2015 Medicaid Rates, An Unfortunate Reversal for Many Doctors

The two year Medicaid reimbursement increase came to an end 2015. As part of the Affordable Care Act (ACA), rates had been increased by 40% or more to match those of Medicare for CYs 2013 and 2014.

The increase in reimbursement was part of the initiative to have states expand Medicaid programs in hopes of providing greater access to health coverage to more low income, uninsured citizens.

As expected, Medicaid enrollments did increase and family physicians felt the biggest impact. They will likely also feel the biggest impact of the new lower fee schedule.

To read more visit our Biller's Blog.

Revenue Cycle Management: Accomplished.

START BILLING BETTER WITH SHAVARA

Revenue Cycle Management: Accomplished.

START BILLING BETTER WITH SHAVARA

by Shavara

Shavara has the accumulated 'experience capital', the market know-how, the intricacies of coding, billing and connectivity that we have 'learned'. It is the basis of the work we do in Catalysis - Shavara's Professional Services Engagements.

ThinkCatalysis
Revenue Cycle Management: solved.

What is Catalysis?

To "catalyze" is to rapidly advance by applying powerful tools and industry expertise. Catalysis becomes the process to gain access to the power, apply it to solve gaps and vulnerabilities - then rapidly advance. Shavara possesses the tools to apply Catalysis via collaborative engagements. Our infinite targets are the enterprise organizations: Hospitals, clearinghouse processors, Insurance companies (payers), and large physician practices, peppered throughout the Healthcare system that all share equally the challenges, pitfalls, inefficiencies, ineffectiveness, and the deliberate speed-bumps placed there by bureaucrats to slow down the revenue cycle.

What are the costs of these speed-bumps to the Healthcare system? The costs are in the billions.

Inefficiencies / ineffectiveness / inaccuracies in coding and billing mean:

a higher cost of money due to extended A/Rs
a higher cost of operating due to the number of additional staff required to research and chase down A/Rs
a decline in the quality and calibre of care - care outcomes due to the necessity of placing so much cost on the administrative and operational side of the equation

Therefore, solving this eliminates and holds the potential to improve organizational effectiveness, reduce the cost of healthcare and improve healthcare outcomes.

So, who is Shavara? What is that old lamp on the corner of the desk?

That lamp holds wisdom. The cumulative potential of that wisdom holds the potential to dramatically impact operational effectiveness and improve healthcare outcomes.

For Information on Catalysis contact Shavara's Services Division