Healthcare in the United States

Stop Leaving Revenue On The Table: Simplifying Behavioral Health Insurance Billing -- A Free Webinar By TenEleven Group & OPEN MINDS

Retrieved on: 
Monday, August 2, 2021
Healthcare in the United States, Revenue Cycle Management, Health insurance, Billing, Health insurance in the United States

GETTYSBURG, Pa., Aug. 2, 2021 /PRNewswire/ --On August 31, 2021 at 1:00 pm EDT, OPEN MINDSwill host a webinar, Stop Leaving Revenue On The Table: Simplifying Behavioral Health Insurance Billing , courtesy of TenEleven Group.

Key Points: 
  • GETTYSBURG, Pa., Aug. 2, 2021 /PRNewswire/ --On August 31, 2021 at 1:00 pm EDT, OPEN MINDSwill host a webinar, Stop Leaving Revenue On The Table: Simplifying Behavioral Health Insurance Billing , courtesy of TenEleven Group.
  • During this event, Jonathan King, Director of Revenue Cycle Management at TenEleven Group, will dive into the best practices for maintaining a healthy revenue cycle for behavioral health organizations.
  • A complicated insurance billing landscape and the disconnect between payers and providers have compounded the stress providers experience surrounding revenue generation.
  • Don't miss Stop Leaving Revenue On The Table: Simplifying Behavioral Health Insurance Billing onAugust 31 at 1:00 pm ETto understand why insurance billing is so complicated and learn how to avoid common mistakes.

St. Vincent Health Moves its Operations to the Cloud with Infor

Retrieved on: 
Monday, August 2, 2021
Health care, Health, Healthcare in the United States, Primary care, Urgent care center, St. Vincent Health, Saint Vincent

St. Vincent Health leaders recognized that moving to Infor CloudSuite Healthcare, built on Amazon Web Services (AWS), would help them better manage their most vital resources: people, supplies, clinical data and financial assets.

Key Points: 
  • St. Vincent Health leaders recognized that moving to Infor CloudSuite Healthcare, built on Amazon Web Services (AWS), would help them better manage their most vital resources: people, supplies, clinical data and financial assets.
  • "St. Vincent Health decided to partner with Infor because their solutions offer cost savings while freeing up local resources, and our teams are able to remain agile in an ever-changing industry.
  • "Having this key business information together in real time will help decision makers at St. Vincent Health make more-informed decisions.
  • In addition to primary care and urgent care at St. Vincent Family Health Center, the new St. Vincent Health will offer emergency medicine, rehabilitative therapies, laboratory, imaging, inpatient care, sleep studies and wound care.

Constantine Cannon LLP: US Justice Department Intervenes in Whistleblower Suits Against Kaiser Permanente Alleging Extensive Fraud in Its Multi-Billion-Dollar Medicare Advantage Business

Retrieved on: 
Monday, August 2, 2021
Healthcare in the United States, Healthcare reform in the United States, Managed care, Medicare Advantage, UnitedHealth Group, Medicare, False Claims Act, UHG, Health in the United States, Health

CMS risk-adjusted payments for members with certain conditions under Medicare Advantage (also known as Medicare "Part C") average roughly $3,000 per year per condition.

Key Points: 
  • CMS risk-adjusted payments for members with certain conditions under Medicare Advantage (also known as Medicare "Part C") average roughly $3,000 per year per condition.
  • The government's intervention focuses on unsupported diagnosis codes that Kaiser allegedly improperly added through addenda to patients' medical records.
  • Similar one-way chart reviews are at the core of the United States' massive lawsuit against UnitedHealth Group (UHG), in which Constantine Cannon represents the whistleblower.
  • Constantine Cannon also represents Kathy Ormsby in a False Claims Act suit against Sutter Health and its affiliates over similar claims of Medicare Advantage fraud.

Centene Affiliate Wellcare Of North Carolina To Partner With Selected Behavioral Health I/DD Tailored Plans

Retrieved on: 
Monday, August 2, 2021
Healthcare in the United States, Health care, Health, WellCare, Centene Corporation, Managed care, Federal assistance in the United States, Healthcare reform in the United States, Medicaid managed care, Medicaid, North Carolina Department of Health and Human Services

ST. LOUIS, Aug. 2, 2021 /PRNewswire/ -- Centene Corporation (NYSE: CNC) announced today its North Carolina subsidiary, WellCare of North Carolina, will help coordinate physical health services for multiple Local Management Entities/Managed Care Organizations (LME/MCOs) for the state's Behavioral Health and Intellectual/Developmental Disability Tailored Plans (Behavioral Health I/DD Tailored Plans).

