#Medical billing services Louisville
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Medical Billing And Revenue Cycle Management
Vocis offers Medical Coding services that can be customized for any type of medical facility. You may require reducing your coding backlog, or you may need a full-time medical coding service. There are many types of organizations that need coding services, medical coding Louisville USA including hospitals, multi-specialty clinics, or billing companies. Whoever you are and whatever you need, Vocis Medical Coding Services can help.
Our Coders:
Our coders have undergone AAPC (American Association of Professional Coders) training. They are well updated with the latest changes in CPT /HCPCS and ICD9/ICD10 codes and use latest coding books and also have access to online medical coding software.
Medical Billing And Revenue Cycle Management We provide personal one on one billing services for your office and save you big $$$. Vocis has extensive experience in providing comprehensive billing services for just about every specialty. We provide end-to-end medical billing services, including following-up of pending claims, initiating collections, finding out reasons for denials of claims, and tracking outstanding receivable balances. With a relentless commitment towards providing high quality and cost effective billing and coding services to health care providers around the nation, VOCIS promises a higher level of service and value, as compared to any of our competition.
VOCIS Medical Billing can and will
Increase your cash flow Eliminate your employee expenses Decrease your office paperwork Reduce your hardware and software upgrading and updating cost Reduce your telephone and postage expenses Save your valuable time Increase revenue through improved collection process Give you the confidence your practice needs to grow Our services backed by our 24 X 7 support operation, ensure that your questions are addressed any time of the day or night with a 100% commitment towards excellence in service. References of clients will be provided on request.
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Where To Get A Business Line Of Credit Score In Kentucky
Bank of Lexington has deposits of about $270 million in Kentucky. Regardless of a bankâs dimension or which of the Five Cs is of paramount importance, it is clear that each one banks analyze the same numbers. âThe most essential factoring companies kentucky factor that our bank considers when deciding whether or not or to not make a enterprise mortgage can be the collateral for the mortgage.
They offer amenities ranging from $200,000 to $5 million, so they assist both small and bigger businesses alike. Green Bank offers the funding by buying your outstanding invoices and advancing you an amount of funding based on the face value of the invoice, up to 95%. By becoming a member of our staff you'll help companies remedy their financial wants with crucial providers corresponding to time period loans, Merchant Cash Advances, Lines of Credit, Credit Card Processing and Invoice factoring. We provides you with the tools and mentorship you need to construct a pipeline of enterprise, develop consumer relationships, and get capital when they want it to keep the American financial system working.
Your clients might dislike dealing with an outdoor company during the payment process. Small enterprise house owners ought to carefully consider the notification and collections practices of a factoring firm before they decide to the association. Many factoring companies in Louisville won't buy accounts receivable which would possibly be self-pay (owed by sufferers directly) or long run payments from personal injury, employees compensation or no-fault accounts receivables. If the payment is predicted in a shorter time frame, some Louisville factoring companies will think about shopping for medical accounts receivable invoices from personal harm, employees compensation or no-fault companies. If youâre on the lookout for the most effective factoring firm for your small business, weâve narrowed the options down to eight by evaluating fees, pace of service, term flexibility, and choices for particular industries.
An invoice factoring company is a financing institution that purchases invoices at a reduced rate in exchange for providing upfront money. The factoring company then turns into responsible kentucky factoring companies for collecting the invoice quantity. In invoice factoring, the advance fee is the proportion of the invoiceâs value that the company receives in a cash advance.
Instead, debtors have been turning increasingly more to installment and on-line lenders, a few of which provide longer reimbursement plans with more forgiving interest rates than payday lenders. If granted, the lawmakersâ request would allow payday lenders providing annual rates of interest as excessive as 469% to faucet into forgivable loans with a 1% rate of interest. Spot factoring is the one-time sale of a single invoice to a factoring firm. It is a factoring companies in kentucky good possibility if you are solely coping with a single slow-paying invoice and you want quick cash immediately. Advance Payment is the primary cost that you just get upon promoting the bill to the factoring firm. Transportation companies of all sizes depend on our trucking factoring to increase their cash move to spice up their bottom line.
In the month of September, Gulf Coast Business Credit (GCBC) funded 15 new Factoring and Asset Based Lending (ABL) relationships. Gulf Coast Business Credit recently provided a $500,000 working capital facility to a Kentucky based freight company. We present excellent information and transparency into your liens and borrowers, as properly as automated instruments to assist make sure you maintain your liens over time. Our comprehensive, nationwide answer for lien administration improves your small business agility.
With advances of up to 90% on every bill and the remainder (minus the factoring fee) once your customer pays the invoice, Porter Capital provides you access to your earnings sooner rather than later. Invoice factoring is a financing arrangement the place a enterprise proprietor sells invoices to a factoring company in exchange for a money advance. A factoring company is a kind of business financing firm that provides services such as purchasing invoices, paying cash advances on the invoices and performing collections duties. Factoring companies can also be concerned in different forms of commercial asset-based lending, similar to accounts receivable financing. Our clients enjoy incredible growth after they arrange an accounts receivable factoring settlement with us. It permits them to supply credit score phrases to prospects with out running into money flow shortages.
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High Gas Prices & Its Effect on Nonprofits and Distribution of Supplies
The inflation of gas prices has been a hard hit on Americans who rely on vehicles for work, taking their children to school, or going to medical appointments. Not only do high gas prices affect individuals, but it affects businesses and nonprofits alike as well.
Increasing Gas Prices
According to the U.S. Energy Information Administration, in January of 2020 (right before lockdown for Covid-19), the average gas price in California was $3.48 per gallon. Prices dipped to $2.77 per gallon by May 2020 due to the decrease in travel before increasing to $3.14 in December. In January 2021, gas prices averaged $3.26 per gallon, and by December 2021, the price per gallon was $4.59. At the start of the current year (2022), the cost of gas was $4.58 per gallon; the highest price (thus far) was in June, resulting in the cost per gallon being $6.29 per gallon. As of August 2022, the average price per gallon was $5.33.
