Medicare Advantage Insurers Hold Sway Over More Hospital Admissions
Forbes Healthcare
JULY 24, 2024
Medicare Advantage is accounting for “a rising share of inpatient hospital days,” according to a new KFF study shows.
Navigating the Complexities of Social Admissions in Healthcare
EvidenceCare
JANUARY 12, 2024
Social Admission vs. Medical Necessity In healthcare, the term “social admission” signifies instances where patients find themselves admitted to a hospital primarily for non-medical reasons. However, these admissions come with their own set of difficulties, particularly in the realm of Medicare coverage and reimbursement.
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Preparing for CERT Audits and Practicing Compliant Documentation
EvidenceCare
APRIL 16, 2024
From understanding the audit requirements to implementing technology for streamlined admission documentation , this article offers actionable strategies to ensure hospitals are well-prepared for the rigorous evaluation process. Traditional Medicare vs. Medicare Advantage vs commercial insurance).
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Outpatient is the New Inpatient – The Future of Hospitals in America
Health Populi
FEBRUARY 26, 2020
.” And another verbatim observation that illustrates some hospitals’ doubling-down on the outpatient opportunity: “The focus of the past 10 years has been on preventing readmissions, and now in the next 10 years, the focus will be on preventing admissions.”
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Why Is Mobile Phlebotomy a Booming Business?
Prism Career Institute
JANUARY 9, 2025
These may include: Aging patients or those with disabilities who struggle with mobility Severely ill patients who cannot travel safely School and college students who do not own vehicles Working patients with busy schedules In addition, many insurance providers now prioritize home-based services. appeared first on Prism Career Institute.
The New Financial Toxicity in Health Care: The Cost of Hospitalization
Health Populi
MARCH 22, 2018
Beyond strong medicines, a new financial toxicity has emerged for patients due to hospital inpatient admissions. The graph illustrates the effect of hospital admission on bankruptcy, with the rate of bankruptcies increase in the years after hospital admission, both one and four years after the admission.
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4 Ways to Accessorize While on Duty
Scrubs
OCTOBER 20, 2023
One study found that the use of unique lanyards improved clarity of roles and responsibilities, communication, and task delegation, contributing to better admission flow, team leadership, accountability, and improved nurse confidence. Medical jackets and vests are your best bet for staying warm and looking good.
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Scaling the Social Determinants of Health – McKinsey and Kaiser’s Bold Move
Health Populi
MAY 14, 2019
Respondents were both uninsured and insured through individual coverage, Medicare, Medicaid, and dual enrollees. McKinsey also found that consumers reporting greater use of the emergency department and inpatient hospital admissions were also more likely to report unmet social needs. McKinsey conducted the survey among over 12,500 U.S.
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What’s behind all these assessments of digital health?
The Healthcare Blog
APRIL 29, 2024
Their logic always goes something like “XY% of patients used our solution, most of them like it, and after they use it hospital admissions and ER visits go down, and clinical metrics get better”. Also worth a mention that many of those insurers, including Aetna & United have competitive diabetes products too.
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Mercer County Joint Township Community Hospital Cyberattack Affects Up to 88,500 Individuals
The HIPAA Journal
APRIL 4, 2025
Notification letters were mailed to the affected individuals on February 21, 2025. A limited number of individuals may also have had information exposed related to their progress towards their treatment goals.
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A Tale of Two States: Idaho, Limiting Health Plan Benefits; and Oregon, Moving Toward Universal Health Care
Health Populi
FEBRUARY 14, 2018
Health insurers in the state are now allowed to offer plans with limited benefits, escaping the rules for plans in the Affordable Care Act that provided for a list of covered benefits. David Cameron, the state’s Director of Insurance, called this strategy, “pushing the envelope” in an interview with NPR last month.
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U.S. Hospitals Will Lose $323 Billion in 2020 – Before Accounting for Growing COVID Cases
Health Populi
JULY 1, 2020
leading to growing un- and under-insured people). is accelerating in infection rate and inpatient admissions. These included: Drug acquisition and drug shortage costs. Wage and labor costs. Uncompensated care costs (owing to the sharp upturn in unemployment in the U.S.,
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Top 27 Medical Terms Every Medical Assistant Should Know
Prism Career Institute
FEBRUARY 11, 2025
A good understanding will help you succeed in a variety of areas: Accurately and efficiently fulfilling physician requests Communicating effectively with other team members Requesting funding from insurance companies Educating patients and their families Medical terminology can sound like another language at times.
Expectations of Medical Assistants in the OB/GYN Field
Prism Career Institute
JULY 23, 2024
You can contact us for more information on our program and its admission requirements. If you’re ready to pursue a career as an OB/GYN medical assistant, apply today for the Medical Assistant program at Prism Career Institute. The post Expectations of Medical Assistants in the OB/GYN Field appeared first on Prism Career Institute.
A People Person: 4 Ideal Medical Assistant Personality Traits
Prism Career Institute
OCTOBER 6, 2024
Administrative duties may include: Scheduling appointments Welcoming patients at the front desk Accepting and returning phone calls Collecting insurance information Managing medical billing Coordinating admissions and referrals You may notice a commonality between many of these tasks.
