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Exploring What Role Patient Advocacy Plays in Bundled Payment Outcomes

Guideway Care

In bundled payment models, patient advocacy plays a pivotal role in improving care coordination, patient satisfaction, and adherence to treatment plans. This blog explores how patient advocacy enhances care quality, addresses social determinants of health, and supports bundled payment success.

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6 Ways ER and Urgent Care Nurses Can Bridge the Gap for Uninsured Patients

Scrubs

Understanding the Uninsured Patient The first step in aiding uninsured patients is understanding their needs and circumstances. Uninsured individuals often avoid seeking medical attention due to fear of incurring high bills. ER and urgent care nurses can mitigate these fears by being well-informed and empathetic communicators.

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Meet the New President of the AANP: Stephen A. Ferrara

Minority Nurse

Once I understood the role of nurses and patient advocacy, the ability to share health information and care for people and promote health and wellness, that was my epiphany. So, we have a lot of work to bring awareness to this bill and not have it lost in our society’s political discourse today.

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THE IMPORTANCE OF PRIOR AUTHORIZATION IN HEALTHCARE

ACMA Blog

PAs helps to ensure that the treatments covered are within the insurance policy’s terms, potentially lowering the cost burden on patients. By confirming the medical necessity of procedures and treatments, PA helps protect patients from unexpected medical bills for non-covered services.

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Mastering Prior Authorization Roles: Responsibilities and Training Demands Explored

ACMA Blog

Pharmacy Billing Specialist (PBS): Typically, specialty pharmacies utilize a PBS to optimize the billing process through their knowledge of billing regulations and healthcare system codes. In order to practice, they must have a high school diploma. Some states require a pharmacy technician license or certificate.

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Wasted: $1 of Every $4 Spent on Health Care In America

Health Populi

Thus, administrative complexity, which includes billing and coding waste, and physician time spent reporting on quality measures, accounted for the largest component of waste in American health care. Pricing failure, with waste ranging $231 bn – $241 bn. This category comprised roughly one-third of the total waste in U.S.