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Health Care Industry Updates

Friday, March 20, 2020

Can Telemedicine Help Tame Health Benefit Cost Inflation?

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Many years ago, telemedicine essentially consisted of interaction between doctors in large hospitals and patients in remote rural clinics via closed-circuit TV. Since then, it has exploded into a far more sophisticated, venture capital-fueled industry. Multiple technologies now equip health care providers with immediate clinical data that can assist them with rapid diagnoses and patient monitoring. […]

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Monday, March 9, 2020

COVID-19 Tests Emergency Preparedness in Healthcare

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Unfortunately, the time for activating your Emergency Operations Plan is here.  Every healthcare facility needs to activate the Pandemic Threat portion of your specific threats from your required Hazard Vulnerability Assessment (HVA).  With uncertainty surrounding both means of transmission and incubation period of COVID-19 – it may be that the virus has already infiltrated your […]

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Tuesday, November 26, 2019

THE FUTURE OF INTEGRATED CARE IN NEW YORK STATE’S MEDICAID PROGRAM

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The State of New York is seeking a four-year extension/renewal of its Delivery System Reform Incentive Payment (DSRIP) program from the Centers for Medicare and Medicaid Services (CMS) as of September 17, 2019, hoping to build upon the success of DSRIP 1.0. The goal? To gain more time—and money—for value-based payment (VBP) arrangements to mature, […]

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Thursday, November 14, 2019

Webinar: Let’s Be Clear…The New Price Transparency Rules are a Big Deal!

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What does your organization need to consider in order to successfully comply with the new Executive Order? Wednesday, December 11th 12pm-1:00pm Who Should Attend? This program will be most beneficial to Finance professionals, CFO’s, CEO’s, Office/Practice Managers Instructors: Richard T. (Terry) Lang, FHFMA, CPA, Meghan K. Bankowski, CPA and Jackie Al-Nwiran FREE CPE will be […]

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Friday, May 24, 2019

CMS Primary Cares Initiative-Is Your Practice Ready to Accept the Challenge?

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Overview The U.S. Department of Health and Human Services and Centers for Medicare and Medicaid Services (CMS) recently announced five new primary care payment models under the Primary Care First (PCF) and Direct Contracting (DC) tracts.  Titled “CMS Primary Cares Initiative,” the overall objective of this program is to reduce administrative burdens and empower primary […]

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Thursday, May 9, 2019

Operating in the Worst Case Scenario – Business Continuity Planning

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Evacuation of a healthcare facility in an emergency is worst case scenario.  It is a drastic decision caused by catastrophic events. Often control of the decision to evacuate is not in your hands. It’s made by public safety officials – police and fire—who have determined your facility is not safe.  It is a decision that […]

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Tuesday, May 7, 2019

Telehealth Updates

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Overview The Bipartisan Budget Act of 2018 (BBA) included legislation to enhance telehealth services. Section 50323 of the BBA created section 1852(m) of the Social Security Act (the Act) which allows an MA plan to have the ability to provide “additional telehealth benefits” to plan enrollees in the year 2020 and treat them as “basic […]

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Monday, May 6, 2019

Webinar: Maintaining a Healthy Billing System

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Wednesday, June 26th Topics Covered:  Tips on ensuring your billing system is properly maintained Maximizing automation to improve clean claim rates Developing a formal and detailed billing master files plan How to navigate billing systems through changes and upgrades Click here to register Instructors: Sheri L. Stevenson, CPC, NCP and Toni M. Radley, CPC, NCP […]

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Monday, April 22, 2019

Modifier 59 – When to Use and Not to Use

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Modifier 59 is used in cases where it may be necessary to indicate that a procedure or service is distinct or independent from other non-Evaluation and Management (E/M) services performed on the same day to the same patient. Modifier 59 is considered one of the most used modifiers by coders. Use of Modifier 59 has […]

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