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Vince Rainey

Certified DECO Navigator, business development and marketing manager for DECO. Here to answer any questions and inform you about all health & eligibility related services we provide hear at DECO.

Budget Proposal for 2018 May Cut Support for Disability Social Security.

A 2018 budget proposal seeks to clear economic deficits, but it looks like it’s going to have serious repercussions on disability social security. – decorm

Eligibility for Medicaid May Be Changed by the Proposed Replacement for Obamacare. Challenges in Healthcare Revenue Cycle Management and How Hospitals Can Weather the Storm. The Digital Environment Revenue Cycle Management Companies Are Building. With Social Security in Trouble, One’s Eligibility for Social Security Disability May Become Unclear.

There has been a number of discussions in Washington about the future of social security in the country.

With Social Security in Trouble, One’s Eligibility for Social Security Disability May Become Unclear

Some argue that it needs major reform. Social Security Disability Eligibility Faces Investigation Due to A Slew of Fraud Cases. Recently, the Social Security Administration has reportedly taken some steps to both identify and assess various fraud risks when it comes to its disability programs.

Recently, the Social Security Administration has reportedly taken some steps to both identify and assess various fraud risks when it comes to its disability programs. – decorm

According to the U.S.

Social Security Disability Eligibility Faces Investigation Due to A Slew of Fraud Cases

Government Accountability Office (GAO), the administration had managed to gather information on fraud risks during the past year, but the method had not been systematic. Moreover, the significance, likelihood and impact of all the risks identified was also not assessed. New Health Insurance Marketplace Coverage Options Get Thinner as Providers Exit ACA Marketplace. The continuing saga of the proposed changes with the Affordable Care Act is putting a lot of things in limbo, and a lot coverage providers are running for cover.

The continuing saga of the proposed changes with the Affordable Care Act is putting a lot of things in limbo, and a lot coverage providers are running for cover. Case in point, the latest company to back out of the marketplace is Aetna. – decorm

Case in point, the latest company to back out of the marketplace is Aetna.

New Health Insurance Marketplace Coverage Options Get Thinner as Providers Exit ACA Marketplace

The insurer has two remaining states in their service list, namely Nebraska and Delaware, but it won’t be for long. The company has recently confirmed that they will no longer be entering back into the marketplace to sell individual health plans for the said states, a move which comes shortly after dropping Virginia from their 2018 service list. Earlier in the year, the company had already declared that they will be letting go of Iowa. Affordable Care Act Marketplace Changes May Leave Some States Without Insurers. Over the past couple of months, insurers have been jumping ship from the Obamacare marketplace that has been under attack even more aggressively in the past year.

Over the past couple of months, insurers have been jumping ship from the Obamacare marketplace that has been under attack even more aggressively in the past year. – decorm

While the changes are to be expected following the change in the administration, what remains unclear is whether or not the people relying on their ACA coverage will continue to have insurance coverage.

Affordable Care Act Marketplace Changes May Leave Some States Without Insurers

Coverage Woes As it stands, there are already a lot of problems concerning the viability of the Affordable Care Act Marketplace. In certain states like Iowa, a lot of insurers have already stepped out of the picture, while others are about to ease their way to the exit. What this means is that locals are going to be hard pressed to find an alternative, or a backup plan, to keep their coverage intact for as long as possible. A Look at the Facts on Social Security Disability for Children and Privatization. Whether you believe in privatization of social security or not, the fact remains that it would cause significant changes within the revenue cycle management industry.

Whether you believe in privatization of social security or not, the fact remains that it would cause significant changes within the revenue cycle management industry. The general public don’t hold out much hope when it comes to receiving benefits from the program. – decorm

The general public don’t hold out much hope when it comes to receiving benefits from the program.

A Look at the Facts on Social Security Disability for Children and Privatization

In fact, only 37% of those questioned believe somewhat that the social security system will benefit those in the future as much as it does today. What does a privatized social security system look like, and how will this affect social security disability for children and countrywide revenue cycle management processes?

