In this episode, I get to the bottom of Pre-Claim Review, and the "new" version of PCR called Review Choice Demonstration, thanks to Aaron Little of BKD. This new podcast episode goes really in depth on the origin of PCR, and how it ultimately came to its end. It also sheds light on what to expect with the resurrected version!
After a long absence, the So What, Who Cares? podcast is back with John Griscavage of PlayMaker Health. We discuss his dynamic organization: What they do, why they acquired ViaDirect, and how they can impact growth in the post-acute health care market.
In this "InBoxing" article, Aaron Little of BKD discusses (the artist formerly known as) Pre-Claim Review. The Medicare home health pre-claim review (PCR) process implemented in 2016 created extensive operational challenges and payment delays and was eventually “paused” in 2017. A new threat to operational efficiency and cash flow has been proposed to replace PCR in the form of the Review Choice Demonstration (RCD).
Aaron and I discuss why it has resurfaced, what has changed, what will be different this time around, and a new name for this significant regulatory change.
Providing quality and regular Chronic Disease Education to your clinicians can feel like something that you have to do, rather than an initiative for Healthcare providers to improve Outcomes and increase reimbursement. However, this Case Study demonstrates just the opposite!
Education is key to assuring quality care for patients. The better educated the staff, the lower the costs for the entire health care system.
Effective care coordination and case management are dependent upon the interdisciplinary team working together towards collaborative goals and coordinating patient care in a proactive manner. Effective case management can enhance patient outcomes by planning a course of interventions and developing a plan to achieve the goal. This webinar will provide an understanding of what an effective case management model looks like and how you can ensure its success within your agency to ensure compliance with the CoP’s.
Addressing the Social Determinants of health will be the most important factor of health care reform. This webinar will discuss what Social Determinants are, and how they can help you better understand your patient. In addition, we will discuss how Social Determinants affect access to health services, Re-Hospitalizations, & Individual Behaviors. An excellent and timely learning experience!