October 2021 - Allzone

October 30, 2021
Blog, Medical Coding
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CPT Code Set Adds Code for J&J COVID-19 Vaccine Booster

AMA updated the CPT code set to accommodate the new mix-and-match COVID-19 vaccine booster strategy endorsed by the federal government. The update comes on the heels of a decision from the Federal Drug Administration (FDA) to authorize booster doses of Janssen’s COVID-19 vaccine. The federal agency has recommended a booster dose of the vaccine […]

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October 29, 2021
Blog, Medical Billing
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How 5 Steps For Transforming Patient Access Saved $20M

‘If you can get it right up front, you’re ensuring accuracy, preventing rework, and preventing denials,’ says Alicia Auman, director of patient access at KSB Hospital. Patient access plays a tremendously important role within the revenue cycle, which is why Alicia Auman, director of patient access at KSB Hospital in Dixon, Illinois, has worked […]

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October 28, 2021
Blog, Medical Coding
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The Impact of Coding on Maternal Outcomes: Part II

Coding blood transfusions on maternity patients saves lives. If you are a “frontline” coder buried in the minutiae of day-to-day coding, discussions about quality initiatives may not be in the forefront of your brain. We often hear of the importance of these programs in improving patient outcomes, and how critical “accurate and consistent” coding is. […]

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2022 Medicare Advantage Plan Overview, Part Three: Social Determinants

“Medicare Advantage plans have a unique and growing opportunity to address the needs of socioeconomically vulnerable populations and improve their health,” reports America’s Health Insurance Plans. More plans for individuals with low incomes, as well as targeted SDOH investments and initiatives, round out carrier approaches. On the benefits side, offerings such as meals, transportation, […]

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Doomed Next Gen ACO program saved Medicare $637M last year

The data, released Thursday by the Centers for Medicare & Medicaid Services (CMS), come as ACO advocates want the agency to give organizations more options to take on financial risk. CMS has shuttered the program in favor of the Direct Contracting model. “Many Next Gen ACOs aren’t moving into Direct Contracting and have expressed a […]

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More Medicare Advantage plans will offer nonmedical benefits in 2022, finds Avalere

More plans will offer meals, nutrition, transportation or in-home support services at a $0 premium in 2022. Ahead of the annual election period, which began on October 15, the Centers for Medicare and Medicaid Services published information on MA and Part D plan (PDP) premiums, benefit offerings and star ratings. Avalere analyzed that data […]

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2022 Medicare Advantage Plan Overview, Part Two: Portfolio Strategy And Leading Carriers

The ideal value chain for any industry or company is one built for lifelong customer retention and loyalty. One component of such a chain is a portfolio strategy that continues to offer maximum choice and affordability. For insurers in the Medicare market, this equates to a mix of plan designs and standalone prescription drug […]

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Key Characteristics for Successful Downside Risk Contracting

Organizations that do strong vendor relationships, invest in the organization, and are willing to take on commercial risk will be poised to take on downside risk financial contracts. Through working with population health management vendors, KLAS released a recent report identifying which of their customers are most advanced in adopting downside risk contracts. In the […]

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The Leaders Say Efficiency, Not Finances, Is Top Rev Cycle Rpa/ai Benefit

More than 80% of leading health systems that are using RPA/AI say their primary reason for investing in the technology was improving financial performance, but once the technology was in use, they said efficiency was the top benefit. The reasons that leading health systems initially invest in robotic process automation (RPA) and artificial intelligence (AI) […]

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Patient Financial Engagement Technology Going Beyond Collections

A new KLAS report shows that patient financial engagement technology should do more than process payments so providers can boost revenue while improving the patient experience. Early adopters of the technology report that solutions implemented primarily to process payments are “outdated and inaccurate,” resulting in low satisfaction among both patients and providers, revealed the […]

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Month: October 2021

CPT Code Set Adds Code for J&J COVID-19 Vaccine Booster

How 5 Steps For Transforming Patient Access Saved $20M

The Impact of Coding on Maternal Outcomes: Part II

Doomed Next Gen ACO program saved Medicare $637M last year

More Medicare Advantage plans will offer nonmedical benefits in 2022, finds Avalere

2022 Medicare Advantage Plan Overview, Part Two: Portfolio Strategy And Leading Carriers

Key Characteristics for Successful Downside Risk Contracting

The Leaders Say Efficiency, Not Finances, Is Top Rev Cycle Rpa/ai Benefit

Patient Financial Engagement Technology Going Beyond Collections

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