Health Populi

FEBRUARY 27, 2024

In addition to highlighting the Patient’s Bill of Rights, NABIP’s keynotes and general sessions will speak to similar topics being brainstormed at VIVE this week — including mental health, maternal health, pharmacy and prescription drugs (pricing, PBMs), population health, and Medicare and Medicaid innovations.

HIPAA 340

HIPAA Public Health Leadership Mental health 340

Health Populi

MARCH 11, 2021

health care, patient assistance programs, Medicare Advantage plans, and the bundling of proven high-value preventive services into the Affordable Care Act. In the case of Medicare Part D, the drug benefit, Chandra said, “If you’re sick enough to fall into the donut hole, you may have higher mortality.”

Health Policy 245

Health Policy Medicare Pharmaceuticals Life Science 245

Healthcare IT Today

JUNE 29, 2023

However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance. Medicare Certification ASCs must sign a contract with Medicare and meet its Conditions for Coverage (CFC) to be paid. ASCs must also meet Medicare’s Conditions for Coverage.

Medicare 52

Medicare Medical Billing HIPAA Medical Billing Services 52

Health Populi

JUNE 26, 2023

Here are the data on administrative burdens impact more people who are sicker than those who are in better health. The table breaks out these data points for the well versus the un-well, making the point that PAB is more likely greater among people dealing with chronic and acute conditions. The top reason people in the U.S.

Medical Billing 156

Medical Billing Mental health Patient Experience Medicare 156

Henry Kotula

APRIL 24, 2018

Some 86 percent of those surveyed said they’re covered either through their employer, have insurance they purchased directly, or through government programs like Medicare and Medicaid. The data showed 33 percent of those surveyed were “extremely afraid” or “very afraid” of getting seriously ill.

Medical Billing 32

Medical Billing Medical Technology Medicare Health Policy 32

DrKumo Remote Patient Monitoring

APRIL 24, 2024

” In the dynamic landscape of modern healthcare, staying abreast of the latest developments in medical billing and coding is paramount for healthcare providers seeking to optimize patient care delivery and revenue generation. Welcome to our comprehensive guide to “What Is CPT Code 99457.”

Medicare 40

Medicare Medical Billing EHR Telehealth 40

Healthcare IT Today

OCTOBER 15, 2023

Data from Withings indicated that people who get more than 10,000 steps per day have a nighttime heart rate nearly 5 beats per minute slower than people who get less than 5,000 steps per day. KeyCare is partnering with Remission Medical to provide virtual rheumatology care. Intermountain Health chose ClearSense for data archiving.

EHR 109

EHR Medical Billing Healthcare IT Digital Health 109

Health Populi

OCTOBER 28, 2019

Taken together, these two data points demonstrate the potent political import of prescription drug prices as the U.S. Hospital costs contribute to rising medical costs to 49% of health consumers. People in the U.S. approaches the 2020 Presidential election. The Physicians Foundation surveyed 2,001 U.S. Congress and healthcare spending.

Pharmaceuticals 136

Pharmaceuticals Medical Billing Medicare Mental health 136

Health Populi

AUGUST 11, 2019

“In an extreme example of angst over expensive medical bills , an elderly Washington couple who lived near the U.S.-Canadian Canadian border died in a murder-suicide this week after leaving notes that detailed concerns about paying for medical care,” USA Today reported on August 10, 2019. million all-in.

Medical Billing 227

Medical Billing Leadership Medicare 227

Healthcare IT Today

OCTOBER 23, 2023

For example, as outpatient services such as infusions outpace projections , and as the Centers for Medicare & Medicaid Services open the door to more outpatient procedures by moving 11 procedures off its “inpatient only” list, ambulatory providers must have the financial strength to make the investments needed to support growth.

RCM 108

RCM Patient Experience Medical Billing Medicare 108

DrKumo Remote Patient Monitoring

JANUARY 26, 2023

Properly utilizing COPD codes can help healthcare providers (HCPs) with medical billing and coding, leading to accurate claim submission and reimbursement for their services. Therefore, it is important for HCPs to use these codes correctly when coding their medical services. Tobacco dependence (code: F17.2)

Medical Billing 52

Medical Billing Medicare 52

Telebehavioral Health Institute

JUNE 3, 2023

In a move highlighting the significance of upholding health data privacy, the Department of Health and Human Services’ Office for Civil Rights (HHS OCR) and MedEvolve, Inc. Insurance companies, HMOs, company health plans, and government programs like Medicare and Medicaid Health Care Clearinghouses.

