You Make Far More Money From Medicare Advantage Than Any Other Insurance Contract

      If you’re participating financially in any kind of Medicare Advantage contract, the return on your time for those patients will far outstrip the return on your time caring for patients under a fee-for-service arrangement.   Do everything you can to preferentially care for those patients.   Take the steps outlined in the space to expand your patient panel and squeeze out the fee for service patients.   That’s the way you earn...

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Telemedicine Thursday is Moving Up

    Because there’s only so much of me to go around, check out my telemedicine blog at YourTelemedicineCommunity.com New insights regularly shared. And I’m now teaching clinicians at all levels telemedicine at TelemedicineMastery.com Engage with our new mini-experience and set yourself on the path to success. You can also follow me on LinkedIn to get all the latest tactics in how to use telemedicine to set yourself free.

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How Much Money Do Your Really Make?

  To figure it out, you’ll need the following information:   1. The number of hours you worked during your last pay period—not how much you’re being paid for, but how much time you actually spent doing your job. That includes your commute, the work you do from home, everything.     2. Your after-tas pay for that pay period—that’s your gross earnings minus the tax that was withheld.     Divide #2 by #1...

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How Transparent Are You?

    If your organization is being forced into insurance contracts with downside financial risk, you’re going to be tempted to pass at least some of that down to your clinicians.     And if you do that transparency is essential.     You must be candid with your clinicians about the rules of these contracts.     You must be clear as to what behaviors from them are desirable as you try to make...

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Sunday Links

    An excellent use of your time.   Some excellent summaries have been coming across my desk this week—here are a few of the best:     Here is a summary of the new home care benefit, something that is going to be quite a center of cost if you are a Medicare Advantage provider. It’s well worth a read.         This is an excellent summary of the changes enacted by...

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Saturday Q and A

    Dr. Bpb asks?   What is the biggest difference in taking care of Medicare Advantage patients in the nursing home rather than in the office?     In the office you have to worry about coding.     In the nursing home you just have to care for your patients, the nursing home will submit your codes for you.     Code your patients once upon admission, accurately so that you appropriately reflect...

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How to Quickly Assess Mucous Membranes During an Audio Encounter

    Kids with fevers should always be assessed for signs of Kawasaki’s.   Doing that over an audio encounter can be time consuming.   Simply ask, “Do his lips and eyes look ok?”   If Kawasaki’s is present the informant will start describing the change in appearance.   Once they do that, you know you’re going to have to refer.   Usually they won’t. Usually they say they look “ok” or “a little pink.”...

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Somebody May Be Saying You’re Sick With Something You Don’t Have

    If you have Medicare Advantage, you’re insurance company is being paid based on how sick you are.   The sicker they tell the government you are, the more money you get.   This has led to insurance companies, health systems, and doctors telling the government you have sickness you don’t actually have purely to make a buck.   Check the list of illnesses your doctor says you have whenever you can.   Your...

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