April DeSantis

Sign up today for HCIQ's new webinar, 7 Proven Strategies to Minimize Health Plan Spend, happening May 21 at 11 am CST. This webinar will provide practical ways for self-insured entities to lower health plan expenses and comply with the CAA. It'll also explore what’s available in your claims data and how you can leverage this intel to be a responsible fiduciary. https://hubs.ly/Q02vHHLF0

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The November release of Claims Rx, “Unexpected Outcomes: Investigate, Communicate, Document”, is now available. This article will discuss how to use systems thinking and effective communication as it relates to preventing or responding to an unexpected outcome. The benefit and importance of documentation will also be discussed. Communication with a patient or family member is just as important as the medical care you are providing. Listen with intent to understand, not to respond. https://hubs.la/Q02Z3Q7b0

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Optimize your self-funded healthcare plan with an MSL group captive structure. #MSL #groupcaptives #captives #medicalstoploss #insurance #insurancecompany https://hubs.ly/Q02SRRhK0

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Did you know? Effective Revenue Cycle Management (RCM) is the heartbeat of a thriving clinic. From patient registration to final payment, every step in the revenue cycle impacts your bottom line. In the U.S., clinics face unique challenges—rising claim denials, complex insurance requirements, and increased patient responsibility. That’s where a robust RCM strategy comes into play. Streamlining processes like coding, billing, and collections can reduce errors, accelerate payments, and improve financial health. At Health e Practices, we specialize in optimizing RCM, helping clinics achieve MGMA 90th percentile performance on key metrics. Ready to strengthen your revenue flow? Learn more at https://hubs.la/Q02ZgmfJ0. #RCM #HealthcareFinance #ClinicManagement

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Revenue cycle automation plans include autonomous coding and claims management tech, but cost and resource management are major barriers to adoption, KLAS reports. #revenuecycle

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#TuesdayTip from MLMIC Insurance Company Understanding medical information can be hindered by stress, age, illness, etc. Effective communication can improve compliance, safety, the patient experience...and reduce the potential of liability exposure. ✅Tips and checklist: https://loom.ly/-IxlEWM

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With claim denials up 60% in 2024, keeping your practice’s cash flow smooth is more challenging than ever. That’s why Envizion’s proven processes deliver 95%+ clean claims submittals – so you can worry less about denials and focus more on patient care. Ready to take the pain out of practice management? Get a FREE Practice Analysis today! 👉 https://lnkd.in/gvFTQXRH #MedicalBilling #PracticeSolutions #MedicalPractice #EnvizionPracticeSolutions

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5 Common Reasons Medical Claims are Denied – Part 1️⃣: The Pitfalls of Coding Errors A practice can’t achieve an efficient revenue cycle process without understanding the intricacies of medical billing and claim submission. Medical claim denials are one of the top reasons why healthcare practices don’t realize all the revenues they’ve earned from the... The first blog in this 5 part series is live: https://hubs.la/Q02DzNYH0 #medicalbilling #claims #reimbursement #physicianbilling

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Healthcare professionals in Florida face a myriad of regulations and requirements set forth by the Agency for Healthcare Administration and other regulatory bodies. The licensing process involves intricate procedures, strict timelines, and adherence to ever-evolving laws. Watch this video to learn how Howell, Buchan & Strong can help you! https://lnkd.in/e2j76-Jq #AHCA #floridahealthcarelaw #FloridaHealthcare #floridaattorney #floridalawyer #HealthcareLicense

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📊 Claims data is not enough. Are we missing the full picture when it comes to patient care? In our latest feature, our CEO Jeff Wandzura, RPh, dives into a critical issue: the limitations of relying on payment/claims data to measure real-world medication use. As more specialty medications shift from clinics to homes, it’s clear that traditional data streams aren’t keeping up with the evolving landscape of patient care. Jeff shares insights on: 1. Why relying solely on claims data leaves dangerous gaps in understanding patient adherence. 2. The impact of missing visibility into patients' home-based medication journeys. 3. How closing this data gap can improve patient outcomes, especially for complex therapies. 📈 By shifting from retrospective to proactive care, we can help patients get more from their medications while driving smarter interventions. 🔗 Read the full piece here: https://lnkd.in/gEbMxxKp What are the biggest challenges you're seeing in patient support programs today? Comment below and let’s explore what we are seeing. #HealthcareInnovation #PatientCare #PharmaTech #SpecialtyPharmacy #MedicationManagement #RealWorldEvidence #HealthData #PatientSupport #HomeHealthcare #PatientJourney #MedicalTechnology #DigitalHealth #PharmaInsights #ChronicCare

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📢 CMS Updates for LTC Facilities: Medicare Notices 📢 Stay compliant with the latest CMS updates on FTag 582! Key changes to the Notice of Medicare Non-Coverage (NOMNC) and Detailed Explanation of Non-Coverage (DENC) take effect on January 1, 2025. ✅ Educate staff on issuing NOMNC & SNF ABN ✅ Audit recent service terminations ✅ Review policies for compliance Check out our latest article to learn more! #LTC #MedicareCompliance #CMSUpdates

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