BHM Services

Maximizing Reimbursement Despite Recent Cutbacks

2024-06-26T10:40:21-04:00By |Accountable Care Organizations, Financial, Financial Analysis, Health Care Reform, Readmissions, Services|

The healthcare sector as we know it is changing rapidly. Reimbursement cutbacks are rampant. How are you coping with these changes? Are you maximizing reimbursement? Are you analyzing your revenue cycle? Are you reviewing and auditing your claim denials? Have you looked at scheduling? How about billing and coding?

Medicaid Signups Are a Dual-Edged Sword for Healthcare

2024-07-26T08:12:53-04:00By |Health Care Reform, Health Insurance Exchange, Medicare and Medicaid, Services|

With a couple of months under the belt of the exchanges, a surprise is made evident as to the largest group of enrollees – Medicaid. Medicaid signups are a dual-edged sword for healthcare. With the passing of the Affordable Care Act of 2010, one of the main goals was to provide affordable healthcare to more Americans. To this avail, many provisions were enacted, such as expanding Medicaid and creating health insurance exchanges.

Transitioning From Volume to Value and from Quantity to Quality

2024-06-26T10:34:42-04:00By |Accountable Care Organizations, Care Coordination, Health Care Reform, Services|

The transitioning from volume to value and from quality to quality is at the moment a bit of a juggling act. Medicare continues to reimburse based on a fee-for-service basis which rewards based upon volume and quantity while simultaneously moving toward a payment system based upon value and quality. Two completely opposite ends of the spectrum trying to exist concurrently. Two different philosophies and mindsets with different goals are colliding

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