Solix Inc.’s Post

🚨The resumption of Medi-Cal redeterminations has led to many Angelenos losing coverage unnecessarily due to outdated contact info or lack of awareness to look out for the renewal paperwork. 🔄 In efforts to raise awareness and keep Angelenos covered, L.A. Care Health Plan and Health Net are teaming up with the Los Angeles County Office of Education to spread crucial info on updating renewal forms for students and parents across LA County schools. 🤝📚 The digital toolkits provide vital info for schools to share: 1️⃣ Update your contact info with the county. 2️⃣ Create/check your http://spr.ly/6049Rpt7T account. 3️⃣ Watch your mail for renewal packets or notifications. 4️⃣ Complete your renewal form if received. Schools are crucial partners in spreading the word and staying informed! 💙 #MedicaidRenewals #LACare #LosAngelesCOE #Medicaid #redetermination Read more: http://spr.ly/6040Rpt7p

The enrollment boom of Medicare Advantage continues with now over 50% of Medicare beneficiaries enrolled in MA plans. This is good news for quality and utilization. Researchers found that MA enrollees have more than 50% fewer inpatient hospital stays and 22% fewer ER visits than those enrolled in traditional Medicare. Is anyone surprised that paying by the procedure results in higher utilization? It appears FFS is an appropriate acronym for this model of care... #medicareadvantage #medicare #feeforservice #valuebasedcare

On April 22, 2024, CMS issued the Minimum Staffing Standards for Long-Term Care (LTC) Facilities and Medicaid Institutional Payment Transparency Reporting final rule. While the final rule by CMS reflects an intention to foster the provision of high-quality care for numerous residents of LTC Facilities in the U. S. it is not overlooked that the rule can create some great concern for those working in the industry. Attorney Kevin K. Peek tells you all you need to know in the latest Long Term Care and Senior Living Blog. Dive into the details here: https://bit.ly/3WpJxce #LongTermCareFacilities #LongTermCare #StaffingStandards #Medicaid #NursingHome #NursingHomes #Medicare #NusingHomeStaffing #HealthLaw #HealthLawAttorney #HealthLawAttorneys #LegalInsight #Lawyers #Attorneys #LawBlog #LegalBlog

Providing thorough guidance on legal, compliance, and operational issues challenging health care providers today, AHLA’s Institute on Medicare and Medicaid Payment Issues is the country’s premier legal education opportunity relating to federal health care payment programs Gain Essential Insights Today: https://bit.ly/4aTkh37

CMS Takes Steps to Aid Hospitals in EMTALA Compliance The Department and CMS are launching a campaign to ensure access to emergency healthcare. This includes providing clear EMTALA information, distributing training materials, and establishing a dedicated HHS team to support hospitals. The plan addresses increased inquiries and emphasizes CMS's commitment to facilitating access to emergency medical care under federal law. The Biden-Harris Administration continues to uphold patient access to entitled care, including defending abortion care before the Supreme Court. We at Medical Billers and Coders (MBC) cater to EMS billing services to boost your practice insurance collection and help physicians practicing in the USA to manage their RCM, credentialing, and medical billing for over 30+ specialties. Request a call now: https://bit.ly/497K1Hk or Call now directly on: 888-357-3226   #MBC #RCM #CMS #HHS #EMTALA #RCMServices #MedicalBilling #EMSBilling #MedicalBillingandCoding #DenialManagement #RevenueCycleManagement #MedicalBillersandCoders 

Some of Medicare's rules are found in the Medicare Benefit Policy Manual. Despite getting Board Certified in Geriatric Physical Therapy in 2020, my knowledge was limited before going into Utilization Review. There are 4 important chapters to know if you're a RN or PT/OT/SLP who works in either: 1️⃣ Utilization Review 2️⃣ Inpatient Rehab 3️⃣ Home Health 4️⃣ Skilled Nursing Facilities Type CMS in the comments if you're interested in learning more about Medicare Guidelines! https://lnkd.in/exSpAYZd

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) announced it expects to recoup billions of dollars in Medicare, Medicaid and other health and human services funds. 📲 Continue reading now: https://lnkd.in/gsfhce-N #HealthcareFinance #HHSOIGReport #MedicareMedicaid #GovernmentAudits #BillionDollarRecoupment *This is intended to provide general information, not legal advice. Please contact the authors if you need specific legal advice. Authors: Isabelle Bibet-Kalinyak, Edward Yun, and Cindy Liba

On 3/28/24, Centers for Medicare & Medicaid Services (CMS) issued the Fiscal year (FY) 2025 Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNF) proposed rule for fiscal year 2025 which begins on October 1, 2024, and ends on September 30, 2025 which included a proposed SNF PPS rate update of 4.1%. Powerback Rehab will collaborate with industry leaders to develop positions on various aspects of the Proposed Rule and submit our comments. https://bit.ly/4aaHI72 #regulatory #healthcare #powerbackrehab

BREAKING - HHS ADDS INFO BLOCKING PENALTIES FOR HOSPITALS. Providers that knowingly interfere or prevent patients from accessing medical information, EHR use and information exchange will face penalties going forward.  Those penalties include: 1. Hospitals, physician groups and clinicians being stripped of meaningful use status for the calendar year of the EHR reporting period when the Office of Inspector General refers its determination to CMS. If one clinician within a group is blocking information, but not the whole group, the penalty will only apply to the offender. 2. Critical access hospitals risk seeing payment reduced to 100% of reasonable costs. 3. Clinicians in ACOs may be ineligible to participate in the ACO for at least one year, and they may not be able to receive revenue earned through the Shared Savings Program. HHS reserved the right to create additional disincentives in the future. The new rules add to existing penalties for IT companies and developers, which face a fine of up to $1 million for information blocking. #hospitals #patients #personalinformation #accesstocare #accesstopersonalhealthrecords #penaltiestohospitals #HHS #Medicaid #Medicare #Florida

IMPORTANT UPDATE: There will be a temporary pause in distributing Comparative Billing Reports (#CBRs) and Program for Evaluating Payment Patterns Electronic Report (PEPPERs) as #CMS works to improve and update the program and reporting system. This pause will remain in effect through the fall of 2024. #healthcare #medicine #business #education