This article is a follow-up to our previous article about preparing for the CMS/Wellcare transition in Florida. We’ve learned a lot over the past 60 days and we wanted to post an update since some of the information has changed.
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If you haven’t heard by now then I’m sorry to say it’s going to be a rough couple of months for your practice. WellCare/Staywell won the contract to manage Florida’s statewide CMS program and will assume all responsibility on February 1st, 2019.
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This article is Part 2 of our tips for Prestige Health Choice. If you haven’t already read Part 1, you might want to stop and do so. Part 2 will review Prestige Authorizations. Even if you’re a seasoned expert with Prestige, there are some tips that you might find helpful.
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Having Prestige troubles? Seems like they really pulled a fast one everyone by asking for the referring physician as part of their claims. This isn’t the only issue I’ve seen over the past few months as they assumed a much larger role as a FL Region 9 Medicaid MMA. I’m hearing a lot of concerns about missing payments, denied claims, authorization reductions, etc.
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This is a potential “game-changer” for Therapy businesses that offer Speech and Language therapy. I hear from owners every day who struggle to find supervisory coverage for their Speech and Language Pathology Assistants (SLPAs). All that could be about to change!
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We need to get this message out to as many providers as possible before July 1st, 2017. Molina Healthcare will begin requiring prior authorizations for all OT/PT/ST services beyond 7/1/2017.
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How does your practice measure up?
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There are a number of ways to measure the health of your therapy business such as conversion rate, cancellation rate, or average visits per discharged case but those measures can require intense data collection and analysis.
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Since I do get a lot of questions about how to take payments from Private Pay clients, I wanted to review the benefits of some of the more popular systems on the market for Therapy Businesses.
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Shocking I know, things are changing once again. Didn’t we just go through this with ICD-10? I thought we could at least hold off for a few years before making more changes. There is good news and bad news with this change so I’ll start with the bad news.
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I hear it all the time from Therapy Business Owners. The part of running a business that they hate more than anything is reconciling payments with treatments. Whether you run a large shop or a very small one, it’s almost impossible to keep track of all that money coming in and matching it up with your treatment charges to see how much you’re still owed.
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