Derek Price

The most important elements of successful medical practice management: (Need more details, join us in Salt Lake City for our Practice Management Workshop: https://bit.ly/3xLVmQe) 1. Strong Leadership: Effective leadership is crucial for setting a clear vision, establishing goals, and guiding the entire team towards success. 2. Well-Defined Processes: Clearly defined and documented processes ensure consistency and reduce errors in day-to-day operations. 3. Qualified Staff: Hiring and retaining skilled and motivated healthcare professionals is essential. 4. Efficient Billing and Revenue Cycle Management: Accurate billing, proper coding, and timely claims submission are essential for maintaining a healthy cash flow. 5. Patient-Centered Care: Focusing on patient satisfaction and outcomes is crucial. 6. Effective Communication: Clear and open communication within the practice, as well as with patients, other healthcare providers, and stakeholders, is vital for avoiding misunderstandings and ensuring smooth operations. 7. Adoption of Technology: Implementing electronic health records (EHR) systems, practice management software, telemedicine solutions, and other technologies can enhance efficiency, accuracy, and patient engagement. 8. Regulatory Compliance: Adhering to healthcare regulations, such as HIPAA (Health Insurance Portability and Accountability Act), is essential to protect patient privacy and avoid legal issues. 9. Continuous Training and Development: Healthcare is a constantly evolving field. 10. Financial Management: Developing a sound financial strategy, managing expenses, setting budgets, and monitoring financial performance are essential to the long-term sustainability of the practice. 11. Marketing and Patient Acquisition: Effective marketing strategies can help attract new patients and retain existing ones. 12. Quality Improvement Initiatives: Regularly reviewing and improving processes to enhance patient care, optimize operations, and minimize errors is crucial for maintaining high-quality standards. 13. Risk Management and Patient Safety: Implementing protocols to identify and mitigate potential risks to patient safety is important for maintaining a reputation for high-quality care. 14. Workplace Culture: Fostering a positive and collaborative workplace culture boosts staff morale, job satisfaction, and overall performance. 15. Flexibility and Adaptability: The healthcare landscape is subject to changes. Being flexible and adaptive to new technologies, regulations, and patient needs helps the practice remain relevant and competitive. A well-rounded approach that balances clinical excellence, patient-centered care, efficient operations, and strategic planning is key to achieving long-term success. #PracticeManagement #AMMG #AgeManagementMedicine #CMEConferences

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Practicing Cardiologist, Dr. Samir Damani, gets candid about the financial rewards available to providers implementing remote care, namely CCM and RPM: "Medicare has changed a number of things including reimbursement for the codes, which made it easier to put into action." "As a practice, you can get to the point where you can actually manage this population and be able to pay your overhead, and maybe even make a little extra. And rightfully so, because when these programs are successful, every hospital admission that you've prevented equates to dollars back to taxpayers." https://hubs.ly/Q02zSVkg0

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Did you know that Medicare usually doesn't cover chiropractic treatment for extraspinal regions? While spinal adjustments for subluxations are generally covered, it's important to understand the limitations. Staying informed about insurance policies helps healthcare professionals provide optimal care. Navigating insurance coverage can be complex, but by educating patients, we can ensure they receive necessary care. If you have questions about Medicare coverage for chiropractic services, let's connect and discuss how to enhance patient care. #healthcare #rcm #revenuecyclemanagement #medicalbilling #credentialing #codingservices #auditservices #assistmed #healthcareproviders #medicalpractice #healthcareindustry #optimizerevenue #patientcare #postoftheday #picoftheday #linkedin #linkedfamily #usa #usadoc #doctors #physcians #insurance #medicalbilling #freeaudit #medicalcoding #bestmedicalbilling #MedicalCoding #RevenueCycleManagement #HealthcareSolutions #HealthcareBilling #CPTCoding #MedicalInnovation #Chiropractic #Chiropracticepractice #Chirco #MedicalPractice #Medicare #MedicareCoverage