With the average gas tank size being able to contain 13- to 31 gallons per tank (depending on Make and Model), filling up your car can take a shark-sized bite out of your budget. To fill up at Augustâs rate in California, the average consumer can spend anywhere from $69.00â165.00 to fill up once. Depending on how much travel is required per individual, family, business, or nonprofits, the increased gas price has tightened budgets for paying other bills or putting food on the table.
The Effect of Politics in Combination with State Regulations
The United States Treasury Secretary, Janet Yellen, has warned Americans that there may very well be an anticipated increase in gas prices once more while trying to assuage fears. âThis winter, the European Union will cease, for the most part, buying Russian oil; in addition, they will ban the provision of services that enable Russia to ship oil by tanker.
Members of the G7 group of countries, including the United States, Germany, France, the United Kingdom, Japan, Canada, and Italy, have agreed to turn away crude oil and petroleum of Russian origin that goes above the price cap.
California has its legislation and politicians that determine the price of gas distributed to the state as well. The state requires a specific blend of gas for its car emission standards while helping keep cleaner air and increasing gas prices. While well and good in intention, shipping the specified gas requires long wait times. Currently, 6 of the 12 oil refineries California relies on for gas production are undergoing maintenance (some planned and others not), tightening supply further.
Political parties have had disagreements on how best to help residents. Earlier this year, politicians voted not to suspend Californiaâs gas tax, which is 53.9 cents per gallon, instead of sending refund checks to individuals and families, ranging from $200.00 to $ 1050.00.
How Gas Prices Affect Nonprofits
Earlier this year in Louisville, KY, Vincent James (President and CEO of Dare Care Food Bank) voiced his concerns about gas prices and food inflation. ââAre we going to be able to deliver the food that we need to our neighbors in need?â Thatâs the biggest question that I have, and thatâs the one thing that keeps me up at night,â He said in an interview. Dare to Care Food Bank receives food donations from large companies and pays for the freight delivery. The problem has become the cost, which has gone up by 40%; thus, increasing the fuel budget by $412,000.00 is unavoidable to ensure no one goes hungry.
The Program Manager of Meals on Wheels, a food delivery nonprofit for seniors, Marvita Starks, has also voiced her concerns. ââŠwe try to keep the routes kind of small, but we can add more seniors if we have more volunteers. We try to give them routes closer to where they live[KN1] ,â Starks stated. Meals on Wheels not only need volunteers for their food delivery but also asks for volunteers to help with communal sites to help with food distribution.
Often with volunteers who help with food delivery, the routes given can be quite large, meaning the volunteer is not just volunteering their time to help but also sacrificing their own gas and money to help others. There is a greater need for more volunteers to help shorten routes and increase the services provided, as well as volunteers who can work behind the scenes and help the nonprofits run smoothly.
The Council of Nonprofits states that 4 out of 5 nonprofits (79%) have reported that salary competition has impacted their hiring ability. It is tough to raise wages due to the lack of financial capacity, where every penny is accounted for. Unfortunately, government policies continue to contribute to the lack of resources and funds needed for many nonprofits.
Congress allowed the Charitable Giving Incentives to expire in 2021, failed to adjust reimbursement rates to reflect real-time costs, and prematurely repealed the ERTC (Employee Retention Tax Credit) that helped attract and retain staff. Without updating policies or enacting ways to help nonprofits and the public, it makes it extremely difficult for nonprofit organizations to remain open and afloat.
With increasing prices on gas, food, and the overall cost of living, it is a genuine possibility that nonprofits can close without proper funds or volunteers to help run much-needed services to the community. Tim Delaney, the President and CEO of the National Council of Nonprofits, states, âAll these things threaten the ability of nonprofits to serve people in their local communities⊠Policymakers at all levels of government are just assuming nonprofits make it work, but we canât. God Almighty, we try, but at a certain point, the laws of economics take over.â Nonprofits that provide childcare, domestic violence shelters, health clinics, and prison reentry programs need funding to keep their doors open.
How You Can Help Student LunchBox
Similar issues are happening locally, with smaller nonprofits with no state or federal support to operate. Student LunchBox is a local 501(c)3 nonprofit organization that helps provide college and university students with much-needed nutrition. You can help by making a one-time (weekly, monthly, or quarterly) donation to help out your local community. Want to send items from our wishlist? Anything helps to allow Student LunchBox to continue to provide services to fellow students in need.
Written By Alexandra Fink
Freelance Copywriter | Proofreader
Student LunchBox
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Medicare question - I know medicaid is limited to the state youâre in (couldnât use WV medicaid to get prescriptions in TN) but is medicare state bound?
