OUTCOME (continued from MEDICARE COVERAGE SOLUTION) In our businesses: our accounting, consulting clients and owned facilities were able to discharge 43,500 more patients than they had before we got involved, because of our Caregiver Management System. Over the years, I setup spreadsheets documenting the successes in restoring bodily and cognitive function for patients that were discharged home or to the community compared to previous outcomes. As a result, our clients became better providers of rehabilitation therapies because they were assured…..
SOFTWARE SOLUTION DEVELOPED BY JERRY RHOADS AND PROGRAMMED BY KIP RHOADS (continued from previous post) The design of the Caregiver Management System (our software for managing the care, documentation and billing) was based on my experience at Arthur Andersen in programming cost accounting systems for our clients. The components of the system were for setting up a separate account for each patient and using the care plan, using our standardization dictionary, to get the doctor’s diagnosis that triggered standardized problem…..
HISTORY Eventually, Medicare and Medicaid rules and regulations became my specialty. While working for Arthur Andersen & Co. in 1962, I was assigned to the Blue Cross of America insurance company account to audit member hospitals’ cost reports. That assignment changed in 1964 when Congress passed the Medicare/Medicaid law. In 1967, we were given the task of rolling out the new Medicare law in hospitals and in 1968 Medicare and Medicaid in nursing homes. In 1969 through 1974 I was…..
Bipartisan politics and gridlock continue with certain Republicans subverting the party almost as well as the Hillary and Sanders lovers. The destiny of America hinges on partisan policies not high school bullying politics. Our new president is in deep do do if the John McCain’s and Chuck Schumer’s of the Senate get their way. Sure it’s time for coopting anything, but the Democrats are winning when they have the so called moderate or conservative Republicans voting like a spoiled Democrat. With jealousy not…..
Now that the Republicans have the floor they don’t know what to do with it … health care hangs in the balance of uncommon sense and revenge … the Democrats aren’t going to vote to repeal their own law … the Republicans should know that while certain elements in the Republican Party are in fact the old Tea Partyers who have no agenda other than “read our lips no more taxes.” But the real reason is the Red’s want to stick it…..
IS OBAMA CARE WORKING? Is Obama Care doing the job and is Medicare and Medicaid working? Obama Care is making it worse by leaving the audits of claims to insurance reviewers that only look at paper and never talk to the providers and makes decisions based on their voluminous documentation requests. Over 800,000 claims amounting to $2 billion dollars are in appeal due to illegal interpretations being made by the State and Federal regulatory agencies. The States are becoming the…..
How to navigate long term care. This becomes the challenge when your parents, loved one or relations need to go to a nursing home then into Home care, Hospice care and Assisted Living. As Obama Care pays health networks for population health … in other words the Federal Government gives them a budget based on their market area’s census and risk pools of elderly and disabled patients coming to them for critical care. They need to sign up continuum contracts…..
STAY AT HOME USING THE SELF-HEALTH PROGRAM The odds are we all will need a nursing home in our future. Hospitals are for short term and skilled nursing homes are for long term restorative care. But the following is the essence of living longer by living better … thus staying out of nursing homes. Practice a Self-Health program at any age Prevention of chronic diseases at any age Rate your current age Rate your current health Find a holistic physician…..
The odds are we all will need a nursing home in our future. Hospitals are for short term and skilled nursing homes are for long term restorative care or long term living after a debilitating illness. LEARN ABOUT NURSING HOMES Which ones are the best? Which ones are the worst? How are they paid? Are the regulators doing the job? I have personally spent 37 years working with various nursing homes on their financial and operational problems. After being on…..
Quoted from McKnight News December 7, 2016: The U.S. Department of Health and Human Services has until Dec. 31, 2020 to eliminate the backlog of pending Medicare reimbursement appeals, a federal court ordered on Monday. The order from the U.S. District Court for the District of Columbia follows a timeline proposed by the American Hospital Association, which brought the suit against HHS over its “highly backlogged administrative process.” Judge James E. Boasberg, who authored Monday’s opinion, had stated in an…..
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