Key Points: 
  • ST. LOUIS, Aug. 2, 2021 /PRNewswire/ -- Centene Corporation (NYSE: CNC) announced today its North Carolina subsidiary, WellCare of North Carolina, will help coordinate physical health services for multiple Local Management Entities/Managed Care Organizations (LME/MCOs) for the state's Behavioral Health and Intellectual/Developmental Disability Tailored Plans (Behavioral Health I/DD Tailored Plans).
  • The North Carolina Department of Health and Human Services announced that awardees are anticipated to begin operating as Tailored Plans on July 1, 2022.
  • WellCare of North Carolina began operations for DHHS' Medicaid Managed Care program as a Standard Plan on July 1, 2021.
  • With the implementation of North Carolina's Behavioral Health I/DD Tailored Plans, WellCare of North Carolina will contract withits LME/MCO partners as a Standard Plan partner.

ChrysCapital-backed GeBBS Healthcare Acquires Aviacode

Retrieved on: 
Monday, August 2, 2021
Articles, Business, Economy, Business process, Information technology management, Healthcare in the United States, Revenue Cycle Management, Workflow, Outsourcing

Aviacode clients will benefit from GeBBS' end-to-end revenue cycle management services, workflow/automation tools and large geographic footprint.

Key Points: 
  • Aviacode clients will benefit from GeBBS' end-to-end revenue cycle management services, workflow/automation tools and large geographic footprint.
  • Through this acquisition GeBBS Healthcare will expand its US based delivery capabilities and its medical coding/audit/CDI services portfolio.
  • GeBBS and Aviacode share a common vision of improving coding quality and reducing the administrative burden on providers," said Milind Godbole, CEO and Managing Director, GeBBS Healthcare.
  • GeBBS acquisition of Aviacode will create a national leader in the fully outsourced end-to-end revenue cycle services and technology market," said Keith Hagen, CEO, Aviacode.

Highmark Health, Highmark Inc. and Allegheny Health Network announce new members to boards of directors

Retrieved on: 
Thursday, July 29, 2021
Healthcare in the United States, Health insurance in the United States, Highmark, PENNSYLVANIA, States of the United States, Allegheny Health Network, Pittsburgh, William Winkenwerder Jr.

PITTSBURGH, July 29, 2021 /PRNewswire/ --Highmark Health, Highmark Inc., and Allegheny Health Network (AHN) announced today several appointments to and retirements from their boards of directors, effective immediately.

Key Points: 
  • PITTSBURGH, July 29, 2021 /PRNewswire/ --Highmark Health, Highmark Inc., and Allegheny Health Network (AHN) announced today several appointments to and retirements from their boards of directors, effective immediately.
  • "Joseph, Farnam, and Morgan bring a great variety of skills and experience to the Highmark Health board," shared Joseph Guyaux, chairman of the board of Highmark Health.
  • Highmark Health, a Pittsburgh, PA-based enterprise that employs37,000 people who serve millions of Americans across the country, is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions.
  • Allegheny Health Network (AHN.org), a Highmark Health company, is an integrated health care delivery system serving the greater Western Pennsylvania region.

Commission for Case Manager Certification's new board leadership confirms commitment to certification value and accessible, practical professional development

Retrieved on: 
Thursday, July 29, 2021
Case management, Healthcare in the United States, Insurance in the United States, Certification, Professional certification, Health sciences, Articles, Health care, Nursing credentials and certifications

MOUNT LAUREL, N.J., July 29, 2021 /PRNewswire/ -- The Commission for Case Manager Certification announced its slate of 2021-2022 officers today.

Key Points: 
  • MOUNT LAUREL, N.J., July 29, 2021 /PRNewswire/ -- The Commission for Case Manager Certification announced its slate of 2021-2022 officers today.
  • The Commission oversees the organizations that provide certification for more than 50,000 professional case managers and disability management specialists nationwide.
  • The Commission for Case Manager Certification is the first and largest nationally accredited case management certification organization, credentialing more than 50,000 professional case managers and disability management specialists.
  • The Commission is a nonprofit, volunteer organization that oversees the process of case manager certification with its CCM and CDMS credentials.

