As Medicare patients are moving from traditional coverage to a HMO product, it is important to ensure your contracts and payment model are moving appropriately as well.
With Medicare allowed cost based reimbursement to Critical Access Hospitals (CAHs), your Medicare HMO reimbursement needs to be reviewed to ensure you are receiving rates that are based on your facility’s costs.
Are you confident you are receiving all the reimbursement you are entitled to?
As a rural healthcare provider, you are an extremely important asset in your community. Specializing in CAH reimbursement, The Rybar Group will work to ensure that you are receiving appropriate Medicare HMO payments and that you have implemented a sound cost reimbursed strategy.
To further discuss what the transition can mean to you and your facility’s revenue, contact The Rybar Group today.
The Physician Services team at The Rybar Group has worked with some of the largest medical groups in the country and has helped to increase revenue and mitigate compliance risks, while optimizing operational effectiveness for clients.
With decades of diverse experience, we can assist with your biggest pain points within your organization and you’ll always have a senior associate working with you to tailor deliverables to fit your unique needs. The Rybar Group focuses on the financial aspect of healthcare and is able to support you with any initiative from documentation audits to preparing for a purchase or sale.
Here’s a sample of the services we offer to medical groups:
Contact Julie Hardy (email@example.com or 810-853-6171) today to arrange for a FREE 10-chart audit to jump-start your improvement activities!
Cash and Point-of-Service Collection Risks:
Although more Americans have health insurance coverage, 25% do not have money or liquid assets to cover their deductible, according to an article in U.S. Money on March 3, 2015. Even if your state has expanded Medicaid, according to the IRS regulation for 2016, HDHP individual policies have out-of-pocket maximums as high as $6,550 and family policies as high as $13,100. HDHP are also required to have deductibles not less than $1,300 for an individual or $2,600 for a family.
Incident to vs. Split/Shared
There tends to be a lot of confusion surrounding services performed by mid-level providers, such as nurse practitioners and physician assistants….Read More
2/16/19 AAPC – E/M Coding – Marisa Elliott Speaking
3/14/19 HFMA – Improving Communications with the Physician – Marisa Elliott Speaking
5/7/2019 OCMS – Denials Management – Marisa Elliott Speaking
5/2019 HFMA Spring Conference – BDO Accounting Update