inclined to order any service, they would most assuredly prevent us from successfully performing anything which lacked medical necessity. And lastly, the insurance reimbursement for APRN-led care is significantly lower than the physician reimbursement for the same level of service. So for all of these reasons, I am very disheartened to learn that APRNs have still not earned the full respect of the AMA at the organizational level. As for my individual experience, my supervising physician fully supported by application for independent practice and realizes the asset of APRNs within his practice. For that, I am thankful!
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What is a Medicare PFFS plan? Medicare Advantage Private Fee For Service (PFFS) plans are a type of Medicare Advantage Plan that is generally only available in rural areas where there are not many plan options available. PFFS plans do not require you to choose a primary care physician (PCP) or need a referral to see a specialist like HMO plans do. Not all PFFS plans have a physician and hospital network; you must receive care within. Some PFFS plans allow you to go to any Medicare doctor, healthcare provider, or hospital, as long as they accept the plan’s payment terms and agrees to treat you. One additional unique aspect of PFFS plans is that doctors can accept a PFFS plan's payment terms for one treatment and not another. It is very important if you are enrolled in a PFFS plan to ask if your doctor or other health care provider will accept your PFFS plans payment terms for every treatment you receive. Contact Barbie Howard at Bridlewood Insurance for all your Medicare needs.
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🌟 Why Credentialing Services are Essential for Healthcare Practitioners 🌟 At RTMS, we understand the critical importance of credentialing for healthcare professionals. Here’s why our credentialing services are indispensable: 🔹 Ensure Compliance and Quality Care: Credentialing verifies that healthcare providers meet the stringent standards set by regulatory bodies and insurance companies. This process ensures that only qualified professionals are delivering care, which enhances patient safety and trust. 🔹 Streamline Insurance Reimbursements: Without proper credentialing, healthcare practitioners cannot receive reimbursements from insurance companies. Our services ensure you are credentialed with major payors like Blue Cross Blue Shield, UnitedHealthcare, Aetna, Cigna, and Humana, so you can focus on patient care while we handle the paperwork. 🔹 Reduce Administrative Burden: Credentialing can be a time-consuming and complex process. Our expert team handles all aspects of credentialing, from application submission to follow-up, allowing you to dedicate more time to your patients. 🔹 Maintain Professional Standards: Regular re-credentialing ensures that healthcare providers continue to meet the necessary qualifications and standards throughout their careers. This ongoing process helps maintain high standards of care and professional integrity. 🔹 Boost Your Practice’s Reputation: Being credentialed with top insurance payors not only increases your practice’s credibility but also attracts more patients who trust in your verified qualifications and expertise. Let us take the hassle out of credentialing so you can focus on what you do best – providing exceptional care to your patients! 🩺💼 📞 Contact us today to learn more about how we can help your practice thrive! #Credentialing #Healthcare #RTMS #MedicalPractice #CredentialingSolutions #HealthcareManagement
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Need Help with Medicare? I am thrilled to announce the launch of my new venture, Mason Medicare Advocates, dedicated to helping individuals navigate the complex challenges of Medicare. After 35+ years dedicated to learning and understanding the complexities of Medicare at CMS (the Federal Medicare agency) and my two Medicare Advantage consulting firms, I’ve decided to channel my expertise into helping others make informed decisions about their healthcare coverage, and fight for all the benefits to which they’re entitled and for which they’ve paid throughout their careers. At Mason Medicare Advocates, we specialize in personalized Medicare consultations, comprehensive plan comparisons, expert guidance through the enrollment process, assistance with filing appeals for denied claims and prior authorizations, and ongoing support to ensure you get the most from your benefits. Please note that I am NOT an insurance agent or broker. Rather, I am an independent advocate, hired by my clients to provide objective information and advice. Our mission is to simplify Medicare for you, so you can focus on what truly matters—your health and well-being. Thank you to everyone who has supported me on this journey. I’m excited to help you or your loved ones find the best Medicare solutions! Feel free to reach out, share this post, or connect if you have any questions. Visit us online at www.masonmedicare.com. Here’s to a healthier, more informed future! #Medicare #HealthcareAdvocacy #MedicareSupport #MedicareAdvantage #Medicare Supplement Plans #MedicareAdvantagePlans #Medicare Part D #MedicareSupplement #MedicareSupplementPlans #Medigap #MedigapPlans #MedicareAppeals #MedicareComplaints #MasonMedicareAdvocates
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