CMS Just Dropped a Quarterly Update – Are You Tracking Those Provider Data & CCN Changes? If you're managing claims or handling reimbursements, you know the stakes are high when CMS releases a quarterly update. This time, it’s all about provider data and CCNs (CMS Certification Numbers). Changes like these impact everything from claims processing to provider eligibility checks. Miss a detail? You risk delays in reimbursements or, worse, rejected claims. Here’s what to double-check: ? Provider Identifiers: Ensure your data aligns with the updated CCNs. ? Claims Data: Verify that provider information in your claims reflects the latest standards. ? Reimbursement Calculations: Small updates in CCNs can lead to big adjustments in claims accuracy and processing speed. Staying compliant isn’t optional—it's essential. Does this feel like a lot? DM us, and we’ll help you stay on top of these updates and keep your claims running smoothly.
Micro-Dyn Medical Systems
软件开发
Wilmington,Delaware 210 位关注者
We enable organizations to accurately and efficiently comply with and apply healthcare reimbursements rules.
关于我们
Our mission is to enable healthcare organizations, and other claims processors, to accurately and efficiently comply with and apply reimbursements rules to simplify their operations (e.g., the Medicare Prospective Payment Systems). We support claims grouping, editing, and pricing (and re-pricing).
- 网站
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www.microdynmedical.com
Micro-Dyn Medical Systems的外部链接
- 所属行业
- 软件开发
- 规模
- 11-50 人
- 总部
- Wilmington,Delaware
- 类型
- 私人持股
- 创立
- 1989
- 领域
- claims、Medicare、PPS、reimbursement、health plan、health systems、TPA、pricing、grouping和editing
地点
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主要
919 N Market St
1550
US,Delaware,Wilmington,19801
Micro-Dyn Medical Systems员工
动态
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CMS Just Dropped a Quarterly Update – Are You Tracking Those Provider Data & CCN Changes? If you're managing claims or handling reimbursements, you know the stakes are high when CMS releases a quarterly update. This time, it’s all about provider data and CCNs (CMS Certification Numbers). Changes like these impact everything from claims processing to provider eligibility checks. Miss a detail? You risk delays in reimbursements or, worse, rejected claims. Here’s what to double-check: ? Provider Identifiers: Ensure your data aligns with the updated CCNs. ? Claims Data: Verify that provider information in your claims reflects the latest standards. ? Reimbursement Calculations: Small updates in CCNs can lead to big adjustments in claims accuracy and processing speed. Staying compliant isn’t optional—it's essential. Does this feel like a lot? DM us, and we’ll help you stay on top of these updates and keep your claims running smoothly.
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The Prospective Payment System (PPS) can seem like a maze, especially with PDGM’s 30-day care periods. But here’s the gist: Under PDGM (Patient-Driven Groupings Model), Medicare reimburses home health agencies (HHAs) based on a standardized 30-day payment rate. To get that rate, the care provided must meet specific visit thresholds. If not? The rate drops to per-visit payments. How’s the payment adjusted? It’s all about the case mix—tailoring reimbursement to the patient's unique needs and condition. This means accounting for factors like: - Admission Source: Where care starts—Community or Institutional - Timing: Early or late in the certification period - Clinical Grouping: Diagnosis-based, with categories like Musculoskeletal or Neuro Rehab - Comorbidity Adjustment: None, Low, or High based on secondary diagnoses Checking for any red flags? Look at the OASIS assessment data to ensure compliance. This is where those 432 unique case-mix groups come in, helping tailor reimbursement accurately. Outlier payments also help cover costs for high-need cases—no one-size-fits-all here. Does PDGM feel like a puzzle? We're here to help you decode it all. DM us, and let’s make it make sense!
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Common Misconceptions About Healthcare Reimbursements Figuring out healthcare reimbursements can feel like walking through a maze. Here are some common myths that might be holding your organization back: ?? "All claims are processed the same way." Different reimbursement models have their quirks. Knowing the specifics can make a big difference. ?? "Once a claim is submitted, I can just sit back." Actually, tracking denials and following up can really help your revenue. Staying on top of things is key. ?? "Manual processes are enough for compliance." Automating can save you time and help reduce errors. It’s not just a nice-to-have; it’s really helpful. ?? "Medicare rules never change." CMS updates their rules regularly. Keeping informed can help you stay compliant and avoid any penalties. ?? "Reimbursement is just about the numbers." Quality data matters. Regular audits can ensure you’re getting paid what you deserve and help prevent costly mistakes. ?? What myths have you come across in your experience with reimbursements? Share in the comments!
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Did You Know? Over 70% of healthcare organizations report that transitioning to value-based care has significantly improved patient outcomes! This shift isn’t just about payment structures. It’s about putting patients at the center of care and ensuring that every dollar spent translates to better health. As the industry evolves, it's crucial to adapt. How has your organization embraced value-based care? ? Share your experiences with us! #ValueBasedCare #HealthcareInnovation #PatientOutcomes #MicroDyn
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Value-based care is changing how reimbursements work, and it’s happening fast. For many in the healthcare field, it’s not just about processing claims anymore. Now, it’s about proving the value of care, managing quality outcomes, and making sure every dollar spent counts. Did you know that 50%+ of healthcare payments are now tied to value-based models? With this shift gaining momentum, the real challenge is staying compliant while adapting to new reimbursement strategies. Some key areas where organizations are feeling the pressure: 1. Quality Reporting: Accurately tracking and submitting performance data. 2. Bundled Payments: Handling payments that are grouped for episodes of care. 3. Outcome-Based Metrics: Linking payments to the quality and outcomes of care. At Micro-Dyn, we’ve seen these shifts firsthand. That’s why we keep our platform updated with the latest CMS rules and guidelines to help you stay compliant, whether you’re managing traditional claims or adapting to bundled and outcome-based payments. But let’s hear from you. What’s been your toughest hurdle in transitioning to value-based care? We’re here to share insights and strategies. #HealthcareReimbursement #ValueBasedCare #CMSUpdates #MicroDyn
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?? Trick or treat...or just trap us in a haunted escape room! ??? Yesterday, the Micro-Dyn team took Halloween to the next level—by escaping from it! ?? After a few close calls with (fake) ghosts, some panicked puzzle-solving, and maybe a scream or two, we made it out in one piece. Escaping rooms as a team? Nailed it. Escaping from deadlines? Still working on that one. ?? We’ll say this: it was teamwork, Halloween spirit, and a little dark magic that got us through. Check out our survivors in the photo below. Did anyone else try out something spooky with their team? ???? Drop a comment if you have ideas for our next adventure—or if you’re just here for the Halloween chills! #TeamBonding #HalloweenFun #MicroDyn
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What’s the biggest factor when choosing a partner for healthcare reimbursements? For many of our clients, it’s trust built over time. Here’s what some of them say about working with Micro-Dyn: “Micro-Dyn’s speed to market is faster than others and competitively priced.” – Partner for over 20 years “I see it as a 3rd party source of truth...wouldn’t change a thing as far as how it works.” – Customer for over 20 years “Micro-Dyn can adapt its offering to meet all of our specific needs.” – Partner for over 20 years With over 175 clients served and more than 50 health plans supported, we understand that every organization has unique needs. We don’t believe in one-size-fits-all solutions. It’s our accurate, fast, and secure approach that has kept clients with us for over two decades. What do you value most in your reimbursement process? #ClientTrust #HealthcareReimbursements #MedicareCompliance #MicroDyn #Testimonials