Are you interested in learning how to sell Health Insurance Products during Health Care Reform? The health insurance industry has changed and Agent Pipeline's Experts can provide you the Basic Knowledge of Health Care Reform with this simplistic approach to selling on the Marketplace.
An intermediate guide to mastering the Health Insurance Marketplace. This simplistic approach provides unique strategies and assistance for enrolling clients through the Health Insurance Marketplace.
The business of medicine is changing quickly. Government and commercial payers know that we're paying more for healthcare and we're getting worse results. Patients know it too. The role of independent practices, their reimbursement models, and how they care for patients are all changing as a result.
Top 10 Medical Billing KPIs That Show You Where You’re Losing MoneyKareo
If you can’t remember the last time you assessed the efficiency and performance of your medical practice billing, now is the time to do it. Of course, evaluating the entire patient-to-payment revenue process for inefficiencies and issues may be a daunting task for an independent practice. Kareo managed billing expert Marybeth Quesada walks you through some of the key signs that you’re not collecting the amount you should be for the services you provide.
Learning Objectives:
-Assess the performance of your medical billing process
-Cover essential KPIs including denials, rejections and days in A/R
-Review how to audit medical records for under-coding or over-coding
-Gauge the effectiveness of your patient statements process
As 2018 is coming to a close, many independent practices are wondering what to expect in 2019. Patient financial responsibility continues to be a challenge for many practices. The Quality Payment Program (MIPs) continues to evolve. CMS is proposing changes to the way E/M visits are paid. HIPAA data breaches are more prevalent than ever, with several large payers and healthcare organizations receiving large fines in 2018.
In this information-packed webinar, we'll discuss:
-CMS Proposed changes to E/M payment and documentation requirements
-Updates to the Quality Payment Program
-Maximizing payer revenue through fee schedule review and opting out of “Accelerated Payments”
-Understanding generational differences in patient payment habits that will improve your overall patient collections
-Changes to the ACA taking effect in 2019
-HIPAA breaches and how you can mitigate the risk in your practice
7 Strategies to Improve HEDIS Scores and Star RatingsHealthx
In recent years, achieving high scores on HEDIS® measures and Medicare Star Ratings has taken on greater importance for health plans. What was once nice-to-have for marketing purposes has become a must-have for operating in certain lines of business. Here’s why: NCQA Health Plan Accreditation, financial bonuses, and even a plan’s ability to enroll members can be affected by their ratings. If HEDIS Scores and Star Ratings are so important, why don’t more plans work to improve them?
State Reform Survey Workgroup Meeting, February 2015soder145
A year has passed since full ACA implementation, and several states are gearing up for data collection in 2015. To guide this process and generate ideas, SHADAC is convened a web-assisted conference call. Colorado and Oregon shared their experiences selecting new reform-relevant content for their surveys, and researchers from the Urban Institute shared lessons learned from the Health Reform Monitoring Survey (HRMS).
C-Suite Snacks Webinar Series: The Talent Wars - Can Benefits Be Your Secret ...Citrin Cooperman
In today’s candidate-driven job market, offering a competitive benefits package can significantly improve your company’s success in both attracting and retaining talent. In this webinar session, Shaun Gagnon, president and managing partner of Cambridge Insurance Advisors, shares his insights on maximizing your employee benefits to attract employees and combat the talent shortage.
Topics included:
• Trends in open enrollment and wellness fairs
• Popular and practical benefits
• The war on talent
• Cost increases and how to deal with them
“Citrin Cooperman” is the brand under which Citrin Cooperman & Company, LLP, a licensed independent CPA firm, and Citrin Cooperman Advisors LLC serve clients’ business needs. The two firms operate as separate legal entities in an alternative practice structure. Citrin Cooperman is an independent member of Moore North America, which is itself a regional member of Moore Global Network Limited (MGNL).
An intermediate guide to mastering the Health Insurance Marketplace. This simplistic approach provides unique strategies and assistance for enrolling clients through the Health Insurance Marketplace.
The business of medicine is changing quickly. Government and commercial payers know that we're paying more for healthcare and we're getting worse results. Patients know it too. The role of independent practices, their reimbursement models, and how they care for patients are all changing as a result.
Top 10 Medical Billing KPIs That Show You Where You’re Losing MoneyKareo
If you can’t remember the last time you assessed the efficiency and performance of your medical practice billing, now is the time to do it. Of course, evaluating the entire patient-to-payment revenue process for inefficiencies and issues may be a daunting task for an independent practice. Kareo managed billing expert Marybeth Quesada walks you through some of the key signs that you’re not collecting the amount you should be for the services you provide.
