Understanding Prior Authorizations for Ohio Healthcare Providers
Beyond treating patients, healthcare professionals often find themselves spending time with administrative, billing and credentialing issues. This step seems trivial, but it is a vital piece of any medical practice’s revenue cycle. If prior or...
Gene Therapy, Aetna, Anthem and UnitedHealthcare
Amazing breakthroughs have recently occurred in the field of gene therapy. These new therapies are providing hope for individuals who suffer from terminal conditions. Yet, gene therapy treatments are expensive. This expense has created concern over...
CMS Proposes Interoperability Requirements
The Centers for Medicare & Medicaid Services (CMS) has released a proposal that is catching the attention of medical practitioners and health systems. The CMS is proposing changes to their interoperability requirements which has raised some...
Nursing Shortage in Ohio and Across the Nation
Across the United States, there is a growing shortage of healthcare professionals. The state of Ohio is no expectation for this trend. In the Buckeye state, there is a shortage of nurses in a variety of healthcare settings. But the nations rapidly...
How does a Recession Impact Healthcare Providers?
Recently, there has been substantial talk of an approaching economic recession in the United States. Economic downturns are disruptive to people’s livelihood, with nearly everyone in the economy financially, economically and physically impacted....
Medicare Advantage Plans: Expansion and Potential Problems
In recent years, Medicare Advantage Plans have become increasingly common. The use of these insurance plans is expanding across the nation, with a variety of companies now offering Medicare Advantage Plans. However, these plans also present some...
Humana & United Healthcare Increase Their Use of Bundled Payments
The use of bundled payments was one of the predictions that healthcare industry observers had argued would take place in the future. There was even some bundled payment language in the Affordable Care Act (ACA). The Centers for Medicare and Medicaid...
Major Ohio Health Systems Expand Their Presence in the State
Three major health systems in the state of Ohio have recently expanded, or plan to, expand their presence in the Buckeye state. Cleveland Clinic, OSU Wexner Medical Center and OhioHealth are all expanding their healthcare delivery footprint. This...
EVV for Providers of Phase 2 Services and eWebSchedule
For Ohio Medicaid Waiver Providers, the topic of electronic visit verification (EVV) has been a popular topic. The federal government is mandating that all I-DD Phase 2 service providers use EVV in their billing transactions. This has created some...