Healthcare Workers are In-Demand
Milwaukee Career College
APRIL 17, 2020
This includes becoming proficient in working with software applications, regulatory guidelines, medical billing, and medical coding procedures, as well as health insurance submissions and reimbursement practices. If you would like to learn more, talk to a Milwaukee Career College admissions advisor today.
Discover the Dental Assistant Role: Duties, Responsibilities & Career Growth
Northwest Suburban College
MAY 7, 2024
– Billing and Insurance: Processing dental insurance claims, managing billing records, and addressing patients’ concerns regarding payment or insurance issues. . – Office Communication: Handling phone calls and emails, liaising with dental suppliers, and coordinating referrals to other dental specialists.
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Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters
Relias
JUNE 1, 2022
Undercoded Complex Hospital Admissions. Coders are challenged to select the codes that best convey the reason for admission. Coders are having difficulty coding all of the aspects of the admission that they really should,” said Bowman. As coders prioritize codes that impact reimbursement, important information could be lost. “In
Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters
Relias
JUNE 1, 2022
Undercoded Complex Hospital Admissions. Coders are challenged to select the codes that best convey the reason for admission. Coders are having difficulty coding all of the aspects of the admission that they really should,” said Bowman. As coders prioritize codes that impact reimbursement, important information could be lost. “In
Fake News from MedPac on Medicare Advantage Needs to Be Corrected, Part 2
The Healthcare Blog
AUGUST 29, 2024
We know that the plans have 40% fewer hospital admissions for congestive heart failure, and almost 80% lower amputation rates for the lowest income diabetic members, and we know that the plans use those savings from better care to also to provide much better benefits for all of the members.
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Top 5 Questions about being a Medical Assistant
Milwaukee Career College
NOVEMBER 12, 2019
The healthcare industry needs trained professionals who can complete a variety of important tasks such as updating medical records, recording vital signs and symptoms, or dealing with health insurance policies. Understanding how to perform these important functions ultimately creates a healthier world for all of us.
Doing Less Can Be Doing More for Healthcare – the Biggest Takeaway From ASCO 2018
Health Populi
JUNE 5, 2018
This means that patients, morphing into consumers, need to better understand clinical and financial options for treatment once diagnosed, and conversations with professionals in healthcare settings – doctors’ practices, hospital admissions offices, pharmacies, and other care sites — to enable truly shared decision making.
How Becoming A Medical Assistant Can Help Pre-Med Students
ACI Medical & Dental School
SEPTEMBER 24, 2024
Understanding the Healthcare System Through their role, Medical Assistants gain a comprehensive understanding of how healthcare systems operate, including: Patient Management: Handling patient records, scheduling, and insurance paperwork. Healthcare Team Dynamics: Observing and participating in the collaborative efforts of healthcare teams.
10 Steps To Optimize Your Revenue Cycle Management
Relias
JUNE 1, 2023
If the scheduling team doesn’t collect accurate insurance, for example, an entire claim can get denied. “A 7 – Streamline payer notifications of admission Banner Health’s revenue cycle staff sent faxes 20 to 100 times a day to notify health plans about a patient’s admission. About 30% of payers require these notifications.
10 Steps To Optimize Your Revenue Cycle Management
Relias
JUNE 1, 2023
If the scheduling team doesn’t collect accurate insurance, for example, an entire claim can get denied. “A 7 – Streamline payer notifications of admission Banner Health’s revenue cycle staff sent faxes 20 to 100 times a day to notify health plans about a patient’s admission. About 30% of payers require these notifications.
RETAIL PHARMACY VS INSTITUTIONAL PHARMACY
CareerStep
MAY 27, 2024
A pharmacy technician may also be involved in resolving insurance issues. The technician also assists with the filling of prescriptions by doing such things as retrieving drug stock bottles and labeling medications to be dispensed to patients.
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Why Financial Incentives Oppose Quality Improvement Projects in Healthcare
The Healthcare Blog
JANUARY 15, 2025
Some kind of shared savings arrangement with the insurers could help make this a win for everyone. This project will probably not get the interest and uptake it deserves because financial incentives are working against it. It also decreased the amount of time their emergency department is on divert.
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Medical Assistant Tasks and Specializations: Discover the Diverse Medical Assistant Field
Northwest Suburban College
APRIL 4, 2024
– Medical Administrative Specialist: Focuses on advanced administrative duties, such as insurance coding, medical transcription, or medical office management. Explore Northwest Suburban College’s medical assistant programs today by contacting our admissions team.
Beyond Hospitals: Where Else Can Medical Assistants Work?
Prism Career Institute
JUNE 1, 2024
Clinical Duties Medical assistants may be asked to perform the following clinical duties: Record patients’ symptoms and update medical histories Measure vital signs (i.e.,
How to Become an Oncology Medical Assistant
Prism Career Institute
MARCH 1, 2024
These codes are extremely important to medical billing procedures, and proper use can help reduce the amount of paperwork patients receive from their insurance companies. This can ultimately help reduce stress for oncology patients and the administrative staff with whom you work.