How is Social Security Being Privatized? The general idea for a privatized social security system is that instead of paying taxes and ultimately receiving benefits in the future, people will make monetary contributions to their own privately managed savings accounts. Employ More Assistants to Improve Hospital Revenue Cycle Management Processes. Recent years have seen numerous changes headed towards hospital revenue cycle management processes, including the introduction of ICD-10 and changes to Medicaid and Obamacare.

Recent years have seen numerous changes headed towards hospital revenue cycle management processes, including the introduction of ICD-10 and changes to Medicaid and Obamacare. – decorm

Because of this, healthcare facilities need to become more creative in how they manage these issues while still maintaining focus on keeping costs low.

Employ More Assistants to Improve Hospital Revenue Cycle Management Processes

Although it may initially seem counterproductive, the truth may be that increasing the amount of assistants employed across the hospital setting may be the answer to streamlining revenue cycle management processes. Keep Billing Specialists Focused on Their Role If your healthcare facility expects billing specialists to speak to patients about denied claims, outstanding balances and collect the copay, you may need to rethink this model.

The Advent of Online Billing Portals Spurs Revenue Cycle Management Services to Adjust. How familiar is your health care facility with the primitive payment options available to patients?

How familiar is your health care facility with the primitive payment options available to patients? If you only have a simple username and password system for a third party payment site, you’re already behind the times when it comes to new technologies that streamline revenue cycle management services. – decorm

If you only have a simple username and password system for a third party payment site, you’re already behind the times when it comes to new technologies that streamline revenue cycle management services.

The Advent of Online Billing Portals Spurs Revenue Cycle Management Services to Adjust

Recent evidence reveals concerning trends in healthcare collections. What is Revenue Cycle Management Going to Look Like with Increased Consolidation? Today’s news stream brims with discussions around the increased levels of consolidation in the U.S. healthcare industry.

Today’s news stream brims with discussions around the increased levels of consolidation in the U.S. healthcare industry. Meanwhile, many healthcare providers are now asking, “What is revenue cycle management going to look like with a rise in consolidation?” – decorm

Meanwhile, many healthcare providers are now asking, “What is revenue cycle management going to look like with a rise in consolidation?”

What is Revenue Cycle Management Going to Look Like with Increased Consolidation?

To understand any coming changes, the recent trends in consolidation need to be examined carefully by providers and their revenue cycle management companies. The Shift to Value Based Care National healthcare expenditures continue to rise, currently at a level of 18%, compared to only 12.5% in 1990. Social Security Disability Eligibility Cuts Treating-Physician Rule, Keeps Appeal Waiting Times Long.

The Social Security Disability program benefits millions of Americans, no matter how old or young they are.

The Social Security Disability program benefits millions of Americans, no matter how old or young they are. However, a new rule imposed by Social Security recently may make it harder for any patient of any age to be approved for social security disability eligibility. – decorm

However, a new rule imposed by Social Security recently may make it harder for any patient of any age to be approved for social security disability eligibility.

Social Security Disability Eligibility Cuts Treating-Physician Rule, Keeps Appeal Waiting Times Long

This is because the administration has recently introduced a new rule where doctors’ reports would no longer be used to determine an individual’s eligibility to receive benefits. Rule changes such as this present additional challenges to hospitals and healthcare institutions trying to determine if their patients qualify for disability benefits. New Bill Offers Disability Social Security Beneficiaries a Pathway Back to the Workforce. Americans who are on disability social security may soon find themselves back to work the moment they are able to.

New Bill Offers Disability Social Security Beneficiaries a Pathway Back to the Workforce

A new proposed bill in Congress aims to give recovering beneficiaries a pathway back to the workforce. This would give them the chance to start their life over after going through a series of medical treatments and recovery. Earlier this year, Rep. The Affordable Care Act Marketplace Is Under Threat as Insurers Stand to Lose Federal Subsidies. All over America, uncertainty continues to loom when it comes to the future of healthcare insurance. In recent months, the Republican party has worked hard to repeal and replace the Affordable Care Act or Obamacare.

Their version of Obamacare, dubbed as the American Health Care Act, presented challenges to both individuals and healthcare facilities with possible changes with their health plans. However, this attempt failed to secure enough votes to introduce a new healthcare system being supported by President Donald Trump and several members of the Republican party.