Learning Objectives:
-Assess the performance of your medical billing process
-Cover essential KPIs including denials, rejections and days in A/R
-Review how to audit medical records for under-coding or over-coding
-Gauge the effectiveness of your patient statements process
As 2018 is coming to a close, many independent practices are wondering what to expect in 2019. Patient financial responsibility continues to be a challenge for many practices. The Quality Payment Program (MIPs) continues to evolve. CMS is proposing changes to the way E/M visits are paid. HIPAA data breaches are more prevalent than ever, with several large payers and healthcare organizations receiving large fines in 2018.
In this information-packed webinar, we'll discuss:
-CMS Proposed changes to E/M payment and documentation requirements
-Updates to the Quality Payment Program
-Maximizing payer revenue through fee schedule review and opting out of “Accelerated Payments”
-Understanding generational differences in patient payment habits that will improve your overall patient collections
-Changes to the ACA taking effect in 2019
-HIPAA breaches and how you can mitigate the risk in your practice
7 Strategies to Improve HEDIS Scores and Star RatingsHealthx
In recent years, achieving high scores on HEDIS® measures and Medicare Star Ratings has taken on greater importance for health plans. What was once nice-to-have for marketing purposes has become a must-have for operating in certain lines of business. Here’s why: NCQA Health Plan Accreditation, financial bonuses, and even a plan’s ability to enroll members can be affected by their ratings. If HEDIS Scores and Star Ratings are so important, why don’t more plans work to improve them?
State Reform Survey Workgroup Meeting, February 2015soder145
A year has passed since full ACA implementation, and several states are gearing up for data collection in 2015. To guide this process and generate ideas, SHADAC is convened a web-assisted conference call. Colorado and Oregon shared their experiences selecting new reform-relevant content for their surveys, and researchers from the Urban Institute shared lessons learned from the Health Reform Monitoring Survey (HRMS).
C-Suite Snacks Webinar Series: The Talent Wars - Can Benefits Be Your Secret ...Citrin Cooperman
In today’s candidate-driven job market, offering a competitive benefits package can significantly improve your company’s success in both attracting and retaining talent. In this webinar session, Shaun Gagnon, president and managing partner of Cambridge Insurance Advisors, shares his insights on maximizing your employee benefits to attract employees and combat the talent shortage.
Topics included:
• Trends in open enrollment and wellness fairs
• Popular and practical benefits
• The war on talent
• Cost increases and how to deal with them
“Citrin Cooperman” is the brand under which Citrin Cooperman & Company, LLP, a licensed independent CPA firm, and Citrin Cooperman Advisors LLC serve clients’ business needs. The two firms operate as separate legal entities in an alternative practice structure. Citrin Cooperman is an independent member of Moore North America, which is itself a regional member of Moore Global Network Limited (MGNL).
Collecting Patient Payments During COVID-19 and Beyond - a Blueprint for SuccessKareo
The impact of COVID-19 is substantial and the way healthcare providers practice medicine has changed, and it’s not going back. Make sure your business has the right blueprint for success so you can continue collecting patient payments while providing quality care to keep your patients healthy and your practice profitable.
Telehealth, Coding and Billing Guidance for COVID-19Kareo
Kareo’s Subject Matter Expert for Billing, Terri Joy, MBA, CPC, CGSC, COC, CPC-I will provide you with everything you need to know about telehealth, coding and billing for COVID-19.
In this webinar, Terri will:
-Discuss new and changing government regulations around telehealth services
-How to bill for COVID-19 services
-Best practices for leveraging technology to keep your patients and staff safe and healthy
In this live webinar, Valora outlines the three main stages of starting a medical practice:
1) Planning - creating a business plan, setting a budget and outlining your timeline
2) The Nuts and Bolts - finding a location, credentialing, administrative setup, and choosing the right technology for your needs
3) Opening - hiring staff and activating your marketing plans
How Your Medical Practice Can Exceed a 95% Clean Claims RateKareo
Industry thought-leader and revenue cycle management expert, Elizabeth Woodcock, Principal, Woodcock& Associates, will discuss how achieving clean claims at first submission positively impacts medical practices. She will specifically address what insurance changes to expect with the start of a new year, and how to identify and prevent claim rejections and denials so your medical practice can exceed a 95% clean claims rate in 2020.
Top 10 Medical Billing KPIs That Show Where Your Practice is Losing MoneyKareo
Kareo’s Billing Subject Matter Expert, Terri Joy, MBA, CPC, CGSC, COC, CPC-I, shares the 10 medical billing KPIs you need to know to prevent your practice from losing money.
Implementation of a Perioperative Surgical Home (PSH)Wellbe
The PSH is a patient-centered, physician-led system of coordinated care that guides patients through the entire surgical experience. From the decision for surgery to 30-90 days post discharge from a medical facility, the PSH model of care is re-engineered to improve patient care and outcomes while decreasing total cost. Learn how your physicians can earn financial incentives from both the PSH and the new CMS requirements for Alternative Payment Models (APMs).