Understanding the Role of Dental Assistants in the Modern Dental Office: A Comprehensive FAQ
Northwest Suburban College
JUNE 7, 2024
To learn more about our Dental Assistant program and how we can help you succeed, contact our admissions team today. How do dental assistants work alongside Dentists and other dental professionals? Together, let’s build your future in the world of dental care.
The Key Role of Medical Assistants in Primary Healthcare: Serving as the Backbone of Clinical Operations
Northwest Suburban College
MARCH 8, 2024
Their key tasks include: Administrative Duties: Medical Assistants handle essential administrative tasks such as scheduling appointments, managing patient records, and conducting insurance billing to keep the practice running efficiently.
So, You Want to Become a Medical Assistant – But What Type?
WSMDA
OCTOBER 20, 2022
Also, there is more administrative work dealing with the insurance claims relating to cancer treatment. Contact us to learn more or inquire about admissions policies. Oncology Oncology is the study and care for patients with cancer. You would be helping with testing and treatments like chemotherapy. appeared first on WSMDA.
Interoperability In Healthcare: What You Must Know
Arkenea
MARCH 15, 2025
These can include messages that inform patients about admissions, tracking medication orders or lab results. It records all patients’ admissions and transmits this message across all departments inside the hospital, such as pharmacy, laboratories, and hospital’s data warehouse.
How To Become A Medical Assistant?
MedAssistantEDU.org
SEPTEMBER 16, 2021
Having updated records also help with treatments and claiming health insurance. Healthcare settings have patient’s sensitive information that can be used for ill motives. A medical assistant must ensure that the data is safe and never gets compromised in any situation.
False Claims Act Update: A Mid-Year Review (2023)
Healthcare Law Insights blog
JULY 7, 2023
The Supreme Court issued a number of headline-grabbing decisions this term on topics like religious accommodation , LGBTQ protections , and consideration of race in college admissions. These decisions are wide-reaching and impact individuals, employers, and higher education institutions.
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A Comprehensive Guide to HL7 Messages
Arkenea
JANUARY 25, 2025
ADT ADT (Admit, Discharge, and Transfer) is the most common and widely used HL7 message types because it offers information for events such as patient registrations, admissions, updates, cancellations, patient data merges, discharges, and much more. DFT allows healthcare organizations to manage their financial transactions effectively.
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ePrescription Software Development – Detailed Outlook
Arkenea
JANUARY 25, 2025
Since it includes patients’ data or ePHI (Protected Health Information), it’s essential to encompass HIPAA (Health Insurance Portability and Accountability Act) rules during the e-prescription software development process. Medication history data prevents severe medicine errors during admissions.
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How Routine Medical Care Fuels America’s Opioid Crisis
The Healthcare Blog
MARCH 17, 2025
Long-term complications, including dependence, overdose, and addiction, further drive profitability through repeat admissions, extended care, and emergency visits. This widespread cost increase affects insurance premiums, employer healthcare spending, and state and federal budgets.
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The Basics Of Medical Assistant Online Certification
MedAssistantEDU.org
SEPTEMBER 8, 2021
Some basic skills candidates will learn by medical assistant training program are- Administrative duties of medical assistants may include: Answering telephones Arranging for hospital admissions Arranging for lab services Entering and updating patient records Filling out insurance forms, billing Greeting patients Scheduling appointments Using computer (..)
The Median Hospital Charge In the U.S. for COVID-19 Care Ranges From $34-45K
Health Populi
JULY 16, 2020
FAIR Health based these numbers on private insurance claims associated with COVID-19 diagnoses, evaluating patient demographics (age, gender, geography), hospital charges and estimated allowed amounts, and patient comorbidities. privately-insured people. They used two ICD-10-CM diagnostic codes for this research: U07.1,
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All You Need to Know about BU’s Chobanian & Avedisian School of Medicine
Accepted Blog
SEPTEMBER 19, 2023
If you want to know how much of BU medical school’s recent $100 million gift it intends to use for scholarships, or what happens to applications to ensure a genuinely holistic process, or what its associate dean of admissions wants to see in students read on! Welcome to the 541st episode of Admissions Straight Talk.
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When Bias Turns Deadly: How Medical Bias Killed My 5-Year-Old Daughter
Scrubs
FEBRUARY 22, 2023
As a result of these experiences, I launched my organization Project Diversify Medicine, a digital community on Instagram with over 60,000 followers, with a mission to provide culturally inclusive pre-med educational resources to increase the admission of minorities to medical school. I am a doctor in the U.S.
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Fake News from MedPac on Medicare Advantage Needs to Be Corrected, Pt 1
The Healthcare Blog
AUGUST 27, 2024
In the world of insurance, having a bid that sets and determines the payment level for the coverage from every plan is a competent, appropriate, intellectually sound, financially legitimate, accurate, and fully functional payment approach and price for Medicare to spend on that coverage as a buyer.
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