HIPAA 52

HIPAA Health Information Health Data Medical Billing 52

Telebehavioral Health Institute

JULY 11, 2023

In a move highlighting the significance of upholding health data privacy, the Department of Health and Human Services’ Office for Civil Rights (HHS OCR) and MedEvolve, Inc. Insurance companies, HMOs, company health plans, and government programs like Medicare and Medicaid Health Care Clearinghouses.

HIPAA 40

HIPAA Health Information Health Data Medical Billing 40

Telebehavioral Health Institute

JUNE 3, 2023

In a move highlighting the significance of upholding health data privacy, the Department of Health and Human Services’ Office for Civil Rights (HHS OCR) and MedEvolve, Inc. Insurance companies, HMOs, company health plans, and government programs like Medicare and Medicaid Health Care Clearinghouses.

HIPAA 40

HIPAA Health Information Health Data Medical Billing 40

Henry Kotula

AUGUST 28, 2023

Americans today pay twice as much for the same medications as people in Europe largely because of Congressional legislation passed in 2003. Now, under provisions of the new Inflation Reduction Act , the government will be able to negotiate the prices of 10 widely prescribed medications based on how much Medicare’s Part D program spends.

Mental health 41

Mental health Medicare Medical Billing Telemedicine 41

Lloyd Price

JUNE 8, 2019

Amazon has opened a new health care frontier: Now Alexa can be used to transmit patient data. But when I returned from Brainstorm Health, I was confronted by an alternative reality of virtual medicine: a $235 medical bill for a telehealth visit that resulted from one of my kids calling a longtime doctor’s office.

Telemedicine 46

Telemedicine Medical Billing Telehealth Nursing 46

Chilmark Research

SEPTEMBER 26, 2014

Medicare’s Pioneer program down to 19 ACOs after three more exit. After Surgery, Surprise $117,000 Medical Bill From Doctor He Didn’t Know. Healthline’s New HealthData Engine Turns Unstructured Data Into Actionable Insights. And plenty of other great reading too. Enjoy the articles and have a great weekend!

eHealth 60

eHealth Private practice EHR Medical Billing 60

Health Populi

DECEMBER 22, 2022

health citizens face physical, financial, and mental health challenges of a syndemic, inflation, and stress – all of which will shape peoples’ demand side for health care and digital technology, and a supply side of providers challenged by tech-enabled organizations with design and data chops. Entering 2023, U.S. Start with pandemic ennui.

Health Technology 156

Health Technology Mental health Digital Health Primary Care 156

Healthcare IT Today

SEPTEMBER 19, 2023

I hear patients discouraged and disgusted when they can’t get access to their own data even in 2023! That would mean there would be one standard for privacy which would encompass the basic components of the numerous states with specific healthcare/data privacy laws.

Healthcare IT 135

Healthcare IT Interoperability HIPAA Nursing 135

HIStalk Weekender

MAY 18, 2018

Sutter Health experiences a 27-hour downtime of Epic and other systems at some of its facilities that was caused by activation of a fire suppression system in one of its data centers. My first inclination is to at least publish the Medicare price. The VA signs a 10-year, $10 billion contract with Cerner for its new EHR.

Nursing 28

Nursing Medicare EMR Medical Billing 28

Health Populi

MARCH 26, 2020

” These factors come out of the 2019 Medicare Trustees Report and include but aren’t limited to tax policy, the state of insurance marketplaces, and employer-sponsored health insurance assumptions. ” Having used and referred to this important forecast for over a decade in my own work, I know this sentence-caveat well.

Medical Billing 182

Medical Billing Public Health Medicare Health Information 182

Health Populi

OCTOBER 28, 2019

In addition to paying for “my” medical bills, most people in the U.S. also say that income inequality and inadequate social services significantly contribute to high medical spending for every health citizen in the nation. This year’s poll was conducted in September 2019 and included input from 2,001 U.S.

Medical Billing 130

Medical Billing Medicare Mental health Public Health 130

Healthcare IT Today

DECEMBER 22, 2023

Wave HDC offers several insurance “curators” including Coordination of Benefits, Eligibility, and Medicare Beneficiary Identifiers, and serves hospitals, laboratories, billing companies, and physician groups. No longer will data need to be chased and updated post-registration.