Work Requirement May Soon Help Determine Eligibility for Medicaid Benefits. For quite some time now, Medicaid has been the most widely available source of health coverage for people living across the United States.

For quite some time now, Medicaid has been the most widely available source of health coverage for people living across the United States. Through this program, over 72.5 million Americans, particularly disabled individuals, pregnant women, children, and seniors, were able to gain affordable health coverage. – decorm

Through this program, over 72.5 million Americans, particularly disabled individuals, pregnant women, children, and seniors, were able to gain affordable health coverage. Avoiding Denied Claims is Crucial to Good Hospital Revenue Cycle Management. According to a report by Relay Health Financial, large hospitals in the Northern Plains have higher average claim denial rates compared to other areas in the country at a surprising 10.58%.

According to a report by Relay Health Financial, large hospitals in the Northern Plains have higher average claim denial rates compared to other areas in the country at a surprising 10.58%. The report defines large hospitals as facilities that host 250 to 400 beds. – decorm

The report defines large hospitals as facilities that host 250 to 400 beds. The percentage was derived by comparing the claims dollars that were denied relative to revenue successfully billed on the claim. The South Central region, meanwhile, topped the list among mid-sized hospitals (100-250 beds), with a denial rate of 8.82%. The region also ranks second among large hospitals, registering a denial percentage of 8.8%. Medicaid Expansion Shown to Improve Healthcare Revenue Cycle Management. Operating a healthcare facility is no mean feat.

Operating a healthcare facility is no mean feat. For hospital executives, the task involves not only providing excellent medical care to patients, but it also means keeping a business afloat. – decorm

For hospital executives, the task involves not only providing excellent medical care to patients, but it also means keeping a business afloat. After all, a hospital is an expensive venture to run—almost all of its manpower are highly skilled professionals, and the facility uses advanced equipment to help diagnose and treat ailments. As such, keeping a healthy bottom line is crucial to any hospital’s survival. However, unpaid medical bills prove to be an all too real threat. What is Revenue Cycle Management in the Age of Healthcare Consumerism? For the longest time, the healthcare industry’s status quo has been more or less intact.

For the longest time, the healthcare industry’s status quo has been more or less intact. Yes, technological advances have been introduced, but the way hospitals conducted business was mostly the same: patients come in, they get treated, then they get billed. – decorm

Yes, technological advances have been introduced, but the way hospitals conducted business was mostly the same: patients come in, they get treated, then they get billed. However, public policy driven changes have led to a shift in the way patients receive medical treatment. For one, there are more walk-in clinics and ambulatory care centers that offer many of the services one could find only in a hospital years past. Moreover, more patients are opting for high deductible plans from the health exchanges, which means that more of their medical costs are being paid out of pocket.

Many feel that this is a more cost-effective option, especially those who are relatively healthy and very rarely get sick. In an Era of Healthcare Consumerism, Revenue Cycle Management Companies Help Hospitals Stay Afloat. Why Eligibility for Social Security Disability Remains a Challenge for Some. CMS Looking at New Health Insurance Marketplace Coverage Options by 2018. Envisioned New Tax Plan May Affect Even Social Security Disability for Children.

The supposed ACA replacement may have fallen through, but people relying on social security shouldn’t heave a sigh of relief just yet. A new tax reform is being worked on, and analysts are purporting that this might affect social security itself. – decorm

To Reverse the Rate of Unpaid Bills, Outsource Your Revenue Cycle Management Services.

Over the tenure of the American Health Act (ACA), some observers have blamed it for the rise of unpaid patient bills at hospitals. Following the failure of House Republicans to replace the ACA with their own American Health Care Act, hospitals have come up with a new strategy to deal with a rising volume of unpaid bills. – decorm

Five Month Waiting Period for Disability Social Security May Soon Be Scrapped for ALS Patients.

In their current form, disability social security policies require a five month waiting period for ALS patients. A bill proposes to shorten the wait. – decorm

Challenges to Gaining Eligibility for Social Security Disability for Rare Diseases May Intensify. Eligibility for Medicaid and Health Coverage Itself Up in the Air as ACA Repeal Looms.

People can expect some major revisions in the eligibility of Medicaid to be applied once the ACA is repealed. Brace yourself for the changes. – decorm

Folks Keep a Keen Eye Out for New Health Insurance Marketplace Coverage Options.

