Medical Improv Kindle Edition Up!

A new tool is available to help with tough issues!

Medical Improv:  A New Way to Improve Communication! (with 15 activities you can teach STAT!)

Now available on Kindle! (Look for FREE trial!)

Great reviews to check out on Amazon!

Written by Beth Boynton, RN, MS

Edited by Anne Lewellyn, RN-BC, MS, BHSA

Foreword by Candace Campbell, DNP, RN, CNL, FNAP

And if you prefer a hard copy….Amazon!

Posted in Assertiveness, Communication in Healthcare, Complexity in nursing, Diversity, Healthy Workplaces, Listening, Medical Improv, Nurse Entreprenuers, Nurse Leadership, Patient Advocacy, Patient Safety, Workplace Bullying | Tagged , , , | Leave a comment

How To Manage Medical Billing for DME?

by Ronnie Hastings

The demographic trends ahead in the DME industry are encouraging. The preferences for convenience among patients are increasing with time. The consumers of medical service now are more proactive than ever before. Personalization is the buzzword today and it is precisely for this reason preference for home healthcare is on the rise.

The DME market is also favored by the increase in the number of insured population. The aging population number is also on the rise. The use of durable medical equipment is also rising sharply with the use of new technology that is making it all the more desirable. Even if we take into account the present complexities in the federal environment, the DME market is expected to grow in the next five years and reach $60 billion. The CAGR will be around 5.3% and the opportunities for investment will be lucrative.

Surging costs in prior authorization: A worry area in DME claims

The Master List of 135 items that has already been flagged for unnecessary utilization is subject to a comprehensive process of prior authorization. Ideally, the DMEPOS items will stay same for the next 10 years unless it is removed while prices fall under the payment threshold.

The CMS anticipates that costs will be worth $150 million with prior authorization till 2025. The prior auth costs annually stand at a whopping $31 billion. In fact, transparency of provider service prices and repeal of ACA implies that DME providers will have to focus more on effective revenue cycle management. Understanding the claims adjudication mandates and quality denial management metrics will be a top priority.

A top class medical billing partner that specializes in handling DME billing by employing the right checks and balances will be hugely beneficial. Consistency in practice management efforts should be a top priority that will ultimately lay down a strong foundation for improved reimbursements.

Prominent Healthcare Revenue Cycle Management Company that builds you financial credibility

DME providers will need an actionable plan from a quality medical billing company that provides end to end revenue cycle management support. Many providers face challenges by lacking the proficiency in handling multiple billing platforms. Efficient resources that understand the directives of the payers in respect to claims adjudication are going to be important.

The company should be able to reduce billing costs, improve collections by implementing excellent account management techniques and finally increase payables with consistency. A quality company that works as a perfect operational extension and seamlessly associates itself will be laying down a string roadmap.

Bio: Ronnie Hastings is an experienced professional and is an expert in major operational and business development responsibilities related to medical billing and revenue cycle management. He is also a prolific writer and discusses major trends across US healthcare industry.


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Laughing Post Operatively: is it OK?

By Florence Ditlow

Your surgical patient could have an easier time discharging the effects of anesthesia and post op immobility. You taught her to get those lungs INFLATED. Maybe there is an incentive spirometer. “Cough, do yer leg exercises, walk and breathe dear!”

I’ve been there, seen the sluggishness, pain and phlegm; I’ve seen the bored look from the eyes of the medicated ones, those who’d held their tongues when they are thinking “get the hell away.”

Instead of coughing, I employed laughing as an alveoli expander. Click To Tweet

I would have the patient hold the pillow over the diaphragm and ask her to smile. Then a silent “ha” is employed for the breathing effort and then repeat while placing your supportive hand on the thoracic spine.

Next ask your patient to laugh out the sound “Heh!” Repeat, alternating with breathing deeply, exhaling longer.  As you use laughing as an option to coughing you’ll:

  • Enhance oxygen intake
  • Stimulate the heart and lungs
  • Relax muscles throughout the body
  • Trigger the release of endorphins- natural opiates
  • Ease digestion/soothe stomach aches
  • Relieve pain
  • Balance blood pressure
  • Improve mental functions such as alertness, memory, creativity

According to Dr. Kathryn Puckett who heads Mind Body Medicine at Cancer Centers of America, laughter therapy may also help to:

  • Improve overall attitude
  • Reduce stress/tension
  • Promote relaxation
  • Improve sleep
  • Enhance quality of life
  • Strengthen social bonds and relationships
  • Produce a general sense of well-being

A friend who was a patient performed the cough using a whoopee cushion, and said when the cushion sounded, nearby patients couldn’t stop laughing; some said just the sight of the whoopee cushion produced laughs and a welcome distraction from their recoveries.

So to you at the bedside, I salute you and believe, when a nurse eases pain through humor, the benefits could result in speedier healing and a shorter hospital stay.

If you’ve seen humor as a health ally, feel free to share your experiences here!

Florence Ditlow, Author of The Bakery Girls retired from nursing profession to write books as well as discover new ways to share humor. She lives in Bonaire, Dutch Caribbean. She also is currently amusing herself by concocting herbal medicine and teas.

Posted in Communication in Healthcare, Complexity in nursing, Nurse Entreprenuers, Patient Advocacy | Tagged , , , | Leave a comment