What does SGR Reform and PSH have in common? Dr. Mike Schweitzer, a national leader in PSH, will show you how physicians can leverage a PSH to meet the new APM requirements. The Medicare Access and CHIP Reauthorization Act (MACRA) replaces SGR with a new performance-based payment system and financial incentives for participation in alternative payment models. The law requires that major changes occur by January 1, 2017 – the measurement year for penalties and rewards in 2019. Dr. Schweitzer will describe how to develop a PSH program in your organization. He will share strategies to engage physician leaders to prepare for MACRA or Value Based Payments through PSH.
This webinar will enable you to:
- Identify the burning platform for a PSH
- Define the elements of a PSH
- Outline the infrastructure needed to implement a PSH
- Build and sustain the metrics to support a PSH
- Learn how to engage physician champions
About the Speaker:
Dr. Mike Schweitzer is the Vice President of Healthcare Delivery Transformation at VHA Southeast in Tampa, FL. Mike is also the Medical Director guiding the ASA-sponsored Perioperative Surgical Home Collaborative involving 44 healthcare organizations across the nation. Dr. Schweitzer is a nationally recognized speaker and has published many articles on the Perioperative Surgical Home.
Dr. Schweitzer previously served as the Chief Medical Officer for Northeast Baptist Hospital in San Antonio, TX where he was involved in the CMS Pilot for Acute Care Episodes, ACO development, and co-management programs.
Healthcare Management PowerPoint Presentation Slides is designed especially for the medical industry professionals. Use this PPT slideshow to showcase all the essentials of healthcare administration with a dash of visual brilliance. Demonstrate the key trends and vital stats of the healthcare industry through our content-driven PowerPoint theme. Communicate details about global healthcare economy, and global spending stats. Illustrate the key demand and supply drivers associated with public health management. Employ our audience-friendly medical administration PPT template deck to elucidate stakeholders in the public health system. Cutting-edge graphics and innovative data visualization designs simplify the explanation. Use diagrams featured in this PowerPoint presentation to describe essential public health services. You will also find infographic-style designs to help elaborating concepts like hospital and corporate tie-ups. Utilize the Venn diagram to emphasize the pharma company operating model. Convey the research and development protocol followed in the pharmaceutical industry. Our comprehensive PPT layout contains oodles of other core aspects of hospital management. This includes cost accounting, financial management, data analysis, strategic planning, marketing, and KPI metrics and dashboards. So, hit the download button and captivate your audience. Our Healthcare Management PowerPoint Presentation Slides are topically designed to provide an attractive backdrop to any subject. Use them to look like a presentation pro. https://bit.ly/3lZSJyR
Getting Paid in 2021: New Year, Fresh Perspective, More RevenueKareo
In this webinar, Aimee will:
-Review the state of the industry in 2020, including CMS waivers, HIPAA enforcement and surprise medical bills
-Expand on the E/M updates you need to know for 2021
-Provide tips and tricks to help you remove roadblocks to getting paid, including coding, additional collection methods, supporting documentation and the reset of deductibles
Using the Perioperative Surgical Home as a Model to Implement CJRWellbe
Watch the webinar on youtube: https://youtu.be/rNaU_P2mHXE
The transition to value-based care models has increased pressure to deliver high quality and cost effective care. The medical home concept has gained traction in the primary care setting, and now, the perioperative surgical home has the potential to improve patient satisfaction, outcomes, and cost-effectiveness in the acute setting.
Dr. Zeev Kain, Chancellor’s Professor of Anesthesiology and former Associate Dean of Clinical Operations at University of California at Irvine Health, will share challenges and lessons learned implementing their Joint Replacement Surgical Home to provide more coordinated, standardized care.
What you’ll learn:
– An overview of the Perioperative Surgical Home model, and how it can improve outcomes while reducing cost
– Lessons learned from UC Irvine’s implementation of a Joint Replacement Surgical Home
– Considerations for implementing a Perioperative Surgical Home in your organization
About the Speaker:
Zeev N. Kain is a Chancellor’s Professor of Anesthesiology & Pediatrics & Psychiatry and the Chair of the Department of Anesthesiology & Perioperative Care at UC Irvine Health. Dr. Kain completed residency training in Pediatrics and Anesthesiology, a fellowship in Pediatric Anesthesia and was received an MBA from Columbia University. After 19 years at Yale University he joined UC Irvine Health in 2008. Dr. Kain has had continuous NIH funding since 1996 and had published over 200 publications in the peer-reviewed literature. His main research focus was stress in children undergoing surgery and invasive procedures.
Dr. Kain established the annual summit on the Perioperative Surgical Home and is a member of the steering committee of a 43 hospital collaborative on this topic. His training in Lean Six Sigma and his MBA and his management background have enabled him to embark on the quest to make the Perioperative Surgical Home ubiquitous at UC Irvine Health and to help bring this care model to institutions nationally.