With the very likely repeal of ACA by Congress, Americans await for word on what will be the new health insurance marketplace coverage options. – decorm

How Social Security Disability Eligibility May be Affected by Changes to Medicare.

Your Social Security Disability eligibility could cost you more due to healthcare reforms and the constant changes to programs like Medicare. – decorm

Monitoring the Metrics of Healthcare Revenue Cycle Management Poses Benefits to Revenue Stream.

When improving cash flow, hospitals must monitor healthcare revenue cycle management metrics, such as collection rate and cost and referral pattern. – decorm

How The Affordable Care Act Marketplace Would Be Affected by a Shift in Health Insurance Tax Credits.

The Affordable Care Act marketplace could be changed by reforms in health insurance tax credits, so hospitals need to closely monitor developments. – decorm

A Host of Reforms to Social Security Disability for Children Can Improve the Lives of All Involved.

Improving social security disability for children can enhance quality of lives, maintain hospitals’ revenue cycles, and build better communities. – decorm

18 Months On: Learning the Real Impact of ICD-10 on Hospital Revenue Cycle Management. Revenue Cycle Management Companies Discuss the Likely Impact of the Proposed ACA Repeal. What is Revenue Cycle Management Going to Look Like if Obamacare is Repealed? Revenue Cycle Management Services: Turning the Focus to the Consumers. Gaining a Deep Understanding of Your Patient’s Eligibility for Social Security Disability.

In 2015, the Social Security Administration reported that the agency has paid disability benefits to more than 10.2 million Americans. In total, disabled members and their beneficiaries received approximately $11.4 billion in that year alone. In terms of the type of disabilities, nearly 31.7 percent have been diagnosed with musculoskeletal disorders. – decorm

Current Status and Possible Changes: Important Notes on Social Security Disability Eligibility.

Hospitals should assist individuals who work hard to earn a living but get disabled to process their claims for Social Security Disability benefits. As part of the mission of the Social Security Administration (SSA), disabled members, despite their current health condition, still have the chance to receive benefits so they can provide for their family’s needs. – decorm

Moving Forward: Possible Effects of New Health Insurance Marketplace Coverage Options. Sign-Ups for 2017 Now Closed: What to Expect from the Affordable Care Act Marketplace. Crucial Reforms Suggested for Social Security Disability for Children and Others.

Social Security Disability Insurance (SSDI) maintains the goal of helping individuals with disabilities and impairments. Giving financial support so they can have medical attention and other special needs eases a lot of burden not only on individuals but their families as well. – decorm

Potential Changes to Disability Social Security Under the Trump Administration. Analysts Project Bright Future for Hospital Revenue Cycle Management in the Next Decade. How Trump’s Proposed Block Grant Program Would Affect Eligibility for Medicaid.

President Donald Trump and some Republican lawmakers plan to restructure Medicaid through a block grant program. Under this program, the federal government would provide a lump sum to support state-level Medicaidservices. The states, in turn, would decide how they would manage limited federal funds. Read more on this article: – decorm

ACA Repeal, Medicaid Rollback, and the Importance of Revenue Cycle Management Services to Hospitals.

With talks of an Obamacare repeal getting louder–and more certain–as Republican congressional leaders have promised under the new administration, uncertainties about the future of its many beneficiaries are raised as well. – decorm

The Effects of a Trump Presidency on Value-Based Care and Healthcare Revenue Cycle Management.

Differences in political opinion aside, the United States will undergo significant policy changes under a Trump administration. The Republican party say they want a total repeal of the Affordable Care Act (ACA). In reality, legislators know that a complete repeal is impossible without Democratic support and doing so would leave at least 20 million previously uninsured Americans, who were covered through health exchanges, without health insurance again. – decorm

What is Revenue Cycle Management Going to Do For Hospitals for 2017 and Beyond? How Will the Social Security Reform Act of 2016 Affect Social Security Disability Eligibility? Neurological Criteria Updates for Disability Social Security You Should Know About.