Generally speaking, no, Medicare isnât state-bound - if you live in Trempealeau, Wisconsin but the doctor you want to see is over in Winona, Minnesota that border isnât going to be much of an issue since youâll be under the same Medicare Administrative Contractor (CMS has a number of different companies they contract with to handle the medical claims and billing for Medicare services, and each company is given a specific geographic area they cover)
If you live in Lansing, Michigan but decide you want to be a snowbird and spend the winters in Coral Gables, Florida, thatâs not going to prevent you from using your Medicare coverage, but you would need to designate one of them as your primary state of residence (where you vote, file taxes, have your license/ID, etc.) and find a doctor who accepts Medicare. You might have issues with your Medicare Supplement/Part C plan, or if you have a Medicare Advantage plan, because the states do differ there with benefits/coverages, premiums (this is probably the biggest thing), and enrollments. And with Medicare Advantage, theyâre like any other private insurance so if you donât use a doctor in your Advantage plan network, you foot the full bill.Â
(Medicare Supplement is also called Medigap, and CMS requires those plans basically be identical and are national, so stuff should be the same there, for the most part, regardless of location. The difference between Medicare Advantage and Medicare Supplement/Medigap is that Supplement/Medigap *only* covers/picks up whatever your primary Medicare doesnât, while with Advantage you basically have an insurer administer/provide your Medicare, and maybe have some extra/additional benefits. One is an addition to your Medicare coverage, one basically replaces it.)Â
Part D isnât as much of a concern, because those are usually national or have big networks and lots of provider options as it is, although it depends on if you have Advantage or if you just have Original Medicare (Parts A and B) and maybe a Medicare Supplement/Medigap (Part C)
If you move from Coeur dâAlene, Idaho to Louisville, Kentucky and make that your new residence, with no half-time visiting, all you really need to do is update your address and some other information with the Social Security Administration, but if you have a Medicare Advantage plan youâll likely need to find a new one, or at the very least expect a lot of change since those vary so much based on state. If you have a Medicare Supplement, that should basically be the same - again, unless the new states has different requirements or periods for it (but the coverage really shouldnât see too many issues or changes).
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I saw my new counselor for the second time yesterday.
And by saw, I mean video chatted because covid.
She's amazing. She's smart, quotes Brene Brown, and gives me space to explore a lot of things I have been shoving down for many, many years.
Each time I see this new counselor, it costs me $103.96.
I have a high deductible insurance plan. But I'm fortunate to have health insurance at all. I'm also fortunate to be able to shift my finances around to pay $103.96 every appointment.
I am privileged to have access to good care. I am privileged to have a stable job. I am privileged to be able to move my money around to pay for the help I need.
I almost didn't get here. I realized late last year that things were going sideways again. I knew that meant I needed to get back into a counselor's office. So I went to Anthem's website to look up a new one. The Care & Cost Finder didn't work. Okay. I called customer service. They told me to use the care & cost finder. It doesn't work. So I figured out that if I clicked Change PCP, I could game the system to search for counselors instead of primary care. Okay. Searched counseling. Nothing. Searched therapy. Nothing. Typed in psych..."psychological and psychiatric care" were the magical buzzwords to gain access to the list.
Okay, so now we're in. Sort by distance...and it kicked me out of the system. Okay. Go back in. Psych...okay, we're back. Don't sort. Don't touch anything. Just call the first one. Their office isn't accepting new patients. Okay. Call the second one. This number has been disconnected. Okay. Call the next three...they don't take Anthem.
Breathe.
Keep going down the list until you get a response. Under expected cost: N/A. Okay. Call the office, they can't tell you how much it will be either. "we don't know until we run it through your insurance" okay. Call the insurance. They can't tell you how much it will be until they receive the claim.
Oh. Kay.
Make an appointment with the first one that actually answers the phone. Next available: two weeks out. Okay.
Wait two weeks. Finally go in on your lunch break. Receive a 6-page intake form that you have to fill out in a busy waiting room. Hand it in. Wait. Get called back.
So tell me why you're here. Unload a little.
Well, what do you want to solve? Well, I don't know that I'm trying to SOLVE anything, but see, I have a panic disorder and...
Well, maybe you need medication.
I mean, yes, maybe I do, but I thought I'd come here first.
Time is up. Reluctantly schedule a second appointment because the thought of finding a new counselor is exhausting. You JUST did that.
Next available: two more weeks out.
One week later, bill comes: $97. Okay I guess. Must pay all out of pocket because of the high deductible.
Another week later, take another lunch break to go back. Arrive ten minutes early. Wait. Wait longer. Appointment time comes...and goes. Continue waiting. Ten minutes after appointment was to begin, new counselor comes out to get you, sucking on a steak n shake milkshake. Okay.
Sit down. Counselor is immediately aggressive.
Well I don't understand why you're here.
I mean, I just needed to talk to someone...
Well what have you done for yourself?
List out how you've grown over the last few years.
Well you need to try harder.
Breathe. Leave.
Text counselor, it's not working out.
Next bill: $97. Okay.
Develop anxiety-induced insomnia. Wait too long to go see PCP. Get insomnia meds and a referral to the local hospital's counseling network.
Call. No answer. Leave a message. No call-back. Call again. Get hung up on. Call again. Leave a message. No call-back. Call three days in a row during business hours. No response.
Give. Up.
Pandemic hits. Insomnia still wrecking you, anxiety skyrockets. Okay. It's time. You have to find someone. Care & Cost Finder finally works. Stalk three options on psychology today. Find one's business Facebook page. See Brene quotes. Send an email.
Only doing video appointments, is that okay? Absolutely! I have tomorrow available, or not again for two weeks... Take tomorrow.
First appointment reminds you of that amazing counselor you had in Louisville. The weird hippie lady who made you paint your feelings and wrecked her shoes walking through the park with you because you needed to be active.
No one knows how much it will cost until it's run. You take the risk.
$103.96.
You schedule a second appointment. You finally feel the weight lifting. You finally feel like you've found the right fit.
It's been 9 months of searching.
I share this saga with you because it should not be THIS hard to access mental health care. I am employed full-time, I have health insurance, and I am relatively tech savvy. I used to help people get access to care as my job. I know the system. And it was still this hard for me.
Imagine someone without health insurance. Without regular access to the internet. Without a car. Without money.
Also in mental distress. Also worrying about paying their rent. Also dealing with systemic racism. Also considered essential but making $7.75 an hour.
People are villified and judged for admitting they need help with their mental health. Barriers to care are sky-high. It shouldn't be this way.
I'm getting the help I need because I have the privilege of access, support, and finances. I shouldn't need those privileges.
