Topic
Alex Yarijanian
-
Payer Notice regarding the implementation of Senate Bill 855, Mental Health and Substance Use Disorder Coverage
Carenodes Health Enterprise Office of the Executive Dear Health Plan Representative, Please see attached Notice regarding the implementation of Senate Bill 855, Mental Health and Substance Use Disorder…
-
Pandemic Creates Extra Cyber Risk For Health Care Providers
Unfortunately, it is in these times of dogged, urgent focus on patient care that health care organizations may be most vulnerable to another invisible danger: cybercrimes targeting the very hospitals…
-
ALTERNATIVE CARE SETTINGS: TELEMEDICINE AND RETAIL CLINICS
Many firms provide coverage for health services delivered outside typical provider settings. Telemedicine is the delivery of health care services through telecommunications to a patient from a provider…
-
2021 Performance Period Eligible Professional / Eligible Clinician eCQMs
The document outlines 47 electronic clinical quality measures (eCQMs) for Eligible Professionals/Clinicians for the 2021 performance period. It categorizes various measures based on quality domains, including effective clinical…
-
Carenodes, a Healthcare Infrastructure Developer, Wins Two Best in Class Awards From Health Net and ComPsych for its Pandemic Response
Jan 25, 2021 (AB Digital via COMTEX) — Los Angeles, CA – ComPsych® revealed the 2020 winners for its 16th-annual Health at Work Awards. This award honors organizations…
-
Academy · Alex Yarijanian · Fee Schedules · Leadership · Managed Care · Startups · Value Based Care
Learn to speak the Managed Care Language (101)
Healthcare flow of funds explained. Managed Care 101 for healthcare entrepreneurs seeking to do business in the California market. Session led by Alex Yarijanian, CEO Carenodes. The aim:…
-
Expert Seminar on Parity Laws and Reimbursement
Learn to speak the Managed Care Language (101)
-
Provider – Contracting: KPIs
KPI / Metric Formula or Definition Target Business Purpose Gross Revenue Gross Revenue or “Top Line Revenue” is synonymous with gross charges associated with the provision of services…
-
All Hospitals Response to Health Care Reform Investments
Supplier Directory Data Powered by Socrata
-
Carenodes Behavioral Health Case Management
ETHOS AND PROGRAM DESIGN The central premise of the Carenodes Behavioral Health Case Management (BHCM) Program is to promote collaboration between all treating providers, ensuring coordination between medical…
-
Statutory and Plan-Bid Components of the Regional MA Benchmarks
Carriers set their actual prices by bidding against the capitation payment amounts. Carriers with plans that do well on Medicare Advantage program quality measures get a higher monthly…
-
1-Minute Pro Tip: How to Handle Claim Denials from Private Insurance Companies
Before challenging a claim, examine the reason for your denial. The reason for the payer’s denial can be found on the Explanation of Benefits or EOB. In some…
-
Subcontracting Opportunities
Carenodes contracts with physicians, facilities and other health care professionals to form our provider networks, which are essential for delivering quality, accessible and cost-effective health care services. In…
-
Updates to UnitedHealthcare Cost-Share Waivers
To ensure members are able to access the care they need as the COVID-19 pandemic continues, UnitedHealthcare is expanding cost share waivers for our Medicare Advantage and Individual…
-
Physical Therapy Referrals: Not Needed
Physical therapist services are generally covered as a basic benefit by all major health insurance companies. Ask your physical therapist to contact your insurance company to determine your…
-
Corporate Psychopathology as an HR Agenda Item
Antisocial Personality Disorders and Implications on Business Operations: Corporate Psychopathology as a Human Resources Agenda Item Publication description The ability of a leader to understand, and level with,…
-
E&M Coding Advice: Simplified
E&M Coding Advice Physicians and Medicare alike have struggled for many years with correct coding, documentation, and payment of evaluation and management (E&M) services. That’s because, by their…
-
Don’t Lose Revenue With an Outdated Fee Schedule
If you have not updated your practice’s fee schedule for several years, you may be in for some surprises. Carenodes Advisory recommends that you analyze and update your…