Diving into the Skilled Nursing Facility (SNF) ‘Final Rule’ on arbitration agreements

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Last fall the Centers for Medicare & Medicaid Services (CMS) issued The Final Rule to Reform the Requirements for Long-Term Care Facilities, a massive collection of new, revised and restructured regulations that touches nearly every aspect of nursing home operations – including resident assessments, quality improvement, data collection and utilization, and staffing levels. Luckily, all the changes are scheduled to take place over a three-year period, with three phases of implementation. Read more

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Are eligibility changes putting you at risk?

In the midst of potential changes to the ACA it can be easy to forget the importance of the basics like patient eligibility. Checking for changes in patient insurance coverage will always be a top priority, and missing the fine details can leave you in a challenging situation. Fortunately, there are strategies to address this potentially frustrating situation. Read more

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Providers should assume status quo on MACRA

With the confirmation of Tom Price as the head of the U.S. Department of Health and Human Services seemingly imminent, healthcare providers are being advised to continue their efforts to comply with the Medicare Access and CHIP Reauthorization Act (MACRA) as currently configured. Data collected in 2017 could still affect 2019 payments, so waiting to see what happens under a new administration is probably not wise. An expert from Industry trade group Medical Group Management Association urges providers to continue with their program. Read more

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Medicare and Medicaid could face dramatic change

Changes are around the corner now that a new president is at the helm, though it’s hard to sort out how the path to change or replace the Affordable Care Act (ACA)  will be effected. As of inauguration day, there were competing plans from Republicans, and few hints from the new president as to what he will actually propose. Thus far, he is saying his Health and Human Services (HHS) appointee must be confirmed before he’ll reveal details. That could happen in mid-February. Read more

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Value-based care: burden or benefit?

With the uncertain future of the Affordable Care Act (ACA), it’s hard to know which features of the program, if any, will be preserved. Some features were designed to encourage what’s known as “value-based” care as a mechanism to drive down overall costs. The argument for value-based care is simply that physicians and organizations should be paid on the value of care delivered, rather than on the volume of services rendered. The commercial health insurance industry has been moving toward value-based care for some time, and Medicare has been testing alternative risk and compensation models of late under the ACA. Read more

What growth means

What growth really means

It’s almost a cliché: in any given year, a company’s overall goal is usually “growth.” In broad terms, growth signals success for the company. We are no different: 2016 certainly brought great advances for ABILITY in many areas. I’d like to emphasize, however, that our success is only achieved by our customers being well served. We only grow when you do! Here’s how that happened in 2016: Read more

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Meet your Implementation and Support Leaders

Our customers count on ABILITY to keep their businesses running smoothly. It takes a skilled, dedicated team of technical support professionals who understand the unique needs of the healthcare IT business to do that.

Take a minute to learn a little more about our Implementation and Support Leaders – the people with expertise you can count on. Read more

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Is patient bad debt hurting your bottom line?

Healthcare providers are increasingly finding themselves acting as banks and bill collectors when it comes to getting paid for care. With the rise of high-deductible health plans and other cost-sharing, many patients are struggling to pay what their plans don’t cover. All too often, collection becomes the problem of clinical practices and hospitals. But there are ways to manage patient bad debt and prevent write-offs. Read more

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Looking into the unknown: a 2017 healthcare preview

With a major changeover in political leadership effective January 2017, a cloud of uncertainty hangs over the fate of healthcare, which represents a third of the United States economy. Undoubtedly, significant changes are on the horizon, affecting everyone from the consumer to the provider to the payer. It’s not surprising there is much angst regarding the unknown. Read more