If you're struggling to find the help you need, call me. There are options. There are patient assistance programs. I'm not saying it's going to be easy...but I am saying that it's worth it. And I fully believe that everyone deserves the help they need, and I'll do my damnedest to help you find it.
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What to look for in a Healthcare Insurance Company?
It would be wrong for you to stay without a health insurance cover. It might be stressing for you if you have a health emergency and do not have either a healthcare insurance cover or enough money. Paying cash for your medical bills can eat into your savings and that explains the need for a healthcare insurance cover. Â It is necessary to note that a healthcare insurance cover would cater for the treatment of a pre-existing disease. However, there are different companies offering this type of cover and it means that you would face a challenge when choosing the right one for you. Â There is a need to be careful to avoid regrets in the future. Â The following are points to have in mind when choosing a healthcare insurance company.
Look at how stable an insurance company is before making your final decisions. Â Letting go of the financial policy is the last thing you can think of in case a company fails. Before choosing a certain insurance company, examine how stable it is in terms of finances. Â Request the company of interest to show you their current financial statement as it will help you in knowing how stable it is. Â With this, you look at the growth rate and profitability. Â In some way, ratings can show the financial strengths of an insurance company. Examine the knowledge that we shared about louisville health insurance company.
The way in which a company pays for claims has a great impact on the efficiency of its products. Choose a company that pays in a good way. Â Additionally, the company should not give you a lot of stress during the payment. Click this link medicare insurance in louisville and la grange ky to see more information.
Knowing the stature of the insurance company in mind is crucial. Take your time and do some investigations before committing to a particular company. Â With the help of the internet, you can look at the reviews about the company in mind. Â Consequently, you will find helpful information about the company. Â However, it is not possible to find a company that has positive reviews only. Â Negative reviews show the kind of problems clients experience with the company; if there is a problem with compensation then you should look for another company. Explore more wisdom about insurance at https://en.wikipedia.org/wiki/Life_insurance.
The quality of customer service in an insurance company determines how good or bad the company is. Â The company should give appropriate and efficient responses to questions from its customers. The company should have ways of handling problems related to clients. Generally, the company should be customer service oriented. Â You should note that each insurance company has a different price quote and you should get the appropriate one; get quotes from different companies and eliminate the ones with high charges.
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Abortion
History:
The practice of abortion - the termination of a pregnancy - has been known since ancient times. Various methods have been used to perform or attempt an abortion, including the administration of abortifacient herbs, the use of sharpened implements, the application of abdominal pressure, and other techniques. Abortions laws and their enforcement have fluctuated through various era. In many western countries during the 20th century various pro-abortion groups were successful in having abortion bans repealed. While abortion remain legal in most of the West, this legality is regularly challenged by anti-abortion groups.
Many methods employed in early and primitive cultures were non-surgical. Physical activities like strenuous labour, climbing, paddling, weightlifting, or diving were common techniques. Physical means of inducing abortion, including battery, exercise, and tightening the girdle were often used as late as the Early Modern Period among English Women. Archaeological discoveries indicate early surgical attempts at the extraction of a fetus; however, such methods are not believed to have been common, given the infrequency with which they are mentioned in ancient medical texts. An 8th century Sanskrit text instructs women wishing to induce an abortion to sit over a pot of steam or stewed onions. The technique of massage abortion, involving pressure to the pregnant abdomen, has been practiced in Southeast Asia for centuries. Japanese documents show records of induced abortion from as early as the 12th century. It became much more prevalent during the Edo period, especially among the peasant class, who were hit the hardest by the recurrent famines and high taxation of the age. Hippocrates would advise prostitutes to jump up and down, touching her buttocks with her heels at each leap, so as to induce miscarriage.
A list of plants which cause abortion was provided in De viribus herbarum, an 11th century herbal written in the form of a poem. Among them were rue, italian catnip, savory, sage, soapwort, cyperus, white and black hellebore, and pennyroyal.
Attitudes: The Stoics believed the fetus to be plantlike in nature, and not an animal until the moment of birth, when it finally breathed air. They therefore found abortion morally acceptable. Aristotle wrote that, â[T]he line between lawful and unlawful abortion will be marked by the fact of having sensation and being alive.â Before that point was reached, Aristotle did not regard abortion as the killing of a human. Aristotle considered the embryo to gain a human soul at 40 days if male and 90 days if female; before that, it had vegetable and animal souls.
Although abortion was permitted in Rome, attitudes changed with the spread of Christianity and around 211 AD emperors Septimius Severus and Caracalla banned abortion as infringing on parental rights; temporary exile was the punishment. 19th century medicine saw tremendous advances in the fields of surgery, anaesthesia, and sanitation. Social attitudes towards abortion shifted during this period under the influence of Victorian morality, and abortion was made illegal. There were a number of factors that contributed to this shift in opinion. In the United States, where physicians were the leading advocates of abortion criminalization laws, advances in medical knowledge played a significant role in influencing anti-abortion opinion. Science had discovered that conception inaugurated a more or less continuous process of development, which would produce a new human being if uninterrupted.
The English law on abortion was first codified in legislation under sections 1 and 2 of Malicious Shooting or Stabbing Act 1803. The bill was proposed to clarify the law relating to abortion and was the first law to explicitly outlaw it. The Act provided that it was an offence for any person to perform or cause an abortion. The punishment for performing or attempting to perform a post quickening abortion was the death penalty. The Offences against the Person Act 1861 created a new preparatory offence of procuring poison or instruments with intent to procure abortion. Anti-abortion laws began to appear in the United States from the 1820s, although abortion services were available in New York, Cincinnati, Louisville, Cleveland, Chicago and Indianapolis; with estimates of one abortion for every 4 live births. Criminalization accelerated from the late 1860s and by 1910 nearly every state had anti-abortion laws.