Overcoming Telehealth Barriers to Mobilize Your Practice and Maximize RevenueKareo
In this live webinar, Director of Product Marketing and Partner Alliances, Sonny Singh, will:
-Discuss current industry trends and telehealth statistics
-Outline what healthcare services can be provided remotely
-Discuss how offering a telehealth option (including telemedicine) will help your practice grow amidst uncertainty
-Address the common pitfalls that you told us you’re experiencing
The Expansion and Acceleration of Value-Based CarePremier Inc.
This presentation highlights the rapid shift to value-based care that's occurring in the healthcare industry and was originally presented at Premier's annual Governance Conference.
Advisor Live: Understanding the MACRA Quality Payment Program and What You Ca...Premier Inc.
Join this session for a clear understanding of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Quality Payment Program final rule with comment period, and implications for eligible clinicians, hospitals and health systems.
Understand the requirements and what you need to do to succeed under the two pathways: Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive.
Speakers:
Danielle Lloyd, MPH, Vice President, Policy & Advocacy, Deputy Director DC Office, Premier Inc.
Aisha Pittman, MPH, Director of Quality Policy & Analysis, Premier Inc.
Kareo Billing Product Overview and Training: Success SummitKareo
kareo.com - Learn how to leverage the most efficient billing workflows using the most impactful Kareo Billing features. Get top tips and tricks to supercharge your billing operations.
The 2018 Kareo Success Summit offered key industry insights, best practice training, networking and idea-sharing to support the success of medical billing companies across the country.
Kareo is an easy-to-use, cloud-based business growth platform built for medical billing companies and the independent practices they serve.
Tristan Schlotz is a Training Specialist at Kareo.
Visit kareo.com/billing-companies to learn more.
Diagnos Inc. Investor Presentation September 2018MomentumPR
Diagnos is a publicly traded Canadian corporation with a mission of early detection of critical health issues through the use of its artificial intelligence tool CARA (computer-assisted retina analysis). CARA is a tele-ophthalmology platform that integrates with existing equipment (hardware and software) and processes at the point of care. CARA is a cost-effective tool for screening large numbers of patients in real time and has been cleared for commercialization by several regulatory authorities such as Health Canada, the U.S. Food and Drug Administration and the European Union.
This webinar continues the COVID-19 Insights webinar series. Topics include the loans and grants being offered by the government, how they differ, and how they may benefit your practice, including SBA Loans and Grants, HHS Grants, Medicare Advance/Accelerated Payments, and Telehealth Funding. The webinar also goes over the CareOptimize technology developed to assist with streamlining COVID-19 monitoring and reporting.
Collecting Patient Payments During COVID-19 and Beyond - a Blueprint for SuccessKareo
The impact of COVID-19 is substantial and the way healthcare providers practice medicine has changed, and it’s not going back. Make sure your business has the right blueprint for success so you can continue collecting patient payments while providing quality care to keep your patients healthy and your practice profitable.
Telehealth, Coding and Billing Guidance for COVID-19Kareo
Kareo’s Subject Matter Expert for Billing, Terri Joy, MBA, CPC, CGSC, COC, CPC-I will provide you with everything you need to know about telehealth, coding and billing for COVID-19.
In this webinar, Terri will:
-Discuss new and changing government regulations around telehealth services
-How to bill for COVID-19 services
-Best practices for leveraging technology to keep your patients and staff safe and healthy
In this live webinar, Valora outlines the three main stages of starting a medical practice:
1) Planning - creating a business plan, setting a budget and outlining your timeline
2) The Nuts and Bolts - finding a location, credentialing, administrative setup, and choosing the right technology for your needs
3) Opening - hiring staff and activating your marketing plans
How Your Medical Practice Can Exceed a 95% Clean Claims RateKareo
Industry thought-leader and revenue cycle management expert, Elizabeth Woodcock, Principal, Woodcock& Associates, will discuss how achieving clean claims at first submission positively impacts medical practices. She will specifically address what insurance changes to expect with the start of a new year, and how to identify and prevent claim rejections and denials so your medical practice can exceed a 95% clean claims rate in 2020.
Top 10 Medical Billing KPIs That Show Where Your Practice is Losing MoneyKareo
Kareo’s Billing Subject Matter Expert, Terri Joy, MBA, CPC, CGSC, COC, CPC-I, shares the 10 medical billing KPIs you need to know to prevent your practice from losing money.
Implementation of a Perioperative Surgical Home (PSH)Wellbe
The PSH is a patient-centered, physician-led system of coordinated care that guides patients through the entire surgical experience. From the decision for surgery to 30-90 days post discharge from a medical facility, the PSH model of care is re-engineered to improve patient care and outcomes while decreasing total cost. Learn how your physicians can earn financial incentives from both the PSH and the new CMS requirements for Alternative Payment Models (APMs).