CareCloud’s Business Intelligence Platform Key in Assisting Providers Identify Revenue-Generating Opportunities

Retrieved on: 
Wednesday, July 28, 2021
Articles, Health, Health informatics, Technology, Healthcare in the United States, CareCloud, Assistive technology, Revenue Cycle Management, Telehealth, Electronic health records, Greenway Health, American Well

SOMERSET, N.J., July 28, 2021 (GLOBE NEWSWIRE) -- CareCloud, Inc. (Nasdaq: MTBC) (Nasdaq: MTBCP), a leader in healthcare technology solutions for medical practices and health systems nationwide, is proud to announce that its leading healthcare analytics and business intelligence platform, PrecisionBI (PBI), has proven to be an indispensable solution for practices looking to consolidate, manage and leverage their financial, clinical, and business data across their enterprise.

Key Points: 
  • CareClouds PrecisionBI (PBI) solution experiences client growth of 20% as providers discover revenue-saving potential of healthcare analytic tools.
  • PrecisionBI is a leading healthcare analytics and business intelligence platform that enables practices to make better financial, clinical, and operational decisions.
  • More than 40,000 providers count on CareCloud to help them improve patient care while reducing administrative burdens and operating costs.
  • Learn more about our products and services including revenue cycle management (RCM), practice management (PM), electronic health records (EHR), business intelligence, telehealth and patient experience management (PXM) at www.carecloud.com .

NextGen® Population Health Solutions Enable Delaware Valley Community Health to Identify and Treat Vulnerable Patients

Retrieved on: 
Wednesday, July 28, 2021
Health, Infectious diseases, Technology, Other Technology, Other Health, Fitness & Nutrition, General Health, Health, Articles, Health Economics, Healthcare in the United States, Electronic health records, NextGen Healthcare, Primary care, Federally Qualified Health Center, Health care, Health equity, Population health, NextGen® Population Health, Delaware Valley Community Health, Inc., NextGen Healthcare, Inc., NEXTGEN® POPULATION HEALTH, DELAWARE VALLEY COMMUNITY HEALTH, INC., NEXTGEN HEALTHCARE, INC.

NextGen Healthcare was recently recognized in the 2021 Population Health Vendor Overview Report as a highly rated vendor working with FQHCs.

Key Points: 
  • NextGen Healthcare was recently recognized in the 2021 Population Health Vendor Overview Report as a highly rated vendor working with FQHCs.
  • As a longtime user of NextGen Enterprise EHR , DVCH clinics began utilizing NextGen Population Health to identify patients at the chart level and address health disparities and other barriers facing COVID-19 vaccination administration.
  • NextGen Population Health allows us to make proactive outreach to the most vulnerable patients in our communities to get them vaccinated in priority order, said Isaiah Nathaniel (CPHIMS), chief information officer for Delaware Valley Community Health.
  • Click here to learn how Delaware Valley Community Health is leveraging connected health solutions to deliver whole-person care.

Oak Street Health Launches “Meet Me At Oak Street” Series of Community Events for 100,000 Older Adults Across The Country

Retrieved on: 
Wednesday, July 28, 2021
General Health, Seniors, Consumer, Health, Managed care, Federal assistance in the United States, Healthcare reform in the United States, Liberalism in the United States, Medicare, Presidency of Lyndon B. Johnson, Healthcare in the United States, Health

In June, Oak Street Health officially reopened all community rooms - an area where patients and community members alike can gather for activities including exercise, entertainment or computer use.

Key Points: 
  • In June, Oak Street Health officially reopened all community rooms - an area where patients and community members alike can gather for activities including exercise, entertainment or computer use.
  • The Meet Me At Oak Street events will provide food and entertainment, as well as an opportunity for older adults to meet with Oak Street Health care teams and get tours of the center.
  • Those interested in attending a Meet Me At Oak Street event can visit https://www.oakstreethealth.com/locations for more information about their local center or call (800) 559-2023.
  • Founded in 2012, Oak Street Health is a network of value-based primary care centers for adults on Medicare.