Revenue Cycle Matters

medical director

Insurance Medical Director Denied Care without Review

Last week it was reported in an exclusive by CNN, that former Aetna Medical Director, Dr. Jay Ken Iinuma, testified during a deposition that “he never looked at patients’ records when deciding whether to approve or deny care.” This deposition was in response to a lawsuit filed against Aetna by Gillen Washington who suffers from …

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CMS Spending Growth

CMS Projects Exponential Growth of Healthcare Spending

A new report from CMS recently published in Health Affairs, states that the US is projected to spend $5.96 trillion on healthcare in 2027. This would be a 19.4 percent share of the gross domestic product (GDP). In 2017, healthcare spending accounted for 17.9 percent of the GDP. The largest catalyst behind this projected growth …

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Increased Spending

Private Insurers, not Medicare or Medicaid, are behind increased healthcare spending

A new study released this week by The Urban Institute shows that Medicare and Medicaid spending is increasing more slowly than with Private Insurers, contrary to some of the policy proposals that have been put forth in recent years. According to the study of CMS data between 2006 and 2017, “Medicare and Medicaid spending per …

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HAC Decrease

Hospital Acquired Conditions Decreasing

A recent report from the Agency for Healthcare Research and Quality (AHRQ) shows a significant decrease in Hospital Acquired Conditions or HAC’s. Some of the most common HAC’s are catheter-associated urinary tract infections (UTI’s), pressure ulcers, surgical site infections, and adverse drug events. According to the study, HAC’s dropped 13% from 2014 to 2017. “The …

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Reception Area

Making the First Impression to Patients Part Two

In the second half of our First Impression series, we will cover your actual office. If you missed the first half, click here. From location to dress code, everything gives your patients an impression about your practice. The Office Patients should not have trouble finding you. If you are not a stand-alone building, make sure …

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