| AHCA’s Annual Convention will be held October 16th-19th in Nashville. Come explore the latest news in healthcare technologies, services, and solutions for long-term and post-acute care providers and organizations. Network with industry professionals from all over the country at the AHCA/NCAL Welcome Reception, with plenty of music, food, and fun!
Stop by HCPro’s booth (#722) in the exhibit hall and enter our raffle. We’re giving away one Billers’ Platinum membership and one $500 HCPro gift card.
| | Twenty years ago, Dr. Edward Wagner envisioned a new way to better service people with chronic conditions (Improving Chronic Illness Care, 2013). His model meant sweeping changes to traditional office visits and refocused on teamwork, information technology, and new roles; in short, it aimed to transform healthcare. Now with providers taking on more risk, this shift is not such a stretch. | | The top problem hospice billing departments face today is compliance in the midst of CMS' changing reimbursement landscape, says Casey Fenton, a director at Precipio Health Strategies and co-author of The Hospice Guide to Billing and Reimbursement: Durable Guidance and Strategy for a Shifting Payment Landscape, recently published by HCPro. Hospice billing saw quite a few changes this year, and although big changes aren't expected for 2017, "we are still seeing several hospices that are struggling to provide sufficient detailed information for claims to be accepted. Adding further strain to this situation are MACs' increased scrutiny over hospices' billing, which has led to an increase in denied claims," Fenton says. | | Nursing homes and assisted living communities are not prepared to accommodate the rapidly increasing number of severely obese (having a BMI of over 40) elderly applying for residency, according to a recent study. Along with the increased health risks that accompany this group, a majority of the expenses to provide the necessary care for these patients is not covered by Medicaid or Medicare. Without the funds to support the costly adaptations that the obese population require, the waitlist of severely obese patients trying to enter these facilities is growing, and many are hospital-bound until there is room for them. | Recent CMS Events Thursday, 9/15 - CMS Skilled Nursing Facilities (SNF)/Long Term Care (LTC) Open Door Forum: The IMPACT Act and Improving Care Coordination Thursday, 10/6 - CMS Skilled Nursing Facilities (SNF)/Long Term Care (LTC) Open Door Forum | Product Spotlight Building solid operational and clinical processes is key for skilled nursing facilities (SNF) to stay compliant under the numerous Centers for Medicare & Medicaid Services (CMS) regulatory changes effective October 1. The evolving “volume to value” industry landscape brings with it more accountability, higher outcome standards, and incentivized payment systems. |
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