Patagonia Health’s Post

𝗗𝗼𝗻'𝘁 𝗟𝗲𝘁 𝗜𝗻𝘁𝗮𝗸𝗲 𝗘𝗿𝗿𝗼𝗿𝘀 𝗦𝗶𝗻𝗸 𝗬𝗼𝘂𝗿 𝗥𝗖𝗠! Revenue cycle starts at intake! A thorough process prevents costly errors & delays down the line. Here's how Nextus Billing Solutions helps: • 𝗔𝗰𝗰𝘂𝗿𝗮𝘁𝗲 𝗶𝗻𝗳𝗼 𝗴𝗮𝘁𝗵𝗲𝗿𝗶𝗻𝗴: Demographics, insurance details & more - we ensure everything's right. • 𝗕𝘂𝗶𝗹𝘁-𝗶𝗻 𝗲𝗿𝗿𝗼𝗿 𝗰𝗵𝗲𝗰𝗸𝘀: Our system catches mistakes before they become problems. ️ • 𝟵𝟵% 𝗳𝗶𝗿𝘀𝘁-𝗽𝗮𝘀𝘀 𝗮𝗰𝗰𝗲𝗽𝘁𝗮𝗻𝗰𝗲 𝗿𝗮𝘁𝗲 Get paid faster with fewer claim rejections. • 𝗜𝗺𝗽𝗿𝗼𝘃𝗲𝗱 𝗽𝗮𝘁𝗶𝗲𝗻𝘁 𝘀𝗮𝘁𝗶𝘀𝗳𝗮𝗰𝘁𝗶𝗼𝗻: Transparency & clarity build trust. 𝗟𝗲𝘁 𝗡𝗲𝘅𝘁𝘂𝘀 𝘀𝘁𝗿𝗲𝗮𝗺𝗹𝗶𝗻𝗲 𝘆𝗼𝘂𝗿 𝗥𝗖𝗠 & 𝗳𝗿𝗲𝗲 𝘆𝗼𝘂 𝘁𝗼 𝗳𝗼𝗰𝘂𝘀 𝗼𝗻 𝗽𝗮𝘁𝗶𝗲𝗻𝘁 𝗰𝗮𝗿𝗲! Schedule a consultation to see how we can help your facility thrive! https://lnkd.in/es5fF3EG #consultation #partnership #success #behavioralhealth #healthcare #medicalbilling #mentalhealth #revenuecyclemanagement #NextusBillingSolutions #efficiency #growth #behavioralhealthmatters #patientcare #transparency #trust

INSURANCE CONTRACTS ALERT: MOLINA MEDICARE Changes for 2024: Existing Molina States: Arizona, California, Idaho, Illinois, Michigan, Nevada, Ohio, South Carolina, Texas, Utah, Virginia, Washington, and Wisconsin Service Area Expansions:    8 New Counties in Michigan 39 New Counties in Illinois Partial to Full County Expansions in California (Los Angeles, Riverside, San Bernardino, San Diego, and Imperial) New Plan/Plan Segmentations/Member Crosswalks: California H5810-001 plan members will crosswalk to H3038-001 California H5810-013 plan members will crosswalk to H3038-002 California H5810-016 plan members will crosswalk to H3038-003 Washington H5823-011 plan members will crosswalk to H5823-012-001 or H5823-012-002, based on county Plan Sunsets: We will not be offering Medicare Advantage plans in Florida and New Mexico in 2024 Arizona - Molina Medicare Choice Care Select (HMO) Nevada - Molina Medicare Choice Care Select (HMO) Texas - Molina Medicare Comfort Care (HMO I-SNP) https://lnkd.in/ga2M7fN4 #billing #frm #insurance #medicare #medicareadvantage #revenuecyclemanagement #medicarepartb #claims #claimsmanagement

Before submitting a claim – take a moment! This quick checklist can save you time and money: Patient Info: ☐ Insurance eligibility verified and up-to-date ☐ Pre-authorization obtained if required ☐ Patient demographics accurate (name, DOB, address, etc.) ☐ Financial responsibility policy reviewed with patient Documentation: ☐ Correct CPT codes for procedures performed ☐ ICD-10 codes specific and support medical necessity ☐ All supporting notes clear and legible Claim Form: ☐ No blank fields or typos ☐ Correct provider and billing information ☐ Matching dates of service #MedicalBilling #Healthcare #HealthcareProviders #MedicalPractice #ClaimAudit #RevenueCycleManagement #Claims #CPTCodes #ICD10Codes #MedicalCoding #CodexMedical

Faster payments start with clean claims! Are yours up to the mark? Submitting clean, error-free claims means quicker approvals and no unnecessary back-and-forth. Why wait for weeks when you can get paid faster? Clean claims are your ticket to smoother cash flow and fewer headaches. 💡 Steps to ensure clean claims: 1️⃣ Verify patient information – Double-check patient details like insurance info, demographics, and policy numbers. 2️⃣ Accurate coding – Use correct and up-to-date medical codes (CPT, ICD, and HCPCS) to avoid denials. 3️⃣ Thorough documentation – Ensure that the clinical documentation supports the codes and services billed. 4️⃣ Stay up-to-date on payer policies – Know the rules and requirements for each insurance provider. 5️⃣ Regular audits – Conduct regular audits of claims before submission to catch errors early. Keep it clean, keep it quick! #CleanClaims #ApexMB #MedicalBilling #SpeedyPayments #Claimprocessing

2024 Denials Management Reviewed in our latest Substack article

Are you ready for "Peak 65"? Discover why 2024 is set to be a landmark year as a significant number of Americans turn 65 and become eligible for Medicare. #Peak65 #MedicareEnrollment #Healthcare #DemographicShift #StayInformed #Empowerment https://lnkd.in/exWQPN6R

Add our Denials Navigator to mitigate the effect of denials on your revenue cycle. Stop spending hours analyzing data and reviewing hundreds of denials trying to determine root causes; Denials Navigator has dynamic alerts for regular updates! Read here: https://zurl.co/mm8H

In 2024, US health insurers will have to navigate changes in demographics, regulations, and member preferences. We look at the impact on Medicare Advantage. https://ukg.inc/3IEAoEO #healthcare

In 2024, US health insurers will have to navigate changes in demographics, regulations, and member preferences. We look at the impact on Medicare Advantage. https://ukg.inc/3IEAoEO #healthcare

In 2024, US health insurers will have to navigate changes in demographics, regulations, and member preferences. We look at the impact on Medicare Advantage. https://ukg.inc/3IEAoEO #healthcare