Neurological disorders are perhaps some of the most frightening illnesses because of their varying symptoms and ongoing debates about how to treat them correctly. Fortunately, social security disability is available for people suffering from disorders like chronic migraines, epilepsy and Parkinson’s disease. – decorm

How Doctors Are Being Affected by the Affordable Care Act Marketplace. Factors in Determining Eligibility for Medicaid to Make the Process Easier.

Medicaid provides health assistance to more than 72.5 million Americans who don’t have the financial capacity to pay for the treatment they need. Together with the Children’s Health Insurance Program, Medicaid covers a variety of patient groups, including pregnant women, children, the elderly and people with disabilities. – decorm

What You Need to Know about Medicaid Changes for your Eligibility for Social Security Disability.

Changes happen in many industries, particularly the healthcare field. Medicaid, in particular, is about to get a facelift, thanks to the new president in charge and new agendas set forth by the Republicans. These changes are positioned to affect many aspects of healthcare, even social security disability. – decorm

Five Hospital Revenue Cycle Management Challenges Healthcare Providers Face. How Your Hospital can Help Patients with New Health Insurance Marketplace Coverage Options. New Technologies That May Affect Your Healthcare Revenue Cycle Management for the Better.

Throughout time, technology has changed the way people live. This prominently occurs in the healthcare industry, which has a constantly changing landscape that relies on technology for so many things. If your hospital is to have success and grow as a result of new technological advances, you need to be aware of the following trends. – decorm

How Social Security Disability for Children is Benefiting from Additional Congressional Funding.

Children with disabilities face lots struggles in their daily lives. That’s why social security disability was invented, so people, including children, facing such challenges can receive financial and medical support. The good news keeps coming, fortunately, because several trends, in terms of funding and new apps, are making it even easier for children to receive disability benefits. – decorm

What Is Revenue Cycle Management and How Does It Encourage Patient Loyalty?

In today’s competitive healthcare industry, patient loyalty has become very important in defining what is revenue cycle management success in your hospital. It’s no longer just about treating patients and sending them on their way. – decorm

Medicaid Changes That Could Affect Revenue Cycle Management Services. Obamacare and Underpayments: Turning to Solutions Other than Revenue Cycle Management Companies.

Today, Republicans are seeking to repeal – and possibly, replace – Obamacare. This places a great deal of uncertainty on the future of the US healthcare system and more importantly, the future of those who cannot afford health care without financial assistance. – decorm

The Growing Risk of Healthcare Cyber Attacks. Streamlining Hospital Services for More Profits.

For a hospital to continue operating like a well-oiled machine, revenue cycle management should be a top consideration. There are ways by which a hospital can get over the obstacle of potential debts, collect payments in a timely manner, and maintain high-quality services that their patients deserve. – decorm

Tips to Improve Revenue Cycle Management. Ways to Increase Hospital Profitability.

It is the utmost duty of hospitals and medical staff to provide care to those who need it. But like many other organizations, hospitals also face financial challenges, especially in revenue cycle management. There are ways to improve the profitability of a hospital, so it generates more income and continues to serve its patients well. – decorm

What Patients Need to Know about Medicaid.

Though designed for low-income people, Medicaid can be difficult to understand for some of your patients. This jointly funded program involves many policies and regulations, but with the help of some eligibility services, you can help patients understand it better by giving them the right advice. – decorm

Helping Patients Get Social Security Disability. Affordable Care Act Marketplace: What You Can Get. Understanding What Obamacare Is All About.

If there’s one thing that can be said about the Affordable Care Act, it’s that it can be quite confusing if you are not aware of all the provisions that it has. – decorm

ACA: The Challenges for Healthcare Providers. What are RCM Best Practices for Denial Handling? How Claim Conflicts Affect RCM.

A vital part of a hospital’s revenue cycle management (RCM) is managing claims. In many cases, patients simply can’t, or at least not fully, pay hospitals out-of-pocket. Instead, their payment will come in the form of an insurance or government benefits program. – decorm

Is Drug Addiction in the ‘Blue Book’ for SSD?

Many are aware that prolonged, repetitive use can cause an individual to become dependent on a drug, regardless of whether the latter is illicit or prescribed. Drug addiction is also likely to lead to a host of medical conditions that can impair one’s ability to function properly for his means of living. – decorm

Is Drug Addiction in the ‘Blue Book’ for SSD? The Functions of the Health Insurance Marketplace.

