ABILITY Blog

Read the latest on healthcare billing, admissions, revenue cycle management, and other industry trends.

  • Overcoming quarantine to serve patients in a mental health crisis with telehealth

    Overcoming quarantine to serve patients in a mental health crisis with telehealth

    Faced with a sudden shelter-in-place order in April 2020, mental health therapist Lys Hunt needed a way to serve her patients through the pandemic. Before COVID-19 hit, Hunt had only a single...

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  • Ten steps SNFs must take for stronger infection protection and control

    Ten steps SNFs must take for stronger infection protection and control

    Skilled nursing facilities (SNFs) face unique challenges when it comes to infection prevention and control. The close-contact nature of SNFs and an older adult population – many with underlying...

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  • Is the Value-Based Purchasing program on its way out? What SNFs need to know.

    Is the Value-Based Purchasing program on its way out? What SNFs need to know.

    The SNF Value-Based Purchasing (VBP) program is in for an overhaul. The Medicare Payment Advisory Commission (MedPAC) has been advocating to replace the current program with an alternative that is...

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  • Using telehealth to expand care and protect vulnerable patients

    Using telehealth to expand care and protect vulnerable patients

    When the COVID-19 pandemic hit, therapist Janet Dyer had to quickly find a way to serve all her patients – without compromising their health or her own. As an immunocompromised person herself,...

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  • Easy claims management: how a billing consultant keeps it simple

    Easy claims management: how a billing consultant keeps it simple

    When you think of healthcare claims, “effortless” is not usually the word that comes to mind. Quite the opposite, in fact. But that’s how one billing consultant described her experience using...

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  • 5 ways to maximize revenue on every claim

    5 ways to maximize revenue on every claim

    Hospitals and health systems have long struggled with creating, growing and maintaining healthy revenue cycles. The pandemic introduced new challenges when many facilities were forced to cancel...

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  • How an insurance discovery app drove double-digit increases for a collections agency

    How an insurance discovery app drove double-digit increases for a collections agency

    How do you improve your collection efforts when you’re faced with limited access to both data and insurance carriers? Every collection agency has its challenges, but Marie St. James, Chief...

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  • New law eliminates access to FL Medicaid claims portal

    New changes to the Agency for Health Care Administration (AHCA) in Florida could impact your practice’s claims submission and remit processes. CS/HB 1057, signed into law in June, eliminates parts...

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  • How a family medicine practice protected revenue and served more patients with telehealth

    How a family medicine practice protected revenue and served more patients with telehealth

    How can practices protect revenue while serving more patients and improving outcomes? During the COVID-19 pandemic, Southwest Family Medicine was faced with a serious challenge: how to reach...

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  • Hospice providers now may submit claims to Medicare Advantage Organizations

    Hospice providers now may submit claims to Medicare Advantage Organizations

    More Medicare beneficiaries may enter hospice care with complementary Medicare Advantage (MA) plans as the Centers for Medicare & Medicaid Services (CMS) rolls out health plan innovations under...

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  • Inovalon and Homecare Homebase Announce Multi-Year Exclusive Agreement

    Next-Generation, Cloud-Based Platform Empowers More Than 25% of Home Health Providers Nationwide with Greater Patient Data Accuracy and Administrative Efficiency Across All Payers BOWIE, Md. –...

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  • Overcoming the biggest challenges facing skilled nursing facilities today

    Overcoming the biggest challenges facing skilled nursing facilities today

    Over the last few years, skilled nursing facilities have been put through the wringer as they’ve grappled with a new Medicare payment model, higher acuity patients, declining reimbursements,...

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  • How telehealth helped a marriage and family therapy practice expand access to care

    How do you provide patients access to care when you can’t meet them in person? Like all healthcare providers across the country, Dawn Theodore faced a once-in-a-lifetime challenge in the worldwide...

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  • Medicare simplifies home health claims, phasing out RAPs

    Medicare simplifies home health claims, phasing out RAPs

    The Centers for Medicare & Medicaid Services (CMS) announced that its phase-out of requests for anticipated payments (RAPs) will be complete in 20221, simplifying the process of billing home...

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  • Understanding PDPM &  the ABILITY CAREWATCH PDPM Calculator

    Understanding PDPM & the ABILITY CAREWATCH PDPM Calculator

    How is PDPM calculated?   The ABILITY CAREWATCH PDPM calculator uses the payment for each component and is calculated by multiplying the case-mix index (CMI) that corresponds to the patient’s...

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  • Close the gaps between your claims data, insights and actions

    Close the gaps between your claims data, insights and actions

    Think about a claims- or billing-related issue that you face on a regular basis. Denials. Audits and appeals. Missing reimbursements. Now, what do you need to tackle any of those problems? You...

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  • 3 benefits you’re missing out on if you’re still using multiple claims management systems

    3 benefits you’re missing out on if you’re still using multiple claims management systems

    We live in a world where technology seems to connect just about everything. At home, we ask Google to turn on the lights and wake up our kids. On the way to work, we ask Siri to place our favorite...

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  • How SNFs use technology to increase efficiency and improve resident experience

    How SNFs use technology to increase efficiency and improve resident experience

    Skilled nursing facilities have been using ABILITY applications for more than a decade to increase efficiency, improve resident outcomes, ease reporting compliance and maximize reimbursements....

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  • How to optimize your clinical data for SNF surveys and PDPM reimbursement

    How to optimize your clinical data for SNF surveys and PDPM reimbursement

    A lot has happened since last summer when CMS issued guidance for surveys and enhanced enforcement around infection control at skilled nursing facilities. The regulatory agency also authorized...

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  • Long-term care facilities now required to report COVID-19 vaccinations under new CMS rule

    Long-term care facilities now required to report COVID-19 vaccinations under new CMS rule

    Long-term care facilities must now have programs in place to deliver COVID-19 vaccinations to all residents and staff who wish to receive them and provide information on the benefits of the...

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