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Exclusive Update on Medicare Coverage Determination for Special Stains and IHC Stains by Palmetto and WPS Effective July 14, 2024, two Medicare Administrative Contractors (MACs), Palmetto and WPS, have finalized their Local Coverage Determinations (LCDs) concerning medical necessity guidelines for special stains and immunohistochemical (IHC) stains. These determinations, LCD L36805 (WPS) and LCD L35922 (Palmetto), provide clear and stringent criteria under which Medicare will cover these stains. Key Points of the LCDs: *Conditions for Coverage: 1.Medical Necessity: The special stains and IHC stains must be medically necessary to ensure a complete and accurate diagnosis is reported to the treating physician. 2.Communication and Utilization: The results of the stains must be communicated to and used by the treating physician in the patient's treatment plan. 3.Documentation: The pathologist must document in the pathology report the rationale for performing the additional stains. *Prohibitions and Requirements: -A statement in the pathology report that merely says "IHC confirms the diagnosis" will not be considered sufficient for coverage. -The necessity of the stains must be justified with specific documentation within the surgical pathology report, detailing why the stains were performed and the results obtained. *Specifics of the LCD L36805 (WPS): -This policy emphasizes that reflex templates or pre-orders for special stains and IHC stains before reviewing the routine hematoxylin and eosin (H&E) stain by the pathologist are not considered reasonable and necessary. -Only the pathologist may determine the need for special stains after reviewing the routine H&E stain. -Exceptions include recognized standards of care in certain biopsies and the suspicion of infectious diseases. *Specifics of the LCD L35922 (Palmetto): -Like WPS, Palmetto’s policy requires detailed documentation of the medical necessity for special stains or IHC studies and their results in the pathology report. -The policy delineates scenarios where over-utilization or incorrect billing of these stains may occur, such as the use of pre-orders for special stains without prior review of the H&E stain. Implications for Pathologists and Healthcare Providers These determinations highlight the critical role of pathologists in ensuring that the use of special stains and IHC stains is both necessary and properly documented. Healthcare providers must ensure compliance with these guidelines to secure Medicare coverage for these diagnostic tests. Proper documentation and communication with treating physicians are paramount to adhere to these new standards. For further details, you can review the complete LCDs on the CMS website using the following LCD IDs: L36805 and L35922. #Medicare #Healthcare #Pathology #MedicalNecessity #IHCStains #SpecialStains #Palmetto #WPS

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Impact of Policy Changes on SNF Billing Let's know about how recent policy changes affect Skilled Nursing Facility (SNF) billing: 🔹Understand new reimbursement rules. 🔹Adapt to updated documentation requirements. 🔹Navigate changes in Medicare/Medicaid guidelines. 🔹Prepare for potential shifts in billing procedures. Ready to navigate these changes effectively? Let's discuss how they impact SNF billing practices today! Know more: https://bit.ly/452uyGo For more insights, Contact 24/7 Medical Billing Services for a free consultation at  888-502-0537 / info@247medicalbillingservices.com. #SNFBilling #HealthcarePolicy #MedicalBilling #MedicareBilling #HealthcareRegulations #SNFReimbursement #HealthcareFinance #BillingCompliance #MedicalBilling #LongTermCare #SkilledNursingFacilities #BillingUpdates #ReimbursementRates #SkilledNursingFacilityBilling #247MedicalBillingServices

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Gain in-depth knowledge of elder care. Learn about physiological and cognitive changes, fall risk management, and medication safety. Develop expertise in elder abuse prevention and comprehensive end-of-life care, including hospice. https://shorturl.at/c1paP #eldercare #medicalsafety #onlinecourses

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IMPORTANT READ: NAHC & NHPCO Joint Statement: CMS Revises Guidance on Implementation of Hospice Certifying Physician Enrollment Requirement https://lnkd.in/etBBngX8

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Whitepaper on How to Start or Expand Your Direct Primary Care Practice Discover our comprehensive guide to initiating and growing your Direct Primary Care (DPC) practice. This resource covers everything from setting up your practice to scaling your services effectively. Key Highlights: - Step-by-step initiation process - Strategies for attracting and retaining patients - Efficient practice management tips - Best practices for expanding your DPC services Whitepaper Link: https://lnkd.in/d-YAK54p Join the growing community of DPC practitioners who are transforming healthcare delivery. Access our guide and take the first step towards a more fulfilling and sustainable practice. #directprimarycare #healthcareinnovation #practicemanagement #patientcare #healthcarereform #dpcgrowth #medicalpractice #physicianentrepreneur #healthcaretransformation

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Occupational therapists are instrumental in assessing and documenting patients' functional status in Section GG. This section measures various activities, such as mobility, self-care, and communication, to ensure tailored care plans and proper reimbursement. So, why does it matter? Accurate Section GG reporting ensures patients receive the right care and helps facilities receive appropriate reimbursement for the services they provide. It's a win-win for both patients and healthcare providers! Want to learn more about billing under Medicare? Get your FREE guide at Amplifyot.com/billing #otadvocate #occupationaltherapy #OTadvocacy #occupationaltherapist #occupationaltherapyassistant #occupationaltherapystudent #OTpractice #otpolicy

