Bundled Post Acute and Rural Providers

post acute care

Rural health care centers may take a hit with the passing of site-neutral payments for post acute care. And with rural residents and veterans already struggling with access to the care they need, post-acute care has been a point of contention to people on both sides of the issue.

So what’s happening with bundled post acute care at the moment? Let’s take a look.

The NCQA Wants Your Feedback on the Patient-Centered Medical Home Program

The NCQA’s Patient Centered Medical Home program has been running since 2008 but over the past few years it has gone through some substantial revisions. Now the NCQA is asking for people in field, both who are providing care and receiving care, to help make the PCMH program the best it can be. Here are the basics you need to know:

Updated Pharmacy Expectations for Critical Access Hospitals

pharmacy

According to a recent press release, a January 16th notice to state survey agencies gave new details about Medicare’s rules for compounding practices and other pharmacy activities at critical access hospitals.

A substantial portion of the 93-page CMS report addresses pharmacy practice, including sterile and nonsterile compounding; infection prevention and control; medication safety, handling, administration, and storage; and contracted operations.

The CPPA Specialty Pharmacy Accreditation

cppa accreditation

Specialty pharmacy is a growing industry and with many pharmacies moving toward accreditation, the process can get overwhelming. The following infographic will review the basics of the CPPA Specialty Pharmacy Accreditation, from what is considered a specialty pharmacy to how organizations can start the process.

10 Tips for Minimizing Denials

Revenue Cycle Management

No medical practice likes a high denial rate. Not only does it negatively impact your practice’s revenue cycle, but it makes things more difficult and frustrating for your patients, too.

So what are some tips for minimizing denials? This post goes over some of the most common causes for denied claims and can help you get back on the right track.

FAQs on NCQA Health Plan Accreditation

HPA NCQA

There’s a lot to learn when you’re considering accreditation, and NCQA is no exception. That’s why today, we wanted to cover some of the most frequently asked questions surrounding the NCQA health plan accreditation process, the numbers, and more. Ranking NCQA ranks many different types of organizations each year. In fact, according to their website, […]

Pharmacy May Be The Answer To Reducing Healthcare Costs

pharmacy

Back in March, we talked about how the role of the pharmacist in the healthcare ecosystem has been expanding over the past decade. In addition to simple medication fulfillment, pharmacist now complete crucial patient aftercare, education, and vaccination administration. Many believe as the role of the pharmacist expands, they could become the key to reducing all kinds of healthcare costs. Here are three ways pharmacy is helping save costs for healthcare.

The Anatomy of A Denied Claim

Claim Denials

Denied claims cost healthcare organizations a lot of money each year. Often times, the denials could have been easily avoided. Let’s look at the anatomy of a denied claim.

NCQA Accreditation Levels

If you’re considering NCQA accreditation, it’s important to understand the different levels that can be achieved. These status levels are based on compliance and performance reviews through NCQA and say quite a bit about your organization.

Let’s take a look at the different levels.