#healthcare IT service providers

[gavstech]

Healthcare solutions companies are changing the game by leveraging new technologies and data analytics to improve patient outcomes, increase operational efficiency, and reduce costs. These companies play a critical role in the healthcare industry by developing and commercializing new treatments, technologies, and tools that can help providers deliver better care. With the healthcare industry undergoing rapid changes, healthcare solutions companies will continue to be an important part of the healthcare ecosystem.

[tainbocuailnge]

every service crucial to the functioning of society, namely government, healthcare, banking, etc, needs to at all times consider that people who are very stupid need to be able to navigate and use these services with minimal struggle, and people who don't have easy access to the internet or a smartphone also need to be able to navigate and use these services with minimal struggle. unfortunately many of the people who design these systems and services are in possession of a higher education a smartphone with consistent high speed internet connection and a critical lack of awareness about how universal these experiences are

[sangsaracycling]

theres also at least in the canadian system the added complexity of like. we have a single payer system (with a lot of gaps in coverage). all hospitals are public . specialists who can only be hired if the hospital has capacity are essentially self-employed rather than being government employees. they have to set up corporations under their own name and then bill their provincial government each time they provide care to a patient. if we let the workers pretend they own the means of production at any meaningful capacity they will fight back any time theres a proletarian movement that is fundamentally in their interest.

[digzmania]

Aetna intentionally denied multiple pre-authorization requests for my upcoming surgery with the SOLITARY purpose of delaying it until it was too late to schedule a surgery date in 2024. I was scheduled to have the 3rd of 3 surgeries on 27 NOV 2024. My remaining Out of Pocket MAX for the 2024 year is down to $509, and Aetna wanted to be able to put more of the financial burden (Deductible and reset out of pocket ax) back onto me. My doctor submitted pre-authorization requests on 30 OCT 24, 08 NOV 24, and 12 NOV 24. Each time, Aetna came up with a new and unethical reason to deny or delay their approval. On two separate occasions, AETNA cancelled the requests internally, and outright lied as they tried to claim that my doctor's office had withdrawn the requests. Only when pressed in a three way call with Aetna and my Doctor's Scheduler on the phone did they admit that teh cancelled requests were their doing. Then they asked for a new request submission, claiming that it was not a "Denial of Service." Next, they denied service stating that my doctor and surgical center were "Out of Network." not only are both "IN NETWORK," both are considered Tier 1 Preferred by Aetna, as stated on Aetna's own website provider listing. After more than a month of phone calls, clarification requests, cancelations, re-submitted requests, transfers to various Aetna Departments, my request was finally approved on 06 dEC 2024... AFTER my originally scheduled date had past, and ONLY AFTER Aetna fully realized that it would be too late to schedule a surgery date by 31 DEC2024, at which time all deductibles and fees due from me reset all over again.

At no time were any of these delays out of a concern for my health, wellbeing, or safety. Aetna had one goal at purpose... delay, deny, depose for the purpose of saving Aetna money and costing me thousands $,$$$. I'll not even go into all of the details about denial of service for procedures already performed... like authorizing cervical fusion surgery and paying for the fusion plates, but denying payment for the screws used to fasten the plates in place...

[theorgantrail]

Call Your Insurance - benefit questions

I get it, phone calls are scary! Here's some scenarios to show you what to expect when you call your insurance company. Don't be afraid to ask follow up questions - the only 'stupid question' is one you don't ask!

[beginning of call] Insurance rep: Hi, thanks for calling your insurance company, my name is X. How can I help you today? You: Hi, I'm calling to ask about my benefits. Rep: Okay, can I get your member ID number? [you provide] and can you verify your name and date of birth for me? [you verify. they may also ask for your phone number at this point.] Rep: Alright, I've got you pulled up here. What questions do you have today?