What does SGR Reform and PSH have in common? Dr. Mike Schweitzer, a national leader in PSH, will show you how physicians can leverage a PSH to meet the new APM requirements. The Medicare Access and CHIP Reauthorization Act (MACRA) replaces SGR with a new performance-based payment system and financial incentives for participation in alternative payment models. The law requires that major changes occur by January 1, 2017 – the measurement year for penalties and rewards in 2019. Dr. Schweitzer will describe how to develop a PSH program in your organization. He will share strategies to engage physician leaders to prepare for MACRA or Value Based Payments through PSH.
This webinar will enable you to:
- Identify the burning platform for a PSH
- Define the elements of a PSH
- Outline the infrastructure needed to implement a PSH
- Build and sustain the metrics to support a PSH
- Learn how to engage physician champions
About the Speaker:
Dr. Mike Schweitzer is the Vice President of Healthcare Delivery Transformation at VHA Southeast in Tampa, FL. Mike is also the Medical Director guiding the ASA-sponsored Perioperative Surgical Home Collaborative involving 44 healthcare organizations across the nation. Dr. Schweitzer is a nationally recognized speaker and has published many articles on the Perioperative Surgical Home.
Dr. Schweitzer previously served as the Chief Medical Officer for Northeast Baptist Hospital in San Antonio, TX where he was involved in the CMS Pilot for Acute Care Episodes, ACO development, and co-management programs.
Healthcare Management PowerPoint Presentation Slides is designed especially for the medical industry professionals. Use this PPT slideshow to showcase all the essentials of healthcare administration with a dash of visual brilliance. Demonstrate the key trends and vital stats of the healthcare industry through our content-driven PowerPoint theme. Communicate details about global healthcare economy, and global spending stats. Illustrate the key demand and supply drivers associated with public health management. Employ our audience-friendly medical administration PPT template deck to elucidate stakeholders in the public health system. Cutting-edge graphics and innovative data visualization designs simplify the explanation. Use diagrams featured in this PowerPoint presentation to describe essential public health services. You will also find infographic-style designs to help elaborating concepts like hospital and corporate tie-ups. Utilize the Venn diagram to emphasize the pharma company operating model. Convey the research and development protocol followed in the pharmaceutical industry. Our comprehensive PPT layout contains oodles of other core aspects of hospital management. This includes cost accounting, financial management, data analysis, strategic planning, marketing, and KPI metrics and dashboards. So, hit the download button and captivate your audience. Our Healthcare Management PowerPoint Presentation Slides are topically designed to provide an attractive backdrop to any subject. Use them to look like a presentation pro. https://bit.ly/3lZSJyR
Getting Paid in 2021: New Year, Fresh Perspective, More RevenueKareo
In this webinar, Aimee will:
-Review the state of the industry in 2020, including CMS waivers, HIPAA enforcement and surprise medical bills
-Expand on the E/M updates you need to know for 2021
-Provide tips and tricks to help you remove roadblocks to getting paid, including coding, additional collection methods, supporting documentation and the reset of deductibles
Using the Perioperative Surgical Home as a Model to Implement CJRWellbe
Watch the webinar on youtube: https://youtu.be/rNaU_P2mHXE
The transition to value-based care models has increased pressure to deliver high quality and cost effective care. The medical home concept has gained traction in the primary care setting, and now, the perioperative surgical home has the potential to improve patient satisfaction, outcomes, and cost-effectiveness in the acute setting.
Dr. Zeev Kain, Chancellor’s Professor of Anesthesiology and former Associate Dean of Clinical Operations at University of California at Irvine Health, will share challenges and lessons learned implementing their Joint Replacement Surgical Home to provide more coordinated, standardized care.
What you’ll learn:
– An overview of the Perioperative Surgical Home model, and how it can improve outcomes while reducing cost
– Lessons learned from UC Irvine’s implementation of a Joint Replacement Surgical Home
– Considerations for implementing a Perioperative Surgical Home in your organization
About the Speaker:
Zeev N. Kain is a Chancellor’s Professor of Anesthesiology & Pediatrics & Psychiatry and the Chair of the Department of Anesthesiology & Perioperative Care at UC Irvine Health. Dr. Kain completed residency training in Pediatrics and Anesthesiology, a fellowship in Pediatric Anesthesia and was received an MBA from Columbia University. After 19 years at Yale University he joined UC Irvine Health in 2008. Dr. Kain has had continuous NIH funding since 1996 and had published over 200 publications in the peer-reviewed literature. His main research focus was stress in children undergoing surgery and invasive procedures.
Dr. Kain established the annual summit on the Perioperative Surgical Home and is a member of the steering committee of a 43 hospital collaborative on this topic. His training in Lean Six Sigma and his MBA and his management background have enabled him to embark on the quest to make the Perioperative Surgical Home ubiquitous at UC Irvine Health and to help bring this care model to institutions nationally.
