What is a Managed Medicaid Plan?

A managed Medicaid plan is a type of health insurance plan that is designed for individuals who are enrolled in the Medicaid program. These plans are managed by private insurance companies, known as Managed Care Organizations (MCOs), that have contracts with state Medicaid agencies to provide health coverage and other services to eligible individuals. Managed…

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Monitor and Measure Accounts Receivable Days to Identify Changes in Patient and Payor Payments

As discussed on a previous blog article a few years ago, Accounts Receivable Days is a key performance indicator to monitor.    Today, there was an interesting article in the Wall Street Journal that discusses the importance of monitoring the amount of Accounts Receivable in a business and that large businesses use a metric known…

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Pediatric Provider Coding Review: ADHD Coding Example

In previous articles, we have provided a summary related to the selection of appropriate Evaluation and Management (E&M) codes (99202-99215) for a sick visit, or as an additional service provided during a well visit. The selection of said E&M code is a key component of pediatric office visits. While previous articles have described how to…

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Evaluating the Value Proposition of Your Pediatric Practice

Every year, the practice leaders/owner(s) should evaluate the overall value proposition of their pediatric practice. Evaluating the value proposition of a medical business can range from a long, deep study to a summary review. A pediatric practice is a medical business and, like any business, there is a value proposition. A value proposition that is…

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Review of Practice Supplies for Winter 2022-2023 (Strep, Covid, and Flu A/B Testing)

With October essentially being the first full month in fall, many of us are enjoying changes in the leaves or are thinking about the excitement of Halloween and other fall events to come. With that being said, October is also a good time to plan for the upcoming winter season. Starting in October, instances of…

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