Read Article
January 27, 2021
ER Diversion Program for Those Experiencing Behavioral Health Crises
The Living Room at Ellis Medicine, established in partnership with Rehabilitation Support Services, provides a calm, comfortable setting where individuals experiencing emotional or mental health crises can get help. Staffed by a licensed clinical social worker, peer specialist, and care manager with collaboration from consulting medical staff, the program offers an effective alternative to emergency…
#Network in the Know
Read Article
January 27, 2021
Hixny: Your Source for Secure, Real-time Patient Data
The Healthcare Information Exchange of New York (Hixny) is a non-profit, local health information network that supports the secure flow of electronic health information through the Statewide Health Information Network for New York (SHIN-NY), which is overseen by the New York State Department of Health. It was established to help improve patient outcomes, reduce or…
#Network in the Know
Read Article
December 28, 2020
Medication-Assisted Treatment for Opioid Addiction
Medication-assisted treatment (MAT) is primarily used for the treatment of addiction to opioids such as heroin and prescription pain relievers that contain opiates. MAT medications are evidence-based treatment options that relieve the withdrawal symptoms and psychological cravings that cause chemical imbalances in the body. They do not just substitute one drug for another. Opioid Dependency…
#Network in the Know
Read Article
December 28, 2020
Code Auditing Changes Effective January 6, 2020
Quarterly, Capital District Physicians’ Health Plan, Inc. (CDPHP®) implements appropriate code auditing changes to remain current with industry standard coding updates. Updates are made to our code auditing software Change Healthcare Technologies, LLC ClaimsXten™ based on recommendations from a variety of sources, including the American Medical Association (AMA), Centers for Medicaid and Medicare Services (CMS)…
#Network in the Know
Read Article
October 16, 2020
Care Support for Your Patients with Chronic Kidney Disease and Tips for Accurate Diagnostic Coding
A three-year continuous improvement project initiated by the Centers for Medicare & Medicaid Services (CMS) aims to optimize kidney function and improve outcomes for Medicare members with chronic kidney disease (CKD). Early identification and treatment of such patients may slow progression of the disease to end-stage renal disease and delay or avoid the need for…
#Network in the Know
Read Article
October 16, 2020
Guidelines for Accurate Claims Coding
Appropriate coding of medical claims serves several purposes. It provides clues to the complexity of a patient’s condition, the level of care required, as well as the projected costs and care management resources involved in delivering optimal care to that patient. Accurate ICD-10 diagnosis coding to the correct level of specificity is challenging, however, and…
#Network in the Know
The Daily Dose