Category: Blog

Medicare Advantage Plans Drops Due To Covid-19

Medicare Advantage Plans Could See Payments Drop in 2021 Due To Covid-19, Analysis Finds

  The COVID-19 outbreak appears to have impacted claims patterns for Medicare Advantage enrollees, according to a new analysis by Avalere Health. Even though seniors are historically the most vulnerable population health-wise, their claims were down dramatically during the month of April. The survey suggests it could impact risk score factors for MA plans in 2021, driving […]
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HHS Issues Requirements for Additional Data and Timely Submission of COVID-19 Testing

HHS Issues Requirements for Additional Data and Timely Submission of COVID-19 Testing

With concerns of COVID-19 having a disproportionate impact on certain individuals, such as minorities and the elderly, public health experts are requiring more detailed data, provided on a real-time basis – further supporting the reliability and integrity of data being central to healthcare. Though rates of new COVID-19 cases in the U.S. have somewhat stabilized, […]
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Health System Financial Stability After COVID-19

Efficiency Key to Health System Financial Stability After COVID-19

As Eisenhower Health reopens following the peak of COVID-19, leaders are leaning on technology and strategies that improve efficiency to ensure health system financial stability during the recession. When COVID-19 really hit the Coachella Valley area of California in mid-March, volumes dropped by as much as 60 percent at Eisenhower Health. For a health system […]
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ICD-10-CM Codes Spark Great Interest

ICD-10-CM Codes Spark Great Interest

Over the past few months, the folks at ICD10monitor have seen an increase in website searches regarding two specific ICD-10-CM codes: U07.1 (COVID-19) and F32.9 (Major depressive disorder, unspecified). Some say that this is a sign of the times, and that may be absolutely true, considering what has gone on in the past four months […]
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Skilled Nursing Facilities Facing a Financial Crisis from COVID-19

Skilled Nursing Facilities Facing a Financial Crisis from COVID-19

Deemed the epicenter of COVID-19 deaths by many, skilled nursing facilities and other nursing home providers are now on the verge of collapsing without financial help, industry leaders say. Skilled nursing facilities are on the verge of collapsing due to historic underfunding and the financial repercussion of the COVID-19 crisis, according to a new report from the […]
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Medicare Reimbursement for Telehealth Services

Providers Want Equal Telehealth Reimbursement Beyond COVID-19

With telehealth reimbursement flexibilities set to expire following the public health emergency period, providers are calling on HHS and policymakers to continue payment parity beyond COVID-19. Telehealth use has increased dramatically in a matter of weeks, enabling providers to continue seeing patients despite social distancing and shelter-at-home restrictions due to COVID-19. But these advancements could […]
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Medicare Reimbursement for Telehealth Services

New Bill Would Codify Medicare Reimbursement for Telehealth Services

The bipartisan HEALTH Act would make permanent Medicare payments for telehealth services at federally qualified health centers and rural health clinics. U.S. Reps. G.K. Butterfield, D-North Carolina, and Glenn Thompson, R-Pa., introduced new legislation this week that would provide for permanent Medicare payments for telehealth services at federally qualified health centers and rural health clinics. The Helping […]
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6 Strategies To Re-Invent The ASC Revenue Cycle

6 Strategies To Re-Invent The ASC Revenue Cycle

Ambulatory surgery centers have long faced challenges in collecting reimbursement, and that became increasingly difficult as patients shouldered more financial responsibility for their care. However, those challenges have intensified during the COVID-19 pandemic and have resulted in an increased need for centers to accelerate revenue collection due to temporary income loss from suspended procedures. During […]
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4 Financial Opportunities for Health Systems Amid COVID-19

4 Financial Opportunities for Health Systems Amid COVID-19

  Though healthcare organizations have endured a global health crisis that has severely taxed their bottom lines, there are areas for growth coming out of the pandemic. The outbreak of coronavirus disease 2019 (COVID-19) caused one of the most financially crippling situations for healthcare in decades. Besides the clinical implications, hospitals and health systems that […]
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