Embark Behavioral Health’s Post

Did you know that only certain outpatient therapy settings are allowed to submit daily claims to their Medicare Administrative Contractor, while others aren't? The same goes for submitting claims to commercial and other insurance carriers. Additionally, only specific outpatient therapy clinics are permitted to submit claims on a monthly basis. Read all about it on this week’s newest article over at GawendaSeminars.com Full article here ⬇️ https://loom.ly/7BiCrdg #medicare #outpatienttherapypractice #codingandbilling #outpatientdocumentation #insuranceclaims

Nothing will change if healthcare consumers are not taking the time to shop around, especially if they have insurance. It's always worth asking what a practice's cash rate is for a procedure. It can be less than applying claims toward your deductible or out-of-pocket. The type of facility you choose can make a significant difference in what you pay. For example, treatment/services in a hospital will be exorbitantly more expensive than if you choose outpatient service. We cannot stress this enough, especially when shopping where/who to see for physical therapy. 

🆕 What's new in claims review? Let's find out in the next #PowerbackRehab #ConsultingWebinar! Join us where we discuss recent trends in prepay and postpay reviews by Medicare, other Insurers, and contractors in the Skilled Nursing and Outpatient settings. Learn best practices and strategies for denial prevention and find out how we support our business partners in claims management. Register for free here: https://bit.ly/4cSlg3v #healthcare #Claimsmanagement #medicare #CMS

Reminder! Our webinar is happening tomorrow! 🆕 What's new in claims review? Let's find out in the next #PowerbackRehab #ConsultingWebinar! Join us where we discuss recent trends in prepay and postpay reviews by Medicare, other Insurers, and contractors in the Skilled Nursing and Outpatient settings. Learn best practices and strategies for denial prevention and find out how we support our business partners in claims management. Register for free here: https://bit.ly/4cSlg3v #healthcare #Claimsmanagement #medicare #CMS

It seems simple, yet sound, to me that with any reputable discipline of healthcare, a skilled clinician should be able to identify those whom he can help and those he can't. And yet, a number of studies looking at predictors of physical therapy utilization find that the number of visits is more related to how much PT or other care was used before, the number of visits covered by their insurance, out of pocket expense, etc. Many patients (perhaps those with persisting and unchanging pain) have experienced seeing a clinician for 12 or 18 visits only to discover that they're not much better than when they began. We should identify in an efficient way, those who we can help and discharge those we can't... #changemymind #mcareforum #jasonwardpt #physicaltherapy #mckenziemdt

Seeking care for mental health can be a daunting experience. Between the long wait times and the struggle to find providers that take insurance, the U.S. behavioral healthcare system does not make it easy for patients to receive the care they need. In the latest episode of ‘The Modern Patient Experience,’ clinical psychiatrist Dr. Joshua Israel outlines three ways to fix this ineffective system. 1️⃣ Higher reimbursement rates 2️⃣ Expansion of the training pipeline for behavioral physicians 3️⃣ Streamlined integration into primary care offices Listen to the episode: https://lnkd.in/e_zGnXJE #patientexperience #mentalhealth #healthcare #patientfinancing

Aryan, a 5-year-old, broke his arm falling down the stairs. His dad rushed him to the hospital, where he got treated for 7,000 rupees. But when they contacted the insurer, they got a big shock—no coverage! 😱 Why? Because their policy didn’t cover these expenses unless specific conditions were met- 💊Like a minimum 24-hour hospitalization, 💊Medically necessary treatment, AND 💊Reasonable costs. 🏥💡 Don't get caught off guard—always read your policy’s fine print! 📄✨ Want to know more about inpatient care? Check the pinned comment! 📌 #healthcare #healthinsurance #health #smc #inpatientcare #knowyourpolicy #policyreading

Original Medicare contains two types of coverage – Part A & Part B coverage. Part A is hospital insurance that pays for most inpatient care services. Part B is medical coverage that you use to pay for outpatient services, like your regular checkups. 🚑 Learn more about the different types of Medicare. Contact one of our 14 office locations. #smalltownindiana #norrisinsurance #wecomerunning

ATF Medical partners with our clients - we make your goals our goals and keep the injured worker at the center of all we do. Scroll through this post to learn how committed we are to delivering complex care solutions to workers' compensation patients and payers. #ComplexCare #ComplexRehabTechnology #HomeModifications #Partnership #Partner #WorkersCompensation #InjuredWorkers #CRT #ATFMedical #ComplexMadeSimple

Choosing the right care option for your loved one can be challenging. Here are some tips to help guide you: 1. 🏡 Assess Your Loved One’s Needs: Consider their medical, physical, and emotional needs. 2. 📝 Explore Different Care Options: Look into in-home care, assisted living, and nursing homes. 3. 💰 Evaluate Costs and Coverage: Understand what insurance will cover and what costs will be out-of-pocket. 4. 🤝 Involve Your Loved One: Ensure they are part of the decision-making process. Right at Home is here to help you navigate these decisions with confidence. For more information, visit www.rahdfw.com or call us at (214) 383-0555. #SeniorCare #RightAtHomeDFW #CareOptions