[example one] You: I think I need to see a specialist and wanted to know what my benefits are for lab work. Rep: Okay, give me a minute to get that information for you. [answer will obviously vary! they may ask clarifying questions to help find an accurate answer, such as diagnosis/issue you are seeking help for. they may also have to provide a disclaimer that they cannot guarantee benefits quoted] It looks like you have a $45 copay for specialist office visits, and that can include some basic lab work if it is billed on the same claim. If they send it to a separate lab, then your In Network benefit is 80% after deductible. You: Can you check to see if the specialist is In Network? And do I need a referral? Rep: Sure, what's the doctor's name? [they may tell you to verify with the provider if they are In Network, as not all insurance reps will have access to 100% confirm a provider's network contract status, unfortunately.]

[example two] You: I'm going to need surgery. What are my benefits? Rep: I can look that up for you. Where will you be having the surgery? [surgery benefits can depend on whether you are inpatient, outpatient, or in-office] You: At the hospital, I might have to be there a few days. Rep: Okay, inpatient services require precertification. Your doctor will need to start that process by submitting a precert request to our fax number or through our website. The benefit for hospital services is 80% after deductible. It looks like you've already met your deductible, so that means you'll be paying 20% until you hit your out of pocket max, which is $4000 for In Network services. You: Does that include my deductible?

[end of call] Rep: Is there anything else I can help you with today? You: No that's all. Can I get a reference number for the call? [feel free to ask for their name again if you didn't catch it or forgot! some systems don't have reference numbers and just use the rep's name and the date, so its always good to keep notes of when you called, who you spoke with, and what they told you!]

[multicloudnow]

[marmett]

my current temp part time job has been fine, second best job ive ever had. but i am so glad to be putting in my notice today. esp after yesterday ;_;

[nerevarbignaturals]

why in the fresh FUCK are so many medical clinics in idaho operating on a monthly subscription basis. this is life-saving healthcare not fucking hulu

[kyccanada]

KYC Provider Canada

KYC is a mandatory process that financial institutions and other businesses follow to authenticate the identities of their customers. KYC Providers help and provide KYC API to verify users' and business identities. KYC Providers in the Canada also use various methods to verify identities, like id, document, and address verification.

[manageditserviceslosangeles]

When people entrust their health and well-being to your business, your IT system must operate reliably and efficiently. Unfortunately, the healthcare industry has a history of experiencing IT difficulties that can have serious consequences. Malfunctions in healthcare facilities and devices due to technical issues can result in errors in patient data records, compromising patient safety.  

Due to this, healthcare companies need technologies covering everything from basic administrative tasks to more complex technical tasks. Benefits of managed IT services for healthcare go far beyond increased productivity.  

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[junadeo]

YES!!

decriminalize:

sex work

addiction

criminalize: 

golf

[winderlylandchime]

I’m seeing a bunch of posts that make me think most USAmericans don’t know about The No Surprises Act.

It was passed in 2021 (thank you Biden) and essentially states that if you don’t have insurance or your insurance doesn’t cover a service you need (or want) you are entitled to a Good Faith Estimate of the cost of care. (If your insurance does cover the service, you should be able to estimate the cost of care based on your deductible and co-pay.)

As a healthcare provider who does not accept any insurance, I am very careful to not violate The No Surprises Act. Why? Because for every penny more than $400 that the Good Faith Estimate was “off” (or if it wasn’t provided), you are entitled to a refund for that amount.

Y’all. Ask for a Good Faith Estimate. Get it in writing. Compare it to what you are paying. If you are not provided an estimate or if it’s wrong by more than $400, demand a refund.

[ndisprovidersyd]

NDIS Provider Sydney is a trusted and reliable provider of National Disability Insurance Scheme (NDIS) services in Sydney. With years of experience, we are dedicated to supporting people with disabilities to achieve their goals and live more independent lives.

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We understand how important it is for participants to receive timely, reliable support. That's why our team is committed to delivering exceptional service and ensuring each participant's unique requirements are met efficiently and compassionately.

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[agilus098]

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