Overcoming Telehealth Barriers to Mobilize Your Practice and Maximize RevenueKareo
In this live webinar, Director of Product Marketing and Partner Alliances, Sonny Singh, will:
-Discuss current industry trends and telehealth statistics
-Outline what healthcare services can be provided remotely
-Discuss how offering a telehealth option (including telemedicine) will help your practice grow amidst uncertainty
-Address the common pitfalls that you told us you’re experiencing
The Expansion and Acceleration of Value-Based CarePremier Inc.
This presentation highlights the rapid shift to value-based care that's occurring in the healthcare industry and was originally presented at Premier's annual Governance Conference.
Advisor Live: Understanding the MACRA Quality Payment Program and What You Ca...Premier Inc.
Join this session for a clear understanding of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Quality Payment Program final rule with comment period, and implications for eligible clinicians, hospitals and health systems.
Understand the requirements and what you need to do to succeed under the two pathways: Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive.
Speakers:
Danielle Lloyd, MPH, Vice President, Policy & Advocacy, Deputy Director DC Office, Premier Inc.
Aisha Pittman, MPH, Director of Quality Policy & Analysis, Premier Inc.
Kareo Billing Product Overview and Training: Success SummitKareo
kareo.com - Learn how to leverage the most efficient billing workflows using the most impactful Kareo Billing features. Get top tips and tricks to supercharge your billing operations.
The 2018 Kareo Success Summit offered key industry insights, best practice training, networking and idea-sharing to support the success of medical billing companies across the country.
Kareo is an easy-to-use, cloud-based business growth platform built for medical billing companies and the independent practices they serve.
Tristan Schlotz is a Training Specialist at Kareo.
Visit kareo.com/billing-companies to learn more.
Diagnos Inc. Investor Presentation September 2018MomentumPR
Diagnos is a publicly traded Canadian corporation with a mission of early detection of critical health issues through the use of its artificial intelligence tool CARA (computer-assisted retina analysis). CARA is a tele-ophthalmology platform that integrates with existing equipment (hardware and software) and processes at the point of care. CARA is a cost-effective tool for screening large numbers of patients in real time and has been cleared for commercialization by several regulatory authorities such as Health Canada, the U.S. Food and Drug Administration and the European Union.
This webinar continues the COVID-19 Insights webinar series. Topics include the loans and grants being offered by the government, how they differ, and how they may benefit your practice, including SBA Loans and Grants, HHS Grants, Medicare Advance/Accelerated Payments, and Telehealth Funding. The webinar also goes over the CareOptimize technology developed to assist with streamlining COVID-19 monitoring and reporting.
Our patient accounts staff answers to frequently asked billing questions at Summit Medical Group. Topics include bringing your insurance card to all medical visits, the ABC's of co-pays, deductibles and co-insurance, and the difference between in-network and out-of-network services.
Setting Your Business Up for MIPS Success in 2019Kareo
In this webinar, Sr. Training Specialist, Marina Verdara, will provide you with the information and tools you need to ensure that your business avoids receiving penalties related to MACRA.
Marina will:
-Provide an in-depth analysis of MACRA, including APM and MIPS
-Review the four MIPS reporting categories and how your business can meet each of their individual requirements
-Recommend industry best practices so both independent medical practices and billing companies can avoid penalties in 2019
This webinar focused on what the new healthcare law, the Affordable Care Act, means for small businesses and practices like yours. It focused on both federal and state provisions to help local small business owners understand how the law will affect them.
Presentation by David Kelly, MHSA, FHFMA, CRCR, Director, Operations Excellence, Piedmont Healthcare - marcus evans National Healthcare CXO Summit Oct 16-18, 2022-Boston MA
Explore how the Affordable Care Act and creation of state level and national exchanges has impacted member risk profiles and demand for small-group and individual health plans.
This presentation from Mile High Healthcare Analytics explores how to capture accurate healthcare marketplace demographics and what these demographics tell us about re-adjusting product design in order to gain valuable insights on how to design products specifically oriented to your exchange members and which existing products make the most sense for your plan's actual population.
Hosted by the United States Department of Health and Human Services and Small Business Majority. This webinar focused on what the new healthcare law, the Affordable Care Act, means for Kentucky small businesses. It focused on both federal and state provisions to help local small business owners understand how the law will affect them.
The Affordable Care Act: What Independent Consultants Need to KnowMBO Partners
Gene Zaino and Dave Putt, both experts on the independent workforce, provide essential information on the ACA basics with a special focus on the independent worker.
Find more resources for independent professionals at www2.mbopartners.com/ic-resources
Check out this final expense worksheet for agents to use and assist their clients in identifying their financial needs. This worksheet demonstrates the true final expenses and the amount of coverage needed in the event of their death.
Learn about how insurance agents generate leads by working their book of business, utilizing digital marketing strategies, and reach out to "lost leads."
Uncover the reasons why insurance agents need a digital marketing strategy to reach their target audience. Insurance agents can utilize digital marketing to retain business, generate new leads, and much more.