Farrerâs Catholic Pills
Hardyâs Womanâs Friend
Dr. Peterâs French Renovating Pills
Lydia Pinkhamâs Vegetable Compound
Abortifacient products were sold under the promise of restoring female regularity and removing the system from every impurity. Many feminists of the era were opposed to abortion, some argued that instead of merely attempting to pass a law against abortion, the root cause must also be addressed. Even the âfree loveâ wing of the feminist movement refused to advocate abortion and treated the practice as an example of the hideous extremes to which modern marriage was driving women. Marital rape and the seduction of unmarried women were societal ills which feminists believed caused the need to abort, as men did not respect womenâs right to abstinence.
Stella Browne: birth control campaigner, strongly believed that working women should have the choice to become pregnant and terminate their pregnancy while they worked in the horrible circumstances surrounding a pregnant woman who was still required to do hard labour during her pregnancy. She began touring, giving lectures on abortion and the negative consequences that followed if women were unable to terminate pregnancies of their own choosing such as: suicide, injury, permanent invalidism, madness and blood-poisoning. Abortion Law Reform Association (ALRA). The Russian Soviet Federative Socialist Republic was the first government to legalise abortion and make it available on request, often for no cost. In Chicago, a group known as âJaneâ operated a floating abortion clinic throughout much of the 1960s. Women seeking the procedure would call a designated number and be given instructions on how to find âJaneâ.
Abortion has been banned or restricted throughout history in countries around the world. Multiple scholars have noticed that in many cases, this has caused women to seek dangerous, illegal abortions underground or inspired trips abroad for âreproductive tourismâ.
Further readings:
De viribus herbarum
Eve's Herbs: A History of Contraception and Abortion in the West
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Chiropractic Care: The Benefits Speak for Themselves
As a Louisville Chiropractor people ask me all the time to explain the benefits of Chiropractic. There are a number of benefits that a person receives from chiropractic care, and this is the number one reason that there continues to be a growth in chiropractic care. Chiropractic care is a non-invasive approach to treating a number of different ailments and helps the body heal itself, this is why it is recommended by so many. According to americashealthrankings.org, Kentucky is the 10th most 'unhealthy' state in the United States. Clearly we need to utilize all available resources to bring us up that health ladder.
 Common Chiropractic Benefits
No one is exempt from musculoskeletal dysfunction. This means that anyone and everyone will be able to benefit from the natural healing ability of chiropractic care and get relief from just about any type of discomfort that they are experiencing due to a misaligned spine, back or neck injury. Individuals that try to remain active dealing with this kind of discomfort can make life uncomfortable. Instead of dealing with diminished motor capacity, getting chiropractic care can help eliminate further trauma from movement.
 It doesn't matter what caused your initial discomfort there are a number of benefits that you will experience including:
 A reduction in or elimination of lactic acid
Better circulation
Body will receive needed oxygen and nutrients
Improve flexibility
Shortened recovery time
Decreased muscle spasm
Decrease risk of future injury
Increased relaxation
Combination Treatments
 The best way to get the most out of your chiropractic treatments is to combine them with other natural techniques. Chiropractors even recommend that you combine treatments so that your body adjust to treatments. Doing more to alleviate the pressure or the source of your discomfort will give your body improved performance and maximum mobility. To help improve your results you should consider creating a daily routine that includes the following activities:
 Drinking plenty of water throughout the day (at least 8 eight ounce glasses of water)
Making healthy food choices, fresh veggies and fruits, lean meats
Create a healthy exercise routine that you will stick to daily, even if it is a simple stretching routine
Additional Benefits of Chiropractic Care
 A number of people have a number of misconceptions about what chiropractic care is. One of the big misconceptions is that they think chiropractic care is not a valid treatment and can only be used to relieve minor back pain, headaches and other similar conditions. The truth is that chiropractic treatments can help even those suffering from extreme cases of vertebral misalignment and spinal misalignment. There are benefits that go beyond muscoskeletal benefits, and different people will experience a variety of results including:
 Easier delivery for pregnant women
Babies will have improved developmental abilities as well as prevent the possibility of acquiring scoliosis
Prevents asthma, ear infection, bedwetting and other issues for children
Adults are able to increase productivity and generate increased energy
Seniors are able to improve balance and decrease the risk of injury caused by falls
There are still more benefits and results that have been reported by chiropractic patients including:
Improved immune and nervous system function
Improved vitality
Breathing became easier
Improved digestion
Vision sharpens
Better overall health
How Soon Do the Results Become Evident?
Not too long after you start chiropractic treatment your body is going to begin to realign and you will experience relief from the pressure that is causing you pain in your joints. For those that have mild cases they will notice relief very soon after a treatment. This is one of the perks to getting chiropractic care over a medical or surgical procedures that traditionally require a long recovery period. For some there may be some soreness or achiness that will be experienced with chiropractic treatment. This is simply because the body has to readjust to the realignment especially if it has been out of alignment for a while. The process should not be long, and you will soon regain normal mobility and function.
