Why External Claims Auditors Have Importance in Today’s Economy…
Medical providers can benefit from using an outside claims auditor to review their claims and billing processes. It is something in which we specialized along with one of our affiliate organizations. An outside claims auditor is an independent third-party professional who specializes in reviewing medical claims for accuracy, completeness, and compliance with regulations. Here are […]
Medical Practices Benefit from External Management
One of the things our company specializes in is assuming the business side of a medical practice. Why are we called? There are several reasons why a medical practice can benefit from external management. Here are a few: Expertise: External management companies specialize in managing medical practices and have the experience and expertise to streamline […]
Back to the Basics: The Value of Adult Day Services
Adult day care is a valuable service that provides a safe and engaging environment for older adults or individuals with disabilities who require supervision during the day. It is a program designed to enhance the quality of life for older adults and their families by providing socialization, activities, and care in a community-based setting. Here […]
We All Must Learn How to Be Misunderstood and Attacked
Recently a long-time user of our continuing education products called our office. I rarely take these calls personally, but I love speaking to her. We reminisce about when we first met in 2005 and how she was impressed with our products. She also critiqued a few classes, but all these years later we still work […]
Be Careful Allowing a Negative Mind to Destroy Positive Possibilities.
In this edition we are speaking to employers and others who may be in leadership roles. It can become so easy to experience feelings of being “taken advantage of” when some in our lives are not performing according to our expectations. In the employment arena we may conclude that those we pay are not managing […]
The Argument of Double-Dipping is Lame, Unrealistic, Naive and Potentially Medically Dangerous.
In the delivery of care, reimbursement arrangements for what some call ‘room and board’ and the personal attention required by specially trained staff due to intricate patient needs are often separated in billing. Some refer to the latter as “Attendant Care” or care by “Personal Assistants.” These arguments have made it into the courtroom with […]
Inviting Physician Referrals to Your CORF
(Comprehensive Outpatient Rehabilitation Facility) The beauty of the CORF is the expansive number of services it provides. Under one roof – without being in a hospital adjacent to a COVID ward – a patient can benefit from the work of: Nurses Rehabilitative Therapists (Occupational and Physical) Speech Therapists Respiratory Therapists Psychosocial Professionals So, from assisting […]
I Have a Moral Problem with Adult Day Services Programs Who Take Pride in Avoiding Serving Medicaid Recipients
I Have a Moral Problem with Adult Day Services Programs Who Take Pride in Avoiding Serving Medicaid Recipients Adult day care/health programs promote medical stability, cut into self-neglect among the elderly and disabled and keep families together. For decades America and the world have benefited from these innovative initiatives. Most who enter adult day care […]
You Cannot Bill Medicare Directly for Adult Day Care
You Cannot Bill Medicare Directly for Adult Day Care The question comes up, sometimes multiple times after we answer it. There is no direct bill to Medicare specifically for adult day services. Several years ago, California Representative Linda Sanchez did sponsor a bill that, if signed by the U.S. President at the time would have […]
THE MEDICAL NECESSITY OF PROFESSIONAL REHABILITATION
THE MEDICAL NECESSITY OF PROFESSIONAL REHABILITATION Far too often a nurse reviewer will decide simply from looking at the duration of a clinical or rehabilitative service that it should be discontinued. What science these decisions are based upon is not always shared when insurance companies or government departments make them. However, there are several important […]