CMS does not allow marketing of 2018 plans prior to October 1. This Whitepaper tells you what CMS considers "marketing" and what you can and cannot do.
Are you looking for a resource to assist with your ACA Enrollments? Need a method of storing client information without a CRM? Or perhaps, you are looking for a guide during the renewal consultant and need a better idea if your client should add additional benefits to their current health insurance plan? Agent Pipeline's Client Eligibility Toolkit is perfect for helping agents help their clients.
Interested in learning how to keep those ACA enrollments on the books? Join the Experts at Agent Pipeline as they uncover the 3 secrets to client retention. Learn about the re-enrollment process and how to keep your clients eligible for future subsidies. For more information call 1-800-962-4693.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
2. ACA 101
2
Today’s Agenda
Who is Agent Pipeline
The Basics of the Affordable Care Act
Plan Benefit Specifics
Carriers Available by Market
Ways to Complete Enrollments
What is the Opportunity?
Why Agents Choose Agent Pipeline
Next Steps to Success
Q&A
4. ACA 101
4
Who is Agent Pipeline?
• Founded in 1988
• Original focus was on Individual & Group Health
• Senior Market Expansion in 2001
• Began developing a National Footprint in 2002
• Launched ACA Division in 2010, Small Group Division in 2013
• Named #1 National Marketing Organization with Multiple Carriers
• Size & Scope
• 105 Employees
• 30,000+ Licensed Agents
• 61,000+ Agent Contracts Processed
• 215,000 Medicare Advantage Enrollments
• 133,000 Medicare Part D Enrollments
• $91 Million in Medicare Supplement Production
• $333 Million in ACA Production
5. ACA 101
5
Who is Agent Pipeline?
Sales Teams
• Works to perform weekly market analysis &
reviews
Agent Services Division
• Assist with contract processing, ordering
supplies, and commissions
Marketing Team
• Provides immediate updates on new products
& important announcements
Compliance Department
• Industry Leading division providing GA
Compliance Toolkits & Oversight
Telesales Division
• Maintains 9 Satellite Locations; employs 10
internal & 122 external agents
7. ACA 101
7
The Basics of the Affordable Care Act
Understanding the Law
• The Patient Protection and Affordable Care Act (PPACA) was written in 2010 to
reform the Healthcare System by providing more Americans with Affordable
Quality Health coverage
• Essential Health Benefits are required in all plans
• No underwriting, pre-existing conditions are now accepted
• 100% Coverage on Preventive Services & Immunizations
• Extended Dependent Coverage Up to Age 26
• Requirement of Individuals to maintain Minimum Essential Coverage starting in
2014
• Penalties for not having Qualified Health Coverage
• Introduction of Subsidies (Tax Credits) and Cost-Sharing Credits
• Creation of Healthcare.gov – “On Market” vs. “Off Market”
• Regulation on Insurance Premium Increases
8. ACA 101
8
The Basics of the Affordable Care Act
The Top 5 Things You Should Know
1. Open Enrollment Period is the only time a client can enroll in a plan, unless they have a
“qualifying life event”
2. Subsidies are available to anyone
under 400% of the FPL; additional
credits known as “cost-sharing”
are available to those under 250%
of the FPL
3. “On Market” is the only way to obtain
qualification for subsidies
4. Short Term Medical or other ancillary plans will provide coverage, but not qualified
coverage to avoid the penalty
5. Plans are classified by “Metal Tier” – Bronze, Silver, Gold, Platinum
10. ACA 101
10
ACA Definitions
Health Insurance Marketplace
• Online tool to compare & enroll in ACA health plans
• State Based Marketplace or Federally Facilitated (Healthcare.gov)
On Marketplace vs. Off Marketplace
• On Marketplace – premium tax credits & cost sharing credits
• Off Marketplace – guarantee issue, no “credits”
Guarantee Issue
• No underwriting, no declines.
