Michelle Lawhon

For payers and providers, risk adjustment data validation and Office of Inspector General audits are here to stay. And, with #Audits happening as far back as 2014, do you know where you stand? EXL’s webinar explores how mock audits can help you grasp your risk and take proactive action. We help you assess risk and implement corrective action, policies, and procedures before your credibility and revenue take a hit. Don’t wait until it’s too late — dig into the webinar now. https://bit.ly/45iFAZm

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Healthcare professionals in Florida face a myriad of regulations and requirements set forth by the Agency for Healthcare Administration and other regulatory bodies. The licensing process involves intricate procedures, strict timelines, and adherence to ever-evolving laws. Watch this video to learn how Howell, Buchan & Strong can help you! https://lnkd.in/e2j76-Jq #AHCA #floridahealthcarelaw #FloridaHealthcare #floridaattorney #floridalawyer #HealthcareLicense

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Is your practice losing money due to billing errors? Our team can help optimize your revenue cycle, so every claim counts. #RevenueOptimization #HealthcareBilling #MedicalBillingHelp #HassleFreeClaims #urgentcare #primarycare #hospitalbilling #physicianbilling #medicalbilling #hcfacode #hcfacoderror #cptcode #insuranceaccepted #claims #medicalclaims #deniedclaim #clearinghouse #clearinghouseaccepted #erapayerdenial #denails #claimdenails #RCM

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ON-DEMAND WEBINAR: Is your RCM partner up to today’s security challenges? If you’re unsure, it’s time to find out. Watch to uncover how recent cybersecurity events have refocused vendor-selection requirements and what to evaluate during review.  #Cybersecurity #RevenueCycleSecurity #RCMSecurity

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Are you tired of lost revenue due to denied claims? NEMT providers need a proactive and effective denial management strategy. We've got you covered. Discover the ultimate guide to conquering medical billing denials in NEMT. These strategies help ensure you recover lost revenue and elevate patient care. ✅Review All Claim Details ✅Be Persistent ✅Address Problems As Soon As Possible ✅Understand the Appeals Process ✅Keep Records Throughout the Dispute Process Read a complete guide: https://lnkd.in/gJDnsHwr #NEMT #MedicalBilling #NEMTBusiness #NEMTIndustry #TobiNEMTSoftware #Tobi

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#MedicareAdvantage keeps getting more popular among seniors: #MA plans typically offer a range of supplemental benefits (like transportation/#NEMT) that can improve quality of life and health outcomes. But they are facing challenges headed into 2025, including lower star ratings, resistance from some health networks, rising healthcare costs, and a revised CMS payment model. Read our latest blog for a summary of MA changes that will impact health plans, providers, and members in the year ahead. https://hubs.li/Q02XP0700

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📊 When healthcare providers and payers don’t have real-time data, out-of-network claims become a guessing game. 🤔 ClaimsBridge connects the dots with a robust data network, so you can deliver fast, accurate claims processing. ✅ Stop guessing—start solving. #OutOfNetworkClaims #HealthcareSolutions #ClaimsProcessing #DataDriven

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I’m excited that our CVS MinuteClinic Primary Care offering is available to Aetna Individual Family Plan members in select markets as part of open enrollment. Markets include Houston, San Antonio, Atlanta and Miami. As part of the benefit, these members can access comprehensive in-network primary care from our MinuteClinic nurse practitioners, who have been credentialed as primary care providers and are committed to managing end-to-end care with a focus on prevention. This is a significant step in broadening access to quality health care services accessible via our network.

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Revenue cycle automation plans include autonomous coding and claims management tech, but cost and resource management are major barriers to adoption, KLAS reports. #revenuecycle

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Have you registered yet? If you want to transform your risk adjustment strategy, don't miss out on this free webinar with speaker and national risk adjustment expert, Jack Newsom, Sc.D. https://lnkd.in/dYa28AZy #RiskAdjustment #CMS #Medicare

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Important information for patients with Aetna or Humana health insurance: St. Mary’s is negotiating with these companies for new agreements that more adequately cover the cost of the care we provide to you. These agreements affect Aetna commercial and Medicare Advantage (MA) products and Humana Medicare Advantage products. Learn how this affects you. If you have Aetna insurance, visit https://bit.ly/3CinXhU. If you have Humana MA insurance, visit https://bit.ly/3O72kUd.

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Optimize your self-funded healthcare plan with an MSL group captive structure. #MSL #groupcaptives #captives #medicalstoploss #insurance #insurancecompany https://hubs.ly/Q02SRRhK0

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Interested in learning more about Medicare Advantage (MA)? Check out our comprehensive primer that takes the complexity out of MA, offering valuable insights into MA enrollment trends and plan types, plan payment, risk adjustment, and the benefits of MA over traditional Medicare.   Read our paper ➡️ https://lnkd.in/gdwufePg

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Ready to boost your practice’s revenue and reduce claim denials? 💸 Join Greg Grobmyer, DDS for this high-impact webinar, where you’ll learn actionable strategies to streamline your insurance process and optimize your coding and documentation for 2025. What You’ll Gain: ✅ Proven tactics to prevent claim denials and improve payment accuracy ✅ A deep dive into 2025’s key coding updates and how to apply them ✅ Best practices for documentation that support clean claim submissions ✅ Expert guidance on efficiently handling the appeals process for faster revenue recovery ✅ Actionable tips to speed up processing times and improve financial outcomes BONUS🤩 Get a complimentary preliminary assessment from Dr. Grobmyer and discover if your practice is making costly coding errors! Don’t miss this opportunity to master the strategies that will help you submit clean claims and get paid faster in 2025. Register today! ⤵️ https://lnkd.in/erYA5Psx #dental #dentalce #dentistry #dentalinsurance #dentalmanagers #aadom

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A New Perspective on Denial Management. Claim denials can feel like roadblocks, but we see them as opportunities for improvement. Recently, we helped a clinic reduce denials by 94%, boosting their revenue cycle efficiency. How? With robust Claims Prioritization, AR aging analysis and strategic follow-ups. Struggling with denials? Let’s turn challenges into wins. #DenialManagement #RCMSolutions #HealthcareEfficiency

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