Medical Billing 115

Medical Billing Medicare healthcare technology Healthcare IT 115

Health Populi

SEPTEMBER 9, 2022

And this issue is a key pillar in the Inflation Reduction Act, both for Medicare’s ability to negotiate Rx prices with industry as well as a cap on insulin drug prices for some patients. Always remember that consumers’ health engagement is underpinned by trust, authenticity, and experience satisfaction.

Pharmaceuticals 156

Pharmaceuticals Medical Billing Primary Care Medicare 156

Health Populi

MAY 22, 2018

families could not afford to pay $1,000 for an emergency medical bill in one study; in another, that inability to pay is as low as a $400 emergency to cover. The latest wage increase data shows that Americans’ wages grew by about 4.5% We know that, ironically, one-half of U.S.

Accountable Care 227

Accountable Care Medicare Medical Billing Pharmaceuticals 227

Henry Kotula

APRIL 14, 2023

[link] More than two years after Congress acted to shield patients from surprise medical bills , lawmakers are turning to another source of unexpected medical costs: the fees that hospitals tack on for services provided in clinics they own. Others could see the added cost reflected later in higher premiums and copays.

Health Policy 41

Health Policy Nursing Medical Billing Medicare 41

HIStalk Weekender

AUGUST 2, 2019

CMS announces a pilot project to display a patient’s claims data to Medicare fee-for-service providers. My standard line is, “no one cares about data quality so long as no one is using the data”. I’m not seeing the real value in the “Data at the Point of Care” project for any one provider. Brian Too ).

Medicare 33

Medicare Pain management Medical Billing Interoperability 33

Henry Kotula

FEBRUARY 26, 2020

Collecting and analyzing data regarding quality and clinical outcomes as the result of changes in delivery of care from inpatient to outpatient is also key. Protecting data privacy. Ongoing attention will be given to protecting the privacy of healthcare data. Merely doing what is legally permissible may not be good enough.”.

Primary Care 41

Primary Care Telehealth Patient Experience HIPAA 41

Health Populi

DECEMBER 20, 2023

There’s a sort of health care “shrinkflation” that has been shaping patients-as-payors of medical bills. Further refining the point that patients’ medical bills and expenses are now part of their household and retail financial budgets, the Federal Reserve published this report on households’ well-being, asserting that 23% of U.S.

Mental health 203

Mental health Medical Billing Public Health Medicare 203

Health Populi

DECEMBER 6, 2023

A close second in line is affordability of health care, as consumers’ household budgets must make room for paying medical bills — with prescription drug costs also very important as a discussion topic for 2024 Presidential candidates, we learn from the latest KFF Health Tracking Poll published 1 December.

Mental health 203

Mental health Medicare Medical Billing Public Health 203

Health Populi

FEBRUARY 6, 2020

isn’t repealing or replacing the Affordable Care Act or moving to a Medicare-for-All government-provided plan. Improving Medicare. modernizing the Stark Law and Anti-Kickback Statute, modifying Medicare Part D drug benefits to cap out-of-pocket spending, and other items), and to improve Medicaid. Improving Medicaid.

Health Policy 191

Health Policy Medicare Primary Care Medical Billing 191

Health Populi

DECEMBER 20, 2019

In 1971, Céline published his book, Death on the Installment Plan ; one wonders what Louis-Ferdinand would have thought about this medical billing model. The House passed its prescription drug bill earlier this month, named the Elijah E. Tech Scaling a Big Embrace of Social Determinants.

Public Health 232

Public Health Health Policy Medicare Medical Billing 232

Health Populi

JANUARY 30, 2020

Third and fourth on voters’ minds are protecting patients from surprise medical bills and better addressing drug addiction. Health Populi’s Hot Points: It’s polling season (well, year) and so we can add another data point to bolster the fact that Americans are health care voters in 2020.

Health Policy 215

Health Policy Medical Billing Pharmaceuticals Medicare 215

Health Populi

NOVEMBER 4, 2019

Americans are roughly split — and/or equally confused — about the differences between three major health reform approaches: Medicare -for-All, improving the existing Affordable Care Act, or replacing the ACA with state-run health plans. And many – more than four in ten – find affording basic medical care a hardship.

Medicare 130

Medicare Medical Billing Nursing Public Health 130

Health Populi

MAY 19, 2019

This poll from RealClear Politics , conducted in late April/early May 2019, makes my point that the patient is the consumer and, facing deductibles and more financial exposure to footing the medical bill, the payor. They may be threatened by a call for “Medicare for All” given their affection for the program.

Life Science 149

Life Science BioTech Medicare Medical Billing 149