COMI Health’s Post

Here are our thoughts about a recent WSJ article: Hidden facility fees are a growing concern in healthcare. Here's a breakdown: Independent Doctors: Insurance reimburses a set fee (e.g., $300) that covers physician salary, physician assistant or NP salary, staff, and office space for a typical 30-45 minute visit. Hospital-Employed Doctors: Similar reimbursement for the physician fee as above, BUT hospitals add a separate "facility fee" for using their space, potentially doubling the total cost! This can significantly impact patients. In our practice, we see almost 2,000 new patients a year. Since our costs are roughly half of most surgeons' offices in the state, choosing independent practice can save payes roughly $400,000 - $600,000 annually!  #healthcarecosts  #transparency #herniasurgery What are the benefits of choosing an independent specialist? Cost-effective: Potentially lower overall costs for similar quality care. Focused Expertise: Independent specialists are often specialized, high-volume, and focused. This leads to in-depth knowledge and often better outcomes. Considering a specialist? Ask about their practice model! #independentpractice  #patientcare  #doctorsoflinkedin #pricetransparency #herniasurgery Check out this Wall Street Journal article for a deeper dive:  https://lnkd.in/gDUc4SxC

If you know me, you know I spend all day every day helping teams improve care in ways that slow the cycle of acute care use. There are so many reasons to do this work (quality, value, equity, LOS, capacity, moral injury, patient experience). I welcome everyone who comes into this work for any reason! I'd love to ask you to respond to ONE question: When it comes to #improving care in ways that reduce #ED visits and /or #readmissions, what's your single biggest #challenge? Thank you for your commitment to transforming care! #readmissions #healthcaretransformation #antiunimpactable #ASPIREMethod #MVPMethod #hospitals #CMMI #qualityimprovement #medicare #medicaid #calaim #valuebasedcare #acos

The No Surprises Act, a significant consumer health legislation since the Affordable Care Act, has faced implementation challenges. Provisions protecting patients from unexpected out-of-network medical bills began in 2022, but the process to resolve payment disputes (IDR) has been delayed due to lawsuits and a higher volume of disputes than expected. A few providers, including major physician staffing firms like SCP Health, Team Health, and Radiology Partners, have filed a large number of these disputes. IDR was initially slowed by the complexity and volume of disputes, with the top three parties responsible for 58% of all disputes. #NoSurprisesAct #PaymentDisputes #IDRProcess #PatientRights #MedicalBills #HealthcareCosts #HealthcareProviders #PatientProtection

Don’t let paperwork and compliance drain your energy. MMDP shows you how to build a private practice that’s more efficient, giving you more time to focus on what you love—caring for patients. Start today. www.mmdp.ai #RegulatoryBurnout #PrivatePracticeEfficiency #MMDP #BurnoutSolution #HealthcareProfessionals #DalalAkoury #Awaremed #MMDP #multimillliondollarpractice #PPF #privatepracticefreedom

Wound Care Billing: Key Updates for Q4 2024 As we enter the final quarter of 2024, stay ahead with these crucial wound care billing updates: • Reminder: Separate billing for dNPWT devices by home health agencies is now in full effect • New time-based CPT codes for advanced wound care procedures are being widely adopted • Recent clarifications on documentation requirements for proving medical necessity in complex cases • Increased scrutiny on debridement coding compliance - review your practices now Stay compliant and maximize revenue by: • Regularly reviewing CMS and AMA updates • Partnering with wound care billing specialists At MBC, we're dedicated to optimizing your wound care billing. Let us navigate the complexities while you focus on healing. Contact: [email protected] #WoundCareBilling #Healthcare2024 #RCM #MedicalCoding #Healthcare #WoundCare

Is your clinic ready for CQC Compliance? 🩺 In the ever-evolving world of healthcare, ensuring that your clinic is CQC (Care Quality Commission) compliant isn’t just about ticking boxes—it’s about safeguarding your patients, your reputation, and your business. The CQC monitors and inspects healthcare providers in England to ensure that the care they provide meets specific standards of safety and quality. 📊 Over 20,000 healthcare and social care providers are monitored by the CQC across England, and failing an inspection can have serious consequences—from hefty fines to temporary or even permanent closure. Here’s why your clinic should prioritise CQC compliance: Your clients trust you with their care. Meeting CQC standards ensures that their safety is always the top priority and CQC compliance is a seal of trust that can set your clinic apart from competitors. So tell us, what are your biggest challenges with CQC compliance? At Aesthetics Comply, we help clinics navigate the complex and ever-changing compliance landscape, making sure you’re fully prepared for inspections and audits. Our team is here to make sure no stone is left unturned and you pass your inspection. #CQC #carequalitycommision #CQCregistered #clinics

Utilizing physical restraints in a healthcare facility, especially in Intensive Care or Emergency Departments, is seemingly routine and often, almost an expectation. However, the use of restraints raises significant concerns regarding patient safety, particularly the risk of injury or death. Research has shown that physical and chemical restraints can lead to serious complications, including psychological trauma, extremity fractures or dislocations, wounds, falls, and in extreme cases, death. It’s crucial that healthcare professionals are adequately trained and possess the necessary competencies to apply and monitor restraints safely. In the United States, restraints are closely monitored by the Centers for Medicare And Medicaid (CMS). They have established strict guidelines that dictate how and when restraints can be applied. This includes attempting less-restrictive alternatives, regular assessments of the patient's condition, continuous monitoring while restraints are in place, procedures for reviewing and documenting their use, and de-escalating or discontinuing restraints as soon as possible. Healthcare facilities are often required to report incidents related to restraint use, allowing for ongoing oversight and evaluation of practices. Adhering to these regulations not only helps protect patient safety but also promotes a culture of accountability and quality care within healthcare systems. Do you have a case that involves the use of restraints and not sure where to begin? Comment or message me for assistance. #personalinjurylaw #nursinghomeinjury #medicalmalpractice #legalnurse #lasvegaslawyers #attorney

Medicare Advantage plans provide additional benefits like vision, dental, and hearing coverage that Original Medicare doesn't offer. Stay informed and make the best choice for your healthcare needs! 🌟 #MedicareAdvantage #HealthcareBenefits #VisionCare #DentalCoverage #HearingCare #SeniorHealth #MedicareOptions #HealthCoverage #Medicare2024 #RetirementPlanning #HealthInsurance #SeniorLiving #MedicareEnrollment #HealthAndWellness #MedicareMadeEasy #MedicareFacts"

Don’t let paperwork and compliance drain your energy. MMDP shows you how to build a private practice that’s more efficient, giving you more time to focus on what you love—caring for patients. Start today. www.mmdp.ai #RegulatoryBurnout #PrivatePracticeEfficiency #MMDP #BurnoutSolution #HealthcareProfessionals #DalalAkoury #Awaremed #MMDP #multimillliondollarpractice #PPF #privatepracticefreedom

Don’t let paperwork and compliance drain your energy. MMDP shows you how to build a private practice that’s more efficient, giving you more time to focus on what you love—caring for patients. Start today. www.mmdp.ai #RegulatoryBurnout #PrivatePracticeEfficiency #MMDP #BurnoutSolution #HealthcareProfessionals #DalalAkoury #Awaremed #MMDP #multimillliondollarpractice #PPF #privatepracticefreedom