Mindful Billing & Management LLC provides professional insurance billing services to holistic practitioners With a personal touch. We are here to help you, give us a call (305)204-1090
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Current and Historical View at Police Brutality
Human rights violations have been common throughout societies and history. Minority groups or outsiders have been treated differently than the dominant population. In the United States, institutional racism has plagued the country for hundreds of years since its conception. Despite the efforts of prominent figures like Dr. Martin Luther King, Jr. and Malcolm X and several other African American Civil Rights Activists, mistreatment of black Americans is still prevalent. One big issue concerning human right violation in current America is police brutality. This act is defined as the beatings, racial abuse, unlawful killings, torture, and excessive use of riot control agents at protests. Indeed, police brutalities have happened all throughout history including the Great Railroad Strike of 1877 and Pullman Strike in 1894, however, African American brutality seems to linger on to modern age.Â
One of the earliest tape recorded cases of police brutality happened to Rodney King in 1992. King was stopped by the police due to drunk driving, but the police proceeded to beat and torture him even when incapacitated and could not move. After riots and protests addressing this issue also brought forth by the NAACP, police brutalities continued to happen and the news media as well as the public often said, âthey [police] were bad apples.â Although this is true, what is causing the public outrage by the African American community is that these officers who committed this crime are rarely, if ever, held accountable. A recent case of police brutality had a nationwide impact due to the death of George Floyd, an African American man who was brutally killed by the police department in Minneapolis, Minnesota. The video footage showed no signs of resisting arrest by Mr. Floyd and there was no proof of crime. The police were called due to a seemingly fraudulent $20 bill in a convenience store, which in itself shouldnât be a crime punishable by death, but the accusation also happened to be a mere suspicion. Floyd was handcuffed and laid on the ground and not resisting arrest, and the police officer who was a grown stocky man, put all his weight on Floydâs neck by kneeling on him. This went on for an astounding 8 minutes and 46 seconds and Floydâs cries could be heard on camera and the other officers did absolutely nothing to help. Although police brutality does happen to other races as well, the victims are mainly African Americans.
Data from Proceedings of the National Academy of Sciences of the United States of America (PNAS) show that African Americans have the highest likelihood of being victims of police brutality regardless of age, gender, and economic class compared to any other race group in America. Accountability is the biggest issue addressed by protests and leaders of activism in the country. Derrick Chauvin, the officer that murdered George Floyd, has been in protective custody and his charges have been delayed. This maybe due to COVID but it begs the question that would Chauvin have gotten away with murder like the corrupt officers before him, if not for the united nationwide protests. Luckily, justice has been served and Officer Chauvin has been convicted of murder under the Minneapolis Jurisdiction. Sadly, police brutality did not end with Floyd. Breonna Taylor, a 26-year old medical emergency technician in Louisville, Kentucky, was murdered in her own home by police officers in plain clothing. This showed complete disregard for the life that was in her apartment There are many other cases with the recent death of Daunte Wright, all these brutal acts happened within 1 year. It is very odd, that the majority of the victims are African Americans.Â
On the bright side, organizations like the Black Lives Matter (BLM) movements and nationwide support from organizations and companies have elucidated this often ignored problem, and many of the officers engaged in police brutality have been convicted according to their local jurisdictions. Many nonprofit organizations including the ABFE: A Philanthropic Partnership for Black Communities, ACLU of both Arizona and New Jersey, All of Us or None project in California, Alliance of Families for Justice in New York and many others are encouraging minority families to cope with institutional racism including victims of police brutality, as well as empowering and educating the youth from these communities.Â
Locally, in Minnesota, the Communities United Against Police Brutality (CUAPB) organization helps in educating communities, demanding legislative action and advocating for justice on behalf of victims and families affected by police brutality. They are a smaller organization, who work locally in making a better community. Although they do offer nationwide help, this organizationâs focus remains on the state of Minnesota. A statement they have is:Â
âOur overriding goal is to create a climate of resistance to abuse of authority by police organizations and to empower local people with a structure that can take on police brutality and actually bring it to an end. We provide support for survivors of police brutality and families of victims so they can reclaim their dignity and join the struggle to end police brutality.â
All these organizations, and the nationwide support from all races gives hope that there will be justice and accountability held in the case of police brutality, as we progress into the future.Â
Work Cited
American Civil Liberties Union. (n.d.). https://www.aclu.org/.Â
Baer, T. (2020, June 11). The Minneapolis police department has a long history of brutality. Black Lives Matter News | Al Jazeera. https://www.aljazeera.com/opinions/2020/6/11/the-minneapolis-police-department-has-a-long-history-of-brutality. Black Lives Matter. (2021, February 23). https://blacklivesmatter.com/.Â
Communities United Against Police Brutality. (n.d.). https://www.cuapb.org/.
Edwards, F., Lee, H., & Esposito, M. (2019, August 20). Risk of being killed by police use of force in the United States by age, raceâethnicity, and sex. PNAS. https://www.pnas.org/content/116/34/16793.Â
 Legal Services for Prisoners with Children. (n.d.). https://prisonerswithchildren.org/about-aouon/.Â
Rothman, L. (2016, March 3). Rodney King 25 Years Later: A History of Police Misconduct. Time. https://time.com/4237832/citizens-filming-rodney-king/.Â
Velocity9999. (2020, July 27). The History of American Police Brutality. The National Trial Lawyers. https://thenationaltriallawyers.org/2020/07/the-history-of-american-police-brutality/.Â
Wamsley, L. (2021, April 20). Derek Chauvin Found Guilty Of George Floyd's Murder. NPR. https://www.npr.org/sections/trial-over-killing-of-george-floyd/2021/04/20/987777911/court-says-jury-has-reached-verdict-in-derek-chauvins-murder-trial.Â
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Humana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds
A Humana Inc. health plan for seniors in Florida improperly collected nearly $200 million in 2015 by overstating how sick some patients were, according to a new federal audit, which seeks to claw back the money.
This story also ran on NPR. It can be republished for free.
The Health and Human Services Office of Inspector Generalâs recommendation to repay, if finalized, would be âby far the largestâ audit penalty ever imposed on a Medicare Advantage company, said Christopher Bresette, an HHS assistant regional inspector general.
âThis [money] needs to come back to the federal government,â he said in an interview.
Humana sharply disputed the findings of the audit, which was set for public release Tuesday. A spokesperson for the company said Humana will work with Medicare officials âto resolve this review,â and noted the recommendations âdo not represent final determinations, and Humana will have the right to appeal.â Â
Medicare Advantage, a fast-growing private alternative to original Medicare, has enrolled more than 26 million people, according to Americaâs Health Insurance Plans, an industry trade group. Humana, based in Louisville, Kentucky, is one of the largest of these insurers, with about 4 million members.
