Synkwise’s Post

ACHC accreditation is a testament to our commitment to continuous improvement . When it comes to your patient’s health, you deserve nothing but the best. With HealthQuest, you can have peace of mind knowing that you are providing quality infusion care from a trusted and reputable infusion therapy provider. By choosing an ACHC-accredited provider like HealthQuest, you can expect: High-Quality Clinical Care Safety and Patient Protection Continuity of Care Commitment to Excellence Choose HealthQuest for accredited, quality care you can rely on! #HealthcareProviders #InfusionTherapy #QualityCare #HealthQuest #ExpertCare #HomeInfusionTherapy #PatientCentered #DiseaseManagement #PatientCare #Pharmacy #ACHCcertified #Wellness #SpecialtyPharmacy #MedicalInnovation #ClinicalExcellence #PharmacySolutions #MedicalAdvancements #PatientWellness #HealthTech #CareCoordination #InnovativeTreatment #MedicationManagement #HealthcareQuality #MedicalSpecialists #HealthcareInsights #PharmaceuticalCare #ProviderCollaboration #PatientEmpowerment #HealthcareInnovation

Ever wonder who the key decision makers are in #IDNs /Health Systems, especially in #federalmarkets? In integrated delivery systems, and especially the Federal Market, #pharmacists are commonly providing direct primary, secondary, and tertiary care to patients. Teams of pharmacists also impact ultimate prescribing decisions through contracting, formulary selection, market basket reviews, and prior authorization. This time next week, I will be at #asembia24 connecting with the brightest in #marketaccess, #specialtymedication and #commercialexcellence , passionate about improving access to life changing medications. Read the article https://bit.ly/49aaun6 By Amplity Health ‘s Jann Carmichael and connect with us, LinkedIn message or live at #asembia24. Nikolina Janakievski, Archie Robinson, and I would love to discuss Amplity Health’s unique federal markets #expertise and how it may support your broader payer strategies. #letsmeet #marketinsights #careteamengagement #marketaccess #commercialsolutions #patientaccess

Access (or lack of it) is something that rears its head after the fact, usually when t is too late. It is important to understand the difficulties some people have in accessing healthcare. #CCaaS #PatientExperience #ContactCenter #Pharmacy #Clinics #NAHAM #IVR #Automation #Healthcare #whypatientscomplain

Pharmacies nationwide are pushing boundaries to offer more patient care. One example is Raj Chhadua & team at ReNue Rx in the Dallas-Fort Worth area. ReNue started billing services to insurers last year. Many claims were adjudicated, but most of the reimbursements were shifted to "patient responsibility." ReNue‘s pharmacists lacked enrollment & credentialing within payer-provider networks. So, what did ReNue do? They got enrolled & credentialed, and now, insurers are paying more dollars on more claims. ReNue exemplifies pharmacies identifying, solving, and implementing scalable solutions to expand care access. Should more pharmacies do this? #Pharmacy #Pharmacist #HealthPlan #Healthcare Video Edits by GrowthMatch

Managing referrals is often the "last" item on the "to-do" list. With 95% of people NOT answering the phone these days, it is a problem. Referral leakage and abandonment still account for 18% of lost/abandoned referrals. That's revenue down the drain and a care journey potentially off the rails. #whypatientscomplain #CCaaS #PatientExperience #ContactCenter #Pharmacy #Clinics #NAHAM #IVR #Automation #Healthcare

A core component of EmpiRx Health’s new Clinically™ pharmacy care solution is our cloud-based adjudication platform. This platform enables real-time pharmacy claims adjudication and features network and plan management support, along with customized workflows for pharmacists. Silvana Stankus, the Executive Director for the New England Health Care Employees Welfare Fund 1199NE, commented recently on the new Clinically platform: “I’ve been in the health business for many years and have seen the direct impact of managing patient health from a multi-benefit, holistic view. As such, I see an incredible amount of potential in embracing a clinically-driven PBM model vs the traditional volume-driven model. I believe clinically-based pharmacy care platforms play a key role in advancing this holistic approach to patient care.” Clinically exemplifies how EmpiRx Health is an essential ‘ally’ in helping plan sponsors to holistically care for their members to optimize healthcare outcomes and strengthen benefits plan results. Is your PBM an “ally?” Learn more about Clinically here. https://lnkd.in/exauunDi #Clinically #Pharmacist #PBM

We’ve explored the vital theme of #transparency for payers and the broader #PBM industry. Let's not overlook its significance for #patients. Dive into this article highlighting 5 key concepts patients should grasp regarding #PBM transparency.

Key Components of our MRR Checklists 🔸 Document Verification  Confirm accurate patient details and ensure all relevant records are present, from admission notes to discharge summaries. 🔸 Clinical Review Verify consistency across records, assess adherence to evidence-based guidelines, and cross-check prescribed medications with patient history and allergies. 🔸 Compliance and Legal Aspects Ensure patient privacy, data security, and review consent forms, advance directives, and other legal documents. 🔸 Coding and Billing Accuracy Validate accurate coding for diagnoses and procedures, and ensure proper billing codes for services rendered. 🔸Quality Metrics Assess adherence to quality measures (e.g., HEDIS, MIPS) and evaluate patient outcomes based on treatment effectiveness. At Netmark Business Services, we go beyond checklists. Our team of experienced professionals combines expertise with empathy, ensuring that MRR cases are handled with utmost care. We’re dedicated to supporting healthcare providers in delivering exceptional patient care while maintaining compliance and accuracy. ➡ Learn More: https://lnkd.in/gbeEQmZT Follow Netmark Business Services #netmark #healthcare #medrec #netmarkmedrec #injurycases #MRR #healthcare #adjudication #healthrecords #masstort #medicalrecords #medicalreviews

On Sept. 27, federal agencies released FDQs regarding the Transparency in Coverage Final Rules under the Affordable Care Act, focusing on provisions requiring health plans and carriers to post machine-readable files. Find out what this means to you in Alera Group, Inc.'s most recent #legalalert. #ACA #healthplans #compliance https://lnkd.in/eCTPC9bA

It never fails. It's very unfortunate when the most caring providers get sucked into the circus of healthcare challenges. It's even more unfortunate because these good providers are the few that don't see their patients as another number or measure. ✨️They genuinely care✨️ ----------- One of my wonderful providers reached out for insights. He'd written a prescription for a long-acting insulin (Lantus) on behalf of his older adult patient. Unkown to him, patient was unable to get the insulin from the pharmacy. Instead, patient started using a family member's insulin. - problem was that the family member's insulin is a different type of insulin, a rapid-acting insulin. So the hypoglycemic episodes began! Patient, when he was able to reach an actual human at the pharmacy, was told that the problem was on how the prescription was written. He still couldn't comprehend the exact issue with the prescription to fully convey the message Provider, on the other hand, couldn't get a human on the phone in the little time he had to resolve the issue. 🎯 Well, my friends, The solution was as simple as getting my provider to become aware of the prescribing best practices, which I shared, with some clinical pearls - my jam! (The 🔗 is in the comment...exit out of that circus and go save your sanity too!😇) ----- See, Not caring affects trust Not caring affects clinic's performance Not caring ruins the provider-patient relationship Caring is satisfying and rewarding But it can't be done alone especially under time constraints otherwise, it's a straight ticket to burnout! #PatientCare ##TeamBasedCare #Community #Pharmacy #Consultant #PharmD #MD #PA #NP #PatientAdvocate