• Rate ups are now based on age, location, family size, Smoke (up to 50%)
Enrollment Periods
• Open Enrollment Period – November 1st, 2015 – January 31st, 2016
• Special Enrollment Period – February 1st, 2016 – October 31st, 2016
11. ACA 101
11
The Basics of the Affordable Care Act
Qualifying Life Events
• An event that allows individuals to change or enroll into an
ACA plan outside of the Open Enrollment Period
• Change in marital status
• Adoption of a child
• Birth of a child
• Relocation
• Loss of coverage
• Entitlement to Medicare/Medicaid
• Change in income
• Employment Status
• Judgements, decrees, or orders
• Aging off of parent’s plan
• Citizenship
12. ACA 101
12
The Basics of the Affordable Care Act
Essential Health Benefits
‐ Outpatient & Inpatient Care
‐ Emergency Care Coverage
‐ Maternity Coverage
‐ Mental Health & Substance Abuse Disorder Services
‐ Prescription Drug Coverage
‐ Physical & Occupational Therapy
‐ Speech-Language Pathology, Psychiatric Rehabilitation
‐ 100% Coverage on Preventative Services
‐ Lab Tests & Services
‐ Pediatric Services; including dental & vision for children
13. ACA 101
13
The Basics of the Affordable Care Act
Grandfathered Plans
• Individual and group coverage in effect before March 23, 2010
• Must comply with certain ACA provisions
• Plans may voluntary enhance benefits (now including preventive services)
• If any major plan changes are made, lose grandfather status
Opportunity in 2016: Grandfather conversions, moving individuals into ACA
plans that now include the essential health benefits
14. ACA 101
14
The Basics of the Affordable Care Act
Subsidies & Cost-Sharing Credits
‐ Based on the cost of the second Silver plan (benchmark)
‐ Clients under 400% of the Federal Poverty Level will qualify for
some type of subsidy
‐ Clients under 250% of the Federal Poverty Level will
additionally receive a credit to assist with out-of-pocket and
co-insurance costs (enhancing gold plans to platinum)
16. ACA 101
16
The Basics of the Affordable Care Act
Training & Certification
• Training is required to sell “On Market” (subsidy
eligible) plans
• Facilitated by CMS for Federal Marketplaces,
Facilitated by DOI or third party for State Based
Marketplace– includes training modules and an
identity verification section
• Receive your FFM User ID & Certification of
Completion (must provide to carriers in order to
receive compensation on your plans sold)
• Certificate of Completion is not required if you
are selling “Off Market” (direct from carrier)
plans or supplemental plan options
• Official Marketplace Training for 2016 OEP begins
July 15, 2015
19. ACA 101
19
Plan Benefit Specifics
An additional plan classification is a
“Catastrophic Plan”.
• Must be under the age of 30
• And/or must receive a financial
hardship to qualify
• In order to complete enrollment
documentation must be provided
• Less than 60% coverage on costs
28. ACA 101
28
Ways to Complete Enrollments
1. Healthcare.gov
• Complete subsidy eligibility application
• Wait time is usually 45 minutes
• Create a client account & identity verification
2. Direct with the Carrier
• Complete on Agent Portal
• Redirects over to Healthcare.gov
3. Agent Pipeline’s Exclusive ACA Enrollment Platform
• Enrollment time takes 10-15 minutes
• Bypass Healthcare.gov; directly into verification
• Keep track of client applications
4. Over the Phone
35. ACA 101
35
Market Confusion
• Only 18% of people can define “The Affordable Care Act”
• 83% of those eligible for Medicaid expansions are not aware
• 56% of employers dropped sponsored coverage to create
subsidy eligibility for their employees
• 72% of those surveyed said their insurance agent is their “Most
Trusted” source for questions regarding Health Care
Reform/ACA.**
**Source: eHealth – Small Employer Health Insurance Study
36. ACA 101
36
What is the Opportunity?
Agent Commission: 5-10%
Sample ACA Premium: $10,000 (Family of 4)
Commission (at 7%) = $700
Total Commission at:
• 25 Enrollments = $17,500 (2 per week during OEP)
• 50 Enrollments = $35,000 (4 per week during OEP)
• 100 Enrollments = $70,000 (8 per week during OEP)
• 200 Enrollments = $140,000 (16 per week during OEP)
Average Agent : $35,280 total commissions on ACA sales (60 enrollments)
Top Agent: $235,200 total commissions on ACA sales (400 enrollments)
37. ACA 101
37
• Roughly 15% of the US population is 65 and older*
• 85% of 318 million individuals need some type of health plan
• ACA Health, Group Health, Short Term Medical
*Source: Census.gov
38. ACA 101
38
Why should you sell ACA Products?
Guarantee Issue – No more underwriting
No rate ups, riders, or exclusions
Standardized Plan Options
80% of individuals qualify for subsidies
Simplified Application Process
Full Commissions on Subsidized
Penalties for not having Qualified Health Coverage
• Penalties start at 2.5% of MAGI in 2016
Employer Coverage Ending or Changing
Less Restrictive Marketing Regulations
40. 40
Why Agents Choose Agent Pipeline
• 27 Years of Serving Agents
• National Leader in ACA & Medicare Sales
• Business Consultants
• Local Trained Market Experts
• Agency Building & Individualized Growth Plans
• Local GA Partnership Opportunities
• Lead & Marketing Programs
• Robust Agent Support Structure
• Compliance Reviews & Assistance
• Industry Leading Product Education & Training
• Online Contracting System
• Online Quoting & Enrollment Tools
• Top Commission Contracts Available
• Open Release Policy
ACA 101
42. 42
Next Steps to Success
1. Contact a Regional Sales Consultant following the presentation
2. Get Contracted Before July 31st and be qualified for leads, retail opportunities,
bonus programs, and marketing support
3. Talk about your individualized growth plans & marketing options
ACA 101