While popular with seniors, Medicare Advantage has been the target of multiple government investigations, Department of Justice and whistleblower lawsuits and Medicare audits that concluded some plans boosted their government payments by exaggerating the severity of illnesses they treated. One 2020 report estimated improper payments to the plans topped $16 billion the previous year.
But efforts to recover even a tiny fraction of the overpayments in past years have stalled amid intense industry opposition to the governmentâs audit methods.
Now the OIG is rolling out a series of audits that could for the first time put health plans on the hook for refunding tens of millions of dollars or more to Medicare. The OIG is planning to release five to seven similar audits within the next year or two, officials said.
The Humana audit, conducted from February 2017 to August 2020, tied overpayments to medical conditions that pay health plans extra because they are costly to treat, such as some cancers or diabetes with serious medical complications.
Auditors examined a random sample of 200 patientsâ medical charts to make sure that the patients had the diseases the health plans were paid to treat, or that the conditions were as severe as the health plan claimed.
For instance, Medicare paid $244 a month, or $2,928 for the year, for one patient said to be suffering from serious complications of diabetes. But medical records Humana supplied failed to confirm that diagnosis, meaning the health plan should have received $163 less per month for the patientâs care, or $1,956 for the year, according to the audit.
Similarly, Medicare paid $4,380 too much in 2015 for treatment of a patient whose throat cancer had been resolved, according to the audit. In other cases, however, auditors said Medicare underpaid Humana by thousands of dollars because the plan submitted incorrect billing codes.
In the end, auditors said Medicare overpaid Humana by $249,279 for the 200 patients whose medical charts were closely examined in the sample. Auditors used a technique called extrapolation to estimate the prevalence of such billing errors across the health plan.
âAs a result, we estimated that Humana received at least $197.7 million in net overpayments for 2015,â the audit states, adding that Humanaâs policies to prevent these errors âwere not always effectiveâ and need improvement.
The OIG notified Humana of its findings in September 2020, according to the audit. A final decision on collecting the money rests with the Centers for Medicare & Medicaid Services, or CMS, which runs Medicare Advantage. Under federal law, the OIG is responsible for identifying waste and mismanagement in federal health care programs but can only recommend repayment. CMS had no comment.
Though controversial, extrapolation is commonly used in medical fraud investigations â except for investigations into Medicare Advantage. Since 2007, the industry has criticized the extrapolation method and, as a result, largely avoided accountability for pervasive billing errors.
Industry protests aside, OIG officials say they are confident their enhanced audit tools will withstand scrutiny. âI believe what we have here is solid,â OIG official Bresette said.
Michael Geruso, an associate professor of economics at the University of Texas-Austin, who has researched Medicare Advantage, said extrapolation âmakes perfect sense,â so long as it is based on a random sample.
âIt seems like this is a healthy step forward by the OIG to protect the U.S. taxpayer,â he said.
The OIG used the extrapolation technique for the first time in a February audit of Blue Cross and Blue Shield of Michigan that uncovered $14.5 million in overpayments for 2015 and 2016. In response, Blue Cross said it would take steps to ferret out payment mistakes from other years and refund $14.5 million. Blue Cross spokesperson Helen Stojic said that process âis still pending.â
But Humana, with a lot more money on the line, is fighting back. Humana âtakes great pride in what the company believes to be its industry-leading approachâ to ensuring proper billing, Sean OâReilly, a company vice president, wrote in a December 2019 letter to the OIG that blasted the audit.
OâReilly wrote that Humana âhas never received feedback from CMS that its program is deficient in any respect.â
The nine-page letter argues that the audit âreflects misunderstandings related to certain statistical and actuarial principles, and legal and regulatory requirements.â Requiring Humana to repay the money âwould represent a serious departure from the statutory requirements underlying the [Medicare Advantage] payment model,â the company said.
Humana did persuade the OIG to shave off about $65 million from its initial estimate of the overpayment. In 2015, Medicare paid the plan about $5.6 billion to treat about 485,000 members, mostly in South Florida.
Humana is not alone in disapproving of the audits.
AHIP, the industry trade group, has long opposed extrapolation of payment errors, and in 2019 called a CMS proposal to start doing it âfatally flawed.â The group did not respond to requests for comment.
Health care industry consultant Richard Lieberman said insurers remain âvehemently opposedâ and will likely head to court to try to sidestep any multimillion-dollar penalties.
Lieberman noted that CMS has âwaffledâ in deciding how to protect tax dollars as Medicare Advantage plans have grown rapidly and cost taxpayers more than $200 billion a year. CMS says it has yet to complete its own audits dating to 2011, which are years overdue.
The dispute has been largely invisible to patients, who are not directly affected by overpayments to the plans. Many seniors sign up because Medicare Advantage offers benefits not included in original Medicare and may cost them less out-of-pocket, though it restricts their choice of doctors.
But some critics argue that inaccurate medical files pose a risk of improper treatment. Dr. Mario Baez, a Florida physician and whistleblower, said seniors can be âplaced in harmâs way due to false information in their medical records.â
KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.
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This story can be republished for free (details).
Humana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds published first on https://smartdrinkingweb.weebly.com/
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Humana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds
A Humana Inc. health plan for seniors in Florida improperly collected nearly $200 million in 2015 by overstating how sick some patients were, according to a new federal audit, which seeks to claw back the money.
This story also ran on NPR. It can be republished for free.
The Health and Human Services Office of Inspector Generalâs recommendation to repay, if finalized, would be âby far the largestâ audit penalty ever imposed on a Medicare Advantage company, said Christopher Bresette, an HHS assistant regional inspector general.
