Noridian Healthcare Solutions, LLC’s Post

Ever wonder who sets the rules in healthcare? Hint: it's not just Medicare. CMS, the Centers for Medicare and Medicaid Services, are the real deal. They lay down the law for everyone. Yes, even state boards listen up! Learning their requirements is like striking gold for patient care, whether it's Medicare or cash payments. Let's dive into those CMS guidelines, because that's the real golden nugget! 💡💼 @drbrianparis #HealthcareRegulations #CMSGuidelines #PatientCare #genesischiropracticsoftware #practicemanagement #chiropracticsoftware #clinicsoftware #chiropracticbilling #emr #ehr #ehrsoftware #dreampractice #practicegrowth #privatepractice

𝗦𝘁𝗲𝗽 𝗶𝗻𝘁𝗼 𝘁𝗵𝗲 𝘄𝗼𝗿𝗹𝗱 𝗼𝗳 𝗠𝗲𝗱𝗶𝗰𝗮𝗶𝗱 𝗖𝗿𝗲𝗱𝗲𝗻𝘁𝗶𝗮𝗹𝗶𝗻𝗴: 𝗬𝗼𝘂𝗿 𝗽𝗮𝘁𝗵𝘄𝗮𝘆 𝘁𝗼 𝗺𝗮𝗸𝗶𝗻𝗴 𝗮 𝗱𝗶𝗳𝗳𝗲𝗿𝗲𝗻𝗰𝗲 𝗶𝗻 𝗵𝗲𝗮𝗹𝘁𝗵𝗰𝗮𝗿𝗲 𝘀𝘁𝗮𝗿𝘁𝘀 𝗵𝗲𝗿𝗲 Explored the vital steps for healthcare professionals to become credentialed Medicaid providers, focusing on navigating the complexities and requirements. 𝙃𝙚𝙧𝙚 𝙖𝙧𝙚 5 𝙡𝙚𝙨𝙨𝙤𝙣𝙨 𝙄 𝙡𝙚𝙖𝙧𝙣𝙚𝙙 𝙞𝙣 𝙩𝙝𝙚 𝙥𝙧𝙤𝙘𝙚𝙨𝙨: 𝗨𝗻𝗱𝗲𝗿𝘀𝘁𝗮𝗻𝗱𝗶𝗻𝗴 𝘀𝘁𝗮𝘁𝗲-𝘀𝗽𝗲𝗰𝗶𝗳𝗶𝗰 𝗿𝗲𝗾𝘂𝗶𝗿𝗲𝗺𝗲𝗻𝘁𝘀 𝗶𝘀 𝗰𝗿𝘂𝗰𝗶𝗮𝗹. Each state has its own set of rules and paperwork for Medicaid credentialing. 𝗣𝗿𝗲𝗽𝗮𝗿𝗮𝘁𝗶𝗼𝗻 𝗶𝘀 𝗸𝗲𝘆. Gathering all necessary documents in advance can significantly streamline the application process. 𝗣𝗮𝘁𝗶𝗲𝗻𝗰𝗲 𝗶𝘀 𝗲𝘀𝘀𝗲𝗻𝘁𝗶𝗮𝗹. The credentialing process can be lengthy, requiring several months to complete. 𝗔𝗰𝗰𝘂𝗿𝗮𝗰𝘆 𝗺𝗮𝘁𝘁𝗲𝗿𝘀. Ensuring that all application details are accurate and up-to-date can prevent delays. 𝗦𝘁𝗮𝘆 𝗶𝗻𝗳𝗼𝗿𝗺𝗲𝗱. Keeping abreast of changes in Medicaid policies and requirements can help you remain compliant and avoid future issues. Hope that's helpful. #medicalbilling #medicalbilling #credentialing #providercredentialing

This program is designed for healthcare executives, physicians, and other healthcare providers and their managers who participate in and receive remuneration from Medicare, Medicaid, and other federal healthcare programs such as TriCare. https://lnkd.in/gSgCxKYa #webinar #liveweinar #livetraining #onlinetraining #training #compliancetraining #compliancewebinar

This program is designed for healthcare executives, physicians, and other healthcare providers and their managers who participate in and receive remuneration from Medicare, Medicaid, and other federal healthcare programs such as TriCare. https://lnkd.in/gSgCxKYa #webinar #liveweinar #livetraining #onlinetraining #training #compliancetraining #compliancewebinar

The Anti-Kickback Statute (AKS) stops healthcare providers from being influenced by money when treating patients on Medicare or Medicaid. This keeps medical decisions honest and protects the patient from unnecessary treatments. Learn more with our blog: https://lnkd.in/gKcmUHxK #AntiKickbackStatute #HealthcareCompliance #HealthFutuNearSociety

This program is designed for healthcare executives, physicians, and other healthcare providers and their managers who participate in and receive remuneration from Medicare, Medicaid, and other federal healthcare programs such as TriCare. https://lnkd.in/gSgCxKYa #webinar #liveweinar #livetraining #onlinetraining #training #compliancetraining #compliancewebinar

📣 Attention healthcare professionals! Let's explore the different types of Medicare available: 1️⃣ Medicare Part A: Covers inpatient hospital stays, skilled nursing care, hospice care, and some home health services. 2️⃣ Medicare Part B: Includes doctor's visits, outpatient care, medical supplies, and preventive services. 3️⃣ Medicare Part C: Medicare Advantage plans offered by private insurance companies, providing extra benefits like prescription drug coverage, vision, dental, and more. 4️⃣ Medicare Part D: Helps cover the cost of prescription medications. Combining these Medicare parts creates comprehensive healthcare coverage. Stay tuned for more healthcare insights! 💙🩺 #Medicare #HealthcareProfessionals #MedicalCoding #ACERTA #AAPC

We've been looking 👀 back through our 80+ blog collection this week to see which one's have been the most helpful... Take a look at the top 5️⃣ blogs that have brought the most value to the #mentalhealth professionals in our community with over 10,000 views! In order of most read: 1. Pros & Cons of Accepting Medicaid 2. What Happens During Claims Scrubbing? 3. The Difference Between a Claims Rejection & a Claims Denial 4. Important EHR Features for Medicaid Billing 5. The Difference Between MIPS and APMs

Value Based Care Alignment! Many stipulations around this elusive quest! We are awaiting the BAR (Beneficiary Alignment Report)! Patient may not be enrolled in Medicare Advantage or other Medicare managed care plan. They must reside in the United States - in the county that was submitted by the ACO service Area. Only Participant Providers contribute to the alignment not specialty providers. #valubasedcare #primarycare #alignmentmatters

Save Money on Healthcare! Did you know? When we regulated Pharmacy Benefit Managers (PBMs) in Medicaid, our state saved $157 million a year! Let's expand this to cover all Washingtonians. SB 5213 can reduce our healthcare costs and lower premiums. Contact your legislator to support it! More information - https://bit.ly/3RJQtOw #SaveOnHealthcare #RegulatePBMs