Patrick Malecky

Have you registered yet? If you want to transform your risk adjustment strategy, don't miss out on this free webinar with speaker and national risk adjustment expert, Jack Newsom, Sc.D. https://lnkd.in/dYa28AZy #RiskAdjustment #CMS #Medicare

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Is your practice losing money due to billing errors? Our team can help optimize your revenue cycle, so every claim counts. #RevenueOptimization #HealthcareBilling #MedicalBillingHelp #HassleFreeClaims #urgentcare #primarycare #hospitalbilling #physicianbilling #medicalbilling #hcfacode #hcfacoderror #cptcode #insuranceaccepted #claims #medicalclaims #deniedclaim #clearinghouse #clearinghouseaccepted #erapayerdenial #denails #claimdenails #RCM

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??Discover how Patterson's CarePay+ ??powered by Wellfit ??helps patients to say "YES" with patient-led financing. Wellfit's Catlin Zuniga and Tracey Kroehle discuss financing solutions for every patient that also lifts administrative burdens in the Spring 2024 Edition of Advantage. ??Check it out... https://ow.ly/2jva50RllGC #CarePay+ #PatientFinancing

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December 2024 updates to the OIG’s Work Plan are here, and we're spotlighting some key areas like Medicaid provider enrollment, RPM billing, and FDA ethics. Download the eBrief today: https://hubs.la/Q031txC70 #Medicaid #RemotePatientMonitoring #FDA #Compliance #Healthcare

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Healthcare revenue cycle is inherently complex, but measuring its performance doesn’t have to be. Understanding and utilizing the right RCM metrics is essential for ensuring financial stability, identifying inefficiencies, improving patient financial experiences, and supporting informed decision-making. Read more in this article from Senior Vice President of Transformation, Casey Peters: https://bit.ly/3Vtjf7F #RCM #hospitals

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Experience the ONE Seamless and Secure Clearinghouse Solution. Tune into our ON DEMAND webinar, diving into our integrated #Clearinghouse, including inaccurate claims, denials, incorrect patient insurance information, and more. Seamlessly integrating within #ImagineOne’s RCM Platform or for non-Imagine systems, within a freestanding user portal, discover how to turn your data into actionable tasks with the advanced analytics dashboard, providing greater control over your #revenuecycle. Watch Now: https://loom.ly/kpZGf_g #imaginesoftware #medicalclearinghouse

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Planning for Medicare - Countdown to 65 Please join Medicare expert and Senior Plan Consultant at Blue Cross Blue Shield of Massachusetts, Susan Flanagan for this lively discussion about Medicare.? Topics Include: ???Medicare and Medicare Parts A and B ???Medicare enrollment timeline ???Medigap plans that supplement Medicare coverage ???Medicare Advantage plans, such as HMOs and PPOs ???Medicare Part D prescription drug plans ???Plans and programs available to early retirees, such as COBRA

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For CDI, promptness and accuracy are crucial for claims filing. Learn how El Paso Children's Hospital boosted CDI productivity by 50%, achieving a 95% increase in physician agreement rate. https://hubs.la/Q02wTyC70

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Did you receive your draft Medicare or PACE audit report? BluePeak has the experience you need to lead your next step: Independent Validation Audit BluePeak specializes in validating CMS audit findings to ensure Sponsor successful remediation of Medicare Advantage UM-focused or Program audits and PACE audits. Email [email protected] for information on how BluePeak can support you.

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?? Landmark Settlement...Blue Cross Blue Shield agrees to pay $2.8 billion to healthcare providers in one of the largest antitrust settlements in U.S. healthcare history. ?? ?? RCM Leaders- How does this impact you? -Transparency and Reform -Game-Changing Precedent = Leverage for Providers ?? Read our latest blog for more insight into this HUGE case and what it means for RCM leaders. Link to blog in comments below! #RCM #Antitrust #Compliance #RCMConsultants #Transparency #Healthcare Lindsay Gross