âThis [money] needs to come back to the federal government,â he said in an interview.
Humana sharply disputed the findings of the audit, which was set for public release Tuesday. A spokesperson for the company said Humana will work with Medicare officials âto resolve this review,â and noted the recommendations âdo not represent final determinations, and Humana will have the right to appeal.â Â
Medicare Advantage, a fast-growing private alternative to original Medicare, has enrolled more than 26 million people, according to Americaâs Health Insurance Plans, an industry trade group. Humana, based in Louisville, Kentucky, is one of the largest of these insurers, with about 4 million members.
While popular with seniors, Medicare Advantage has been the target of multiple government investigations, Department of Justice and whistleblower lawsuits and Medicare audits that concluded some plans boosted their government payments by exaggerating the severity of illnesses they treated. One 2020 report estimated improper payments to the plans topped $16 billion the previous year.
But efforts to recover even a tiny fraction of the overpayments in past years have stalled amid intense industry opposition to the governmentâs audit methods.
Now the OIG is rolling out a series of audits that could for the first time put health plans on the hook for refunding tens of millions of dollars or more to Medicare. The OIG is planning to release five to seven similar audits within the next year or two, officials said.
The Humana audit, conducted from February 2017 to August 2020, tied overpayments to medical conditions that pay health plans extra because they are costly to treat, such as some cancers or diabetes with serious medical complications.
Auditors examined a random sample of 200 patientsâ medical charts to make sure that the patients had the diseases the health plans were paid to treat, or that the conditions were as severe as the health plan claimed.
For instance, Medicare paid $244 a month, or $2,928 for the year, for one patient said to be suffering from serious complications of diabetes. But medical records Humana supplied failed to confirm that diagnosis, meaning the health plan should have received $163 less per month for the patientâs care, or $1,956 for the year, according to the audit.
Similarly, Medicare paid $4,380 too much in 2015 for treatment of a patient whose throat cancer had been resolved, according to the audit. In other cases, however, auditors said Medicare underpaid Humana by thousands of dollars because the plan submitted incorrect billing codes.
In the end, auditors said Medicare overpaid Humana by $249,279 for the 200 patients whose medical charts were closely examined in the sample. Auditors used a technique called extrapolation to estimate the prevalence of such billing errors across the health plan.
âAs a result, we estimated that Humana received at least $197.7 million in net overpayments for 2015,â the audit states, adding that Humanaâs policies to prevent these errors âwere not always effectiveâ and need improvement.
The OIG notified Humana of its findings in September 2020, according to the audit. A final decision on collecting the money rests with the Centers for Medicare & Medicaid Services, or CMS, which runs Medicare Advantage. Under federal law, the OIG is responsible for identifying waste and mismanagement in federal health care programs but can only recommend repayment. CMS had no comment.
Though controversial, extrapolation is commonly used in medical fraud investigations â except for investigations into Medicare Advantage. Since 2007, the industry has criticized the extrapolation method and, as a result, largely avoided accountability for pervasive billing errors.
Industry protests aside, OIG officials say they are confident their enhanced audit tools will withstand scrutiny. âI believe what we have here is solid,â OIG official Bresette said.
Michael Geruso, an associate professor of economics at the University of Texas-Austin, who has researched Medicare Advantage, said extrapolation âmakes perfect sense,â so long as it is based on a random sample.
âIt seems like this is a healthy step forward by the OIG to protect the U.S. taxpayer,â he said.
The OIG used the extrapolation technique for the first time in a February audit of Blue Cross and Blue Shield of Michigan that uncovered $14.5 million in overpayments for 2015 and 2016. In response, Blue Cross said it would take steps to ferret out payment mistakes from other years and refund $14.5 million. Blue Cross spokesperson Helen Stojic said that process âis still pending.â
But Humana, with a lot more money on the line, is fighting back. Humana âtakes great pride in what the company believes to be its industry-leading approachâ to ensuring proper billing, Sean OâReilly, a company vice president, wrote in a December 2019 letter to the OIG that blasted the audit.
OâReilly wrote that Humana âhas never received feedback from CMS that its program is deficient in any respect.â
The nine-page letter argues that the audit âreflects misunderstandings related to certain statistical and actuarial principles, and legal and regulatory requirements.â Requiring Humana to repay the money âwould represent a serious departure from the statutory requirements underlying the [Medicare Advantage] payment model,â the company said.
Humana did persuade the OIG to shave off about $65 million from its initial estimate of the overpayment. In 2015, Medicare paid the plan about $5.6 billion to treat about 485,000 members, mostly in South Florida.
Humana is not alone in disapproving of the audits.
AHIP, the industry trade group, has long opposed extrapolation of payment errors, and in 2019 called a CMS proposal to start doing it âfatally flawed.â The group did not respond to requests for comment.
Health care industry consultant Richard Lieberman said insurers remain âvehemently opposedâ and will likely head to court to try to sidestep any multimillion-dollar penalties.
Lieberman noted that CMS has âwaffledâ in deciding how to protect tax dollars as Medicare Advantage plans have grown rapidly and cost taxpayers more than $200 billion a year. CMS says it has yet to complete its own audits dating to 2011, which are years overdue.
The dispute has been largely invisible to patients, who are not directly affected by overpayments to the plans. Many seniors sign up because Medicare Advantage offers benefits not included in original Medicare and may cost them less out-of-pocket, though it restricts their choice of doctors.
But some critics argue that inaccurate medical files pose a risk of improper treatment. Dr. Mario Baez, a Florida physician and whistleblower, said seniors can be âplaced in harmâs way due to false information in their medical records.â
KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.
USE OUR CONTENT
This story can be republished for free (details).
Humana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds published first on https://nootropicspowdersupplier.tumblr.com/
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