Tax benefits to middle class, if any, will be swallowed up by increased insurance premiums due to elimination of mandate to have insurance. Now insurance base lower which increases premiums! ACTUALLY HE LIED!

December 21, 2017


Increased stress will create more health issues!

December 19, 2017

Bad news, homeowners: tax bill would eliminate write off on home equity loans – The Boston Globe

Confirms the need for NP’s & PA’s to lessen the MD burdens.

December 19, 2017

How long are new patients waiting to see a doctor? – MedCity News

So true & a must in order to grow quality healthcare. What we give away we get 10 fold in return.

December 19, 2017

Precepting NP Students — Who Needs It? We All Do

FDA plans more active enforcement over homeopathic drugs. Hopefully not driven by pressure from pharmacies.

December 19, 2017[idio]=6065381&ito=792&itq=e5344650-360a-4f9c-bea9-510165be05ca

Aftercare from ER/Observation

August 4, 2016

We need to do more upon discharge of the elderly back to their home environment. When there are return trips to ER this should be triggering the lack of support in the home.  Also Observations get over used due to the fear of non-payment by Medicare but to the neglect of what a patient truly needs.  Perhaps a change in the SNF reg’s need to be looked at;  also the Acute Rehab & the SNF Rehab.  It is much more costly to decrease Home Care Services that only result in higher costs and/or death.  If group homes with home care covered services were available it would be ideal (a type of assisted living combined with independent living). This definitely would support the patients emotional & spiritual needs.  Let’s change how we do business & cutting costs means keeping patients healthy & independent.


September 12, 2015

I do find the above  blog very good & applaud the openness in discussing grief.  It is definitely a process & an individual journey.  I have experienced sudden loss of several close, intimate & family members as well as a prolonged death of both parents.  Each grief process was different & I believe for me it had to do with grieving along the way vs having no prep time.  One thing that was the same for both was holding on to the good memories & reflecting on them during sad times & filling up with gratitude for what we had an opportunity to share.  My reality has been that we never know when death is to appear & we do our best to enjoy when we are alive.

Revenue Cycle Quality Improvement So important to identify all the steps in the Revenue Cycle & to eliminate repetitive steps & unnecessary ones. Will improve flow at a lower cost.  All staff from registration through collection have to be on the same page & know the importance of accuracy.Ownership of each part of the process will improve quality.  Training & Cross Training needs priority to improve cash flow.  The fewer times a claim needs to be addressed, cash flow and the cost of such will improve.Always learn from the denials & the best way to identify training & process improvements.

May 23, 2015

Staff Recruitment & Training in Billing & Followup

May 23, 2015

Finding experienced billers for a specific type of billing is not all that necessary. I have had great success in my 30+years of Revenue Cycle Management of training experienced billers with one type of service to another.  Billing regs are basically the same but product billing will vary; auth’s, coding etc.  this is built into a system that is easily learned & training is what is important.

Finding potential staff that are willing to learn; know the importance of timeliness & accuracy; has the ability to communicate, ask questions & read billing manuals & regs; as well as has the motivation to do timely followup & challenge incorrectly denied claims is very important & significant.

MMCS has the experience and ability to set up training schedules & assist in improving staff structure.

Most important not to delegate the responsibility of Revenue billing & followup to an outside source.  Take responsibility to keep this important function close to “home”!

New trend in Healthcare Billing

May 22, 2015

Many Providers are turning their billing over to their Computer Co’s.  Delegating the responsibility to others doesn’t eliminate Payor responsibilities & must be monitored closely. My experience has been that there has been disasters with this type of arrangement.  

If Providers are having difficulty recruiting experienced help, it is important to look at training and a tier structure for responsibility & pay scale in the billing/AR office.   There are now Payor websites which have great training tools as well as webinars.  

It is always best not to outsource billing but look at how you can supplement the FTE’s & set up a training schedule.  Training is always ongoing.  

Outsourcing uses inexperience staff as well as experienced & as it is not their Payor contracts they have less on the line.