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Struggling with COB denials? Learn how a proactive approach and the right patient engagement can lead to coordination of benefits success in this interview with Matthew Fisher of Piedmont. Lots of practical tips! #healthcare #revenuecycle #revenuecyclemanagement #denials

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?? New Blog: ACA #OpenEnrollment is just around the corner on November 1. This could mark a 5th consecutive record-breaking year for health plans. With new members enrolling without health histories, plans need to proactively address the risks of enrolling a sicker population. In our latest blog, we share 3 ways to assess the health status of new members and ensure your plan is fully prepared. Read it here: https://lnkd.in/eUGQgtV8 #ACA #RiskAdjustment #Analytics #MemberEngagement #OpenEnrollment

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?? Identifying and understanding your top reasons for denied claims is crucial for effective #revenuecyclemanagement. Our #RCM analysis and scorecard uncover these and other key KPIs to implement targeted solutions. Learn more. ?? https://hubs.li/Q02KtXlc0

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RISE WEST?Colorado Spring Are you a healthcare provider—PCP, specialist, practice manager, ACO, or part of an HMO—and think that risk adjustment coding doesn’t impact you? It’s time to reconsider. What are HCCs or Risk-Adjusting Conditions? They include chronic, lifelong conditions, along with acute and sub-acute conditions that require higher resource utilization. Seasoned risk adjustment coders are experts in documentation. ???????????????? ?????????? ????????????????: #1 A breast cancer diagnosis in the assessment without much supporting documentation of ongoing management and mastectomy in surgical history. #2 A hip fracture initial visit code in a post-discharge outpatient record without proper follow-up care documentation. #3 A diabetes with peripheral neuropathy code in claims, but no documented management of neuropathy. Whether you’re in an ACO aiming for shared savings or an HMO where star ratings depend on chronic disease management, documentation supporting Quality Measures is essential. Be it fee-for-service, Value-Based Care or MIPS incentives, accurate coding with strong supporting documentation is crucial. At Annova, we deliver value where it matters most—during healthcare delivery. Our Concurrent coding experts: 1. Identify Missed coding opportunities 2. Maximize ICD Specificity 3. Highlight high-risk coding practices 4. Suggest corrective actions pre-claims or improvements in future visits ???????? ???? ???? ?????????? ?????? at the RISE WEST conference to learn how we can help optimize your organization’s coding accuracy and documentation quality. #Healthcare #RiskAdjustment #HCCCoding #ACOs #ValueBasedCare #AnnovaSolutions #MedicareAdvantage #ACA #ConcurrentCoding #CDI

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Effective cyber planning begins with identifying the risks and the most critical elements within the enterprise that are necessary to maintaining business operations, especially payroll and claims. #revenuecycle

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ICYMI the AHIP Select Vendor Webinar with Penstock - Michelle Frank highlights the importance of differentiating your health plan with innovative solutions. Dive in to see how! #ACA #HealthPlans #HealthInsurance

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?? Enhance Your Expertise with Financial Grade’s #MedicareAgentTraining Webinar! ?? ?? Don't miss out on an exclusive opportunity to elevate your understanding of Medicare plans with Financial Grade Senior Consultants. Our upcoming webinar, focused on Anthem, Inc.'s Medicare options, is a must-attend for any agent looking to deepen their market knowledge and improve their sales effectiveness. ?? Why Join Us? Financial Grade is dedicated to empowering agents by providing in-depth education and resources on Medicare plans. This training is designed to help you not only understand the ins and outs of Anthem's offerings but also how to effectively convey this knowledge to seniors, ensuring they receive the best possible advice. ?? Even if you're not currently planning to sell Anthem plans, this webinar is an excellent chance to learn about our lucrative Referral Program, which allows you to benefit from #Medicare opportunities without direct selling. ?? Equip yourself with the tools you need to excel in the competitive Medicare market. Sign up today and ensure you're not left behind as we dive into important updates and strategies for success. ?? Register here to secure your spot: https://lnkd.in/gg4nuqqy ?? Join us and become part of a community of professionals who are enhancing their skills and pushing their careers forward with Financial Grade Senior Consultants. Act now—spaces are limited!

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