The Health Insurance Marketplace is designed to help people find quality, affordable insurance more easily. Millions have already gained coverage since it went live. It can be used by citizens from any state and is available throughout each year’s open enrollment period. – decorm

Three Tips to Win SSD or SSDI Benefits.

The process for receiving benefits from the U.S. Social Security Administration (SSA) is no walk in the park. You’d think people with disability will get special attention, but it just doesn’t work that way. In fact, according to the SSA itself, denied disability claims have averaged nearly 53 percent or more than half of all the applicants denied. – decorm

Exploring New Health Marketplace Coverage Options. Uncovering At-Risk Revenue to Increase Returns.

Most patients who are at-risk can be worked with to resolve claims before these default to collections. This step can save your company time, money, and reputation. By identifying accounts that are continually past-due, you can work with those customers to create payment arrangements and options to help them remain solvent. – decorm

Applying for Social Security Disability.

Spina Bifida is a debilitating disease affecting children from birth. This condition where the child’s nerve root may be compressed is accompanied by pain, loss of motor function, and restricted spine movement. Neurological impairments will prevent the child from walking or using his or her arms due to weakness, spasms, or paralysis. – decorm

Helping People Apply for SSDI. Solving Data Management Problems in the Modern Age. Pre-Screening Patients for Medicaid Eligibility. Qualifying Conditions for Social Security.

Though there is a list of qualifying conditions for Social Security Disability, it’s not an exhaustive list. Here are the requirements if your condition isn’t specifically stated. – decorm

Expanding the Medicaid cut.

Medicaid is gradually becoming a favorable healthcare insurance option for families under the Affordable Care Act. After years of coverage for pregnant women, children, and persons with disabilities, the law allowed eligibility for Medicaid for parents in the lower-income bracket or single adults with no kids. – decorm

Bolstering Earnings Under ACA.

The passage of the Affordable Care Act (ACA), otherwise known as Obamacare, has provided healthcare facility operators plenty of opportunities to maximize potential for more revenues as a part of quality service. It also aids in settling bad debts. – decorm

Social Security Disability Insurance. The Importance of Revenue Cycle Management.

Lowering operational costs while providing patients with quality health care is a challenge that all health care providers must face. – decorm

Tempering the Revenue Cycle for More Benefits.

It can’t be denied that some hospitals run into potholes as far as the state of finances are concerned. A lack of sufficient cash may result in certain situations such as lost staff and low supplies to maintain the treatments. – decorm

Healthcare Requires Cash: Revenue Cycle Management.

No one expects to pay cash when they go to a hospital. After all, the usual reason for going is a medical emergency. Hospitals are typically paid by the patient’s health insurance. – decorm

Defining the Health Insurance Marketplace.

After years of debate and a series of legislative struggles, the Patient Protection and Affordable Care Act─ most popularly known as Obamacare─ has been brought to fruition. – decorm

What Should The Medicaid Denial Notice Contain?

The eligibility criteria must be duly satisfied before being granted Medicaid benefits. Some applications, however, may still be denied at first, decreased, or terminated for the wrong reasons. – decorm

Can't Tell If He's Eligible? Presume He Is.

Waiting may well be the hardest part in applying for Medicaid. With millions of applications flooding agencies' desks, many are stuck in limbo, delaying adequate care in some cases. – decorm

Hospitals Have To Take Care of Themselves, Too. Really? You Can Shop For Health Insurance? The Medical Aspect of Disability Insurance. Sprucing Up Your Hospital Revenue Cycle Management. The Most Common ICD-10 Myths Debunked. Social Security: Disability Benefits for Children. Determining Disability: Can You Work Other Jobs? Avoiding Mismanagement in the Revenue Cycle. Quarantine Costs Strain Revenue Cycles. Medicare, Obamacare, and RCMCare.

By 2015, healthcare will get 27 percent of the overall $3.9-trillion federal budget or $1.05 trillion. It’s the second largest piece of the federal budget pie, but why is the government cutting around $700 billion in Medicare funding? No wonder many politicians are upset over Obamacare and its features. – decorm