Two Emails—One Message

Received from the same telemedicine provider on the same day:       “WE NEED YOU!!!!!  DUE TO HIGH, HIGH, VOLUME IN (THIS STATE) WE’RE ASKING YOU TO SIGN ON THE SYSTEM AND TAKE SOME ENCOUNTERS. HURRY, PATIENTS ARE WAITING!!!!”   and     “Dear Dr. You’re required to participate in this new training experience if you would like to continue to take encounters with our system. The experience can be accessed here (link). It...

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How Much Does Your Insurance Agent Get Paid

Ever wonder how much your insurance agent gets paid to sign you up with or keep you enrolled in a Medicare Advantage plan?   It’s probably less than you think.   There are two approaches agents can take.   They can provide great service as your insurance home.   Or they can churn through sign-ups, getting signatures on the bottom line and moving on,   Which approach did your agent use?

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Ask “What’s Your Passion?” For Professional Success

How do you connect with someone you don’t know at a professional event?     What do you say to fill that awkward silence after that introduction?     Try asking “So, what’s your passion?”     People’s favorite subject is themselves. It’s validating, something they are comfortable speaking about and a topic they desperately desire to share—especially in the uncomfortable environment of networking.     And if you ask someone about themselves it validates you...

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Create Your Own Metrics

There is enough money in the Medicare Advantage revenue stream to pay your clinicians for meeting metrics that improve the overall contract’s success—even if you don’t want to risk-share with them directly.     The best I saw was a $10 per patient bonus for meeting this measure for 12 straight months:     Have 95% of the patients on your panel completed an annual wellness visit in the past 12 months?     Simple,...

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Sunday Links

The Source of Your Power   Lyft Expands Rideshare Partnerships with MA Plans This is a key, key tactic to improve compliance and prevent no-shows—especially for yearly visits.   I’ve been advocating this with my clients for more than three years now, and it’s the best performing intervention I’ve ever recommended.   Medicare transport has long been a benefit under MA. It’s also long been poorly delivered by third-party vendors—they’re late (when they show up...

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Saturday Q and A

Sara M asks a follow-up to last week’s question   First here’s last week’s query:   Dr. Tom When a patient is seen outside of the office and their x-ray with a reading of pneumonia comes through my in-box, do I really have to have them come in for a visit to make sure it’s submitted?  Can’t I just code it from the x-ray?   Sara Excellent (and common) question. No. You can’t submit codes...

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What They Don’t Teach You In Your Sexual Harassment Training

We had a front office employee who stole from us. On a regular basis. For over a year.     After taken care of the situation, we brought in a consultant to help us keep it from happening again.     She told us the embezzlement was our fault. We didn’t have the processes in place to prevent it. That put the employee in the position where she could steal with impunity. If we had...

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Why Not “Claims-Made” Malpractice Insurance?

“If they offer anything short of that—say, claims made without a tail—you might want to think long and hard about working with them.”     I wrote that last Thursday, and since then I received hundreds of different variations on the  question “Why?”     Telemedicine is in its “wild-west” phase. Many telemedicine services seeking to recruit clinicians are poorly funded. Some are “fly-by-night.”     Claims-made insurance is the cheapest, so offering that sort...

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You Can Change Your Drug Plan, Too

After the first of the year, you can get a “do-over” on your Medicare Part D plan, too.     This year, with all the new charges and prior authorizations and step edits required to get your meds, you’re more likely to find out that your drug benefit is not what you thought it was.     You can change it with little to no hassle in the first three months of the year.  ...

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Thumbs Up

Your thumbs are subtle indications of your power.     In dealing with those in authority, make sure they’re exposed at all times.     Don’t put your hands in your pockets. If you must, leave your thumbs exposed.     Thumbs forward when you have your hands at your side.     Shake hands with your thumbs up.     Successful executives will try to establish authority during a handshake by turning their hands...

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