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Understanding Credentialing Services

Posted by Dottie Love on Jun 12, 2019 11:38:27 AM

Credentialing is a loaded term.  It means different things to different people.  If 10 different people were asked, "What is credentialing?"  we would get 10 different answers.  It is often used to describe provider credentials verifications, facility privileging and payer enrollment.  And yes, these do describe a portion of what credentialing entails.

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Topics: Credentialing, Compliance, Patient Safety

The Weekly Review: the 6th Fundamental of every great organization system

Posted by Chris Comeaux on Jun 6, 2019 2:21:58 PM

This is the last installment of the 6 Fundamentals of every great organization system. In prior weeks, we covered the other 5 fundamentals:
• Calendar
• Task List
• Intake System
• Reference System
• Contacts

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Topics: Calendar, Task List, Intake System, Reference System, Organization, Contacts, Weekly Review

Value-Based Payment

Posted by Christopher Morrissette on May 28, 2019 2:12:03 PM

I am sure that all Americans awoke on the morning of April 22 and waited with bated breath for the Center for Medicare and Medicaid Innovation (CMMI) to announce the Alternative Payment Model (APM) for Serious Illness/Palliative Care? I recall where I was the moment that the news went viral and made history. While most may not share my enthusiasm for Medicare payment models and the reality may be more likely that the majority do not know what Palliative care is let alone that Medicare was considering a way to fund it. Over the next few paragraphs, we will discuss the CMMI APM demonstration from the lenses of both the payer and the patient as this payment model moves towards a future “benefit.”

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Topics: Alternative Payment Model, Palliative Care, CMMI, Medicare, Medicaid

Contacts: The 5th Fundamental of Every Great Organization System

Posted by Chris Comeaux on May 17, 2019 11:49:30 AM

This is our 5th installment of the 6 fundamentals of every great organization system. 
Please read our prior blogs on the other 4 Fundamentals we have covered thus far:

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Topics: Organization System, Contacts

The Hospice Medicare Carve-In

Posted by Janelle McCallum on May 10, 2019 11:22:30 AM

What the heck is a Carve-in?
It is the opposite of what Hospice providers have enjoyed for the past many years - the Carve-out! Currently, Medicare beneficiaries who have Medicare Advantage (MA) Plans revert to traditional Medicare when they elect the Medicare Hospice benefit - thus, they are “carved out” of MA plans.

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Topics: Carve-In, Traditional Medicare, Medicare Advantage

The Rhythms of Life and Work Life Blend

Posted by Chris Comeaux on May 1, 2019 5:52:08 PM

We will take a break this week from the Fundamentals of Every Great Organization System and resume the series next week.

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Topics: Work-Life, Balance, Rhythms of Life

The Lifelong Learning Journey:  The road less traveled?

Posted by Michelle Webb on Apr 25, 2019 11:50:13 AM

A commitment to “lifelong learning” has often been touted as a critical attribute of both great leaders and followers.  Lately, I have begun to wonder if even the term “lifelong learning” has become something of a cliché and a self-descriptive often overused without full appreciation of the degree of personal and self-mastery required to keep that commitment.

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Topics: Lifelong Learning, Vertical Development, VUCA World, Horizontal Development

The 4th Fundamental of Every Great Organization System: The Reference System

Posted by Chris Comeaux on Apr 16, 2019 1:04:02 PM

Years ago, John Maxwell developed leadership lessons which he distributed via CDs. One of the lessons he taught, which I have never forgotten, is about how important it is that every leader has an organization system. In that lesson, he went on to say that the average executive spends 10 years of his life looking for stuff.

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Topics: Leadership Systems, Intake System, Reference System, Organization

Serious Illness in Rural Communities

Posted by Dr John Morris, MD on Apr 10, 2019 1:06:36 PM

Mrs. H. was surprised with her diagnosis of breast cancer that had spread to bone. Her oncologist recommended chemotherapy and she tried it. She hated the toxins going through her system. She didn’t tolerate the chemotherapy very well anyway.

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Topics: Serious Illness, Palliative Care

The third fundamental of every great organization system: The Intake System

Posted by Chris Comeaux on Apr 1, 2019 2:00:38 PM

We are in a blog series for what I call the 6 Fundamentals of every great organization system. Our last blog focused on the second fundamental of every great organization system: the task list. In this post we will discuss the third fundamental of every great organization system: The Intake System.

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Topics: Leadership Systems, Intake System, 6 Fundamentals, Organization System