Operating a pediatric practice involves more than just providing medical care to children. In today’s digital age, it also means managing sensitive patient data and protecting it from cyber threats. Unfortunately, the healthcare industry is a prime target for cybercriminals due to the valuable information it holds. In this article, we’ll discuss the highest cyber…
DetailsOverview: Managed care payers in the United States negotiate contracts with healthcare providers, such as pediatric practices, to set payment rates for services rendered to their members. These payment rates may be based on a fee schedule or a negotiated rate. One way that managed care payers may control costs is by “down coding” claims…
DetailsOverview: Pediatric phone triage protocols are structured interviews that help a nurse or other medical provider make a decision about whether a patient needs to be seen immediately. This decision is referred to as telephone triage, and it’s an important part of the patient phone call process. There are several approaches to pediatric phone triage…
DetailsA 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…
DetailsAs 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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