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Keys to Success in Medical Nutrition as Therapy Medical Nutrition Therapy (MNT) billing can be tricky, but follow these tips for success: 🔹CPT Code Mastery: Become a whiz with Current Procedural Terminology (CPT) codes for MNT services. Understanding these codes ensures you bill accurately and receive maximum reimbursement. 🔹EHR: Streamline Your Workflow Leverage an Electronic Health Record (EHR) system to streamline documentation, claim submission, and overall workflow. An EHR can help ensure accurate coding and timely claim filing. 🔹Stay Compliant: Maintain a deep understanding of ever-changing insurance policies and regulatory requirements to minimize claim denials. 🔹Consider Outsourcing: Explore 24/7 Medical Billing Services to free yourself up for patient care. ⚖️ Contact now: https://bit.ly/4bCTtV3 📞 888-502-0537 📧 info@247medicalbillingservices.com 🌐 https://bit.ly/474HBsE #MNTbilling #nutrition #healthcare #RDN #dietitianbilling #nutritionastherapybilling #247MedicalBillingServices

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BMI is a key indicator that helps measure body fat based on your height and weight. It is a crucial first step in defining realistic health goals and crafting a weight loss plan that is tailored just for you. Why is BMI so important? It categorizes your weight range, helping you and your healthcare provider understand where you stand — whether you are underweight, at a healthy weight, overweight, or obese. This information is vital because it relates directly to your risk for diseases such as diabetes, heart disease, and other health conditions associated with obesity. By monitoring your BMI regularly, with Beek Health, you can gauge the effectiveness of your weight loss strategy and make necessary adjustments to your diet and exercise routine. Keeping a close eye on your BMI not only helps you stay on track but also motivates you to maintain a healthy lifestyle. #weightloss #weightlossjourney #healthdata #healthinsights

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Enroll in our program at Case Management University to learn why ethics matter: explore why nurses must embrace non-maleficence for better patient outcomes in case management.  #PatientSafetyFirst #EthicalCare #NonMaleficence #casemanagement #socialwork #carecoordination #patientadvocacy #healthcaremanagement #casecoordination #clientcare #supportservices #careplanning #dischargeplanning #ethicsinhealthcare #physicianadvisor #rehabilitationfacilities #hospitalcare #healthcareethics #nurse #nursingstudents #utilizationreview

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The Critical Role of Conservative Therapy in Pain Management Practices Across payers, the core objective of conservative therapy guidelines remains steadfast: to enhance patient outcomes while mitigating the need for invasive interventions. While interventional procedures offer targeted pain relief, conservative therapies serve as the cornerstone for pain management, fostering holistic improvement. Insurance directives mandate conservative therapy either as a precursor or in conjunction with invasive interventions, ensuring patients receive comprehensive care while minimizing unnecessary procedures. 1. Evidence-Based Practices: Payers prioritize proven therapies like physical therapy, chiropractic care, and cognitive behavioral therapy for pain relief. 2. Patient-Centered Care: Tailored treatment plans are encouraged, involving patients in decision-making. 3. Stepwise Approach: Gradual progression of therapies ensures appropriate care with minimal risk. 4. Documentation: Clear records are essential, documenting treatment rationale and adjustments. 5. Compliance with Guidelines: Payers often reference established clinical guidelines to shape their coverage policies. Providers are encouraged to align with these guidelines, integrating them into their decision-making processes. By embracing these fundamental principles, Pain Management Practices can confidently navigate payer guidelines. Collaboration and communication are vital in ensuring optimal patient care while meeting payer requirements. Stay tuned for forthcoming articles where we will delve deeper into these topics. #ConservativeTherapy #PayerGuidelines #PainManagement #MedicalDocumentation #Compliance

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For professional help, Reach out to Ark Medical of Las Vegas! #arkmedical #ARKMEDICAL #lasvegas #urgentcare #primarycare #urgentcareoflasvegas #primarycareoflasvegas #telementalhealth #mentalhealthsupport #MentalHealthAwareness #mentalhealthservices #ProfessionalHelp #behavioralpsychology #communication #connection #behavior #behaviour #behaviourmanagement #behaviouralscience #behaviormanagement