Integra Connect
June 03, 2022
From ASCO: Early, rapid genetic testing can improve survival rates among late-stage lung cancer patients
Byline: Jeffrey A. Scott, MD, Chief Medical Officer, Integra Connect Advances in genetic testing have made it possible to determine, at a molecular level, which treatment options will best target…
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January 11, 2022
How the crew documentation drives medical necessity?
In this post, we will define medical necessity and how the determination of medical necessity is driven by the crew documentation. CMS (Centers for Medicare & Medicaid Services) defines medical…
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October 04, 2021
5 things you need to know to survive a Medicare audit
Important facts to help prepare and successfully navigate the auditing process. It is not uncommon that ambulance providers are faced with Medicare audits. There are several types of audits performed…
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January 29, 2020
Authorizations, the problem child in healthcare
Prior authorizations, or Pre-Certifications are a formal permission that allows the provider to see and verify the following; member is active and eligible for services, guarantees to the insurance that…
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January 24, 2020
What Is EMS Revenue Cycle Management?
Revenue cycle management is the financial handling of a provider’s business. Through managing the many steps and layers involved in bringing a healthcare service to a billable claim, revenue increases.…
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January 21, 2020
The Balance Billing Landscape
What is balance billing? You may have heard the term on the news recently. Balance billing is getting national attention because of the large, out-of-pocket expenses some consumers are getting…
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September 27, 2017
Survey Reveals Specialists Still Unprepared for MACRA
It has been well-documented that many physicians are confused by value-based reimbursement models under the Quality Payment Program – but interestingly enough, little has been discussed about how prepared specialists…
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August 23, 2017
Shifting Culture in Support of Value-Based Care
By now, most physicians are aware of the transition to value-based care (VBC) and the financial ramifications that come with adopting various new reimbursement models. Under MACRA, clinicians must participate…
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August 01, 2017
The Evolving Role of the Specialist in Value-Based Care
Traditionally, primary care physicians (PCPs) have been the designated coordinators of care and the place where the rubber meets the road in population health and accountable care programs. However, for…
Read moreJune 21, 2017
Maximizing Revenue for Specialty Practices
As the healthcare system moves from fee-for-service (FFS) to value-based care, the next milestone comes as we approach 2018 – the first year that physicians will be required to report…
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