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Frisco, Texas, United States
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23K followers
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Articles by Deepak
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2020: A year like no other.
2020: A year like no other.
2020 was an exceptional year in healthcare. The COVID 19 pandemic affected physicians and their teams, patients and…
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Empowering Physician Advisors Show on Acute Kidney InjuryDec 23, 2017
Empowering Physician Advisors Show on Acute Kidney Injury
https://physicianonline.org/epas-acute-kidney-injury Appeasing Acute Kidney Injury Discussion of Acute Kidney Injury…
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Free Webinar on Diabetes:Clinical and Regulatory UpdateApr 20, 2017
Free Webinar on Diabetes:Clinical and Regulatory Update
Free Webinar on Diabetes:Clinical and Regulatory Update on May 4 2017 at 12 noon central Dr Tarang Sharma-Clinical…
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Physician Advisor Gap CoverageNov 2, 2015
Physician Advisor Gap Coverage
Aerolib Healthcare Solutions has experienced Physician advisors doing remote concurrent and retrospective reviews. Do…
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1 Comment -
Aerolib Independent Physician Advisor NetworkMay 23, 2015
Aerolib Independent Physician Advisor Network
Hi friends Wishing you all a very happy Memorial Day We are introducing the Aerolib Independent Physician Advisor…
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Ambulatory Self Audit findings: 36% of cases with no chief complaintApr 22, 2015
Ambulatory Self Audit findings: 36% of cases with no chief complaint
We recently did an audit for a primary care physician practice and some of the results are very interesting. Click on…
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Activity
23K followers
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Deepak Pahuja shared thisPayer denial volumes are rising, but manual appeal workflows can't keep pace. When inpatient and observation cases get denied, hospital revenue cycle and utilization teams spend hours piecing together chart evidence and clinical criteria. Automating Payer Denial Appeals & Medical Necessity Defense changes the math. 👉 Learn how Aerolib is transforming medical necessity appeals: https://aerolib.ai #HealthcareFinance #RevenueCycle #DenialManagement #CDI #HealthTech #HospitalOperationsJan 2026 Aerolib.ai: Transforming Appeals Management with AIJan 2026 Aerolib.ai: Transforming Appeals Management with AI
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Deepak Pahuja reposted thisDeepak Pahuja reposted thisEmpty OR time is expensive patient time. Deepak Pahuja from Aerolib Healthcare Solutions has worked in environments where operating room inefficiencies are not scheduling problems alone, but hidden constraints that reduce utilization, delay care, and strain clinical teams. Most hospitals measure utilization. Far fewer measure how much friction is built into the processes creating it. At the 𝟐𝐧𝐝 𝐀𝐧𝐧𝐮𝐚𝐥 𝐎𝐩𝐞𝐫𝐚𝐭𝐢𝐧𝐠 𝐑𝐨𝐨𝐦 𝐒𝐮𝐦𝐦𝐢𝐭 𝟐𝟎𝟐𝟔 in 𝐇𝐨𝐮𝐬𝐭𝐨𝐧, 𝐓𝐞𝐱𝐚𝐬, healthcare leaders will explore 𝐎𝐩𝐞𝐫𝐚𝐭𝐢𝐧𝐠 𝐑𝐨𝐨𝐦 𝐎𝐩𝐭𝐢𝐦𝐢𝐳𝐞𝐫: 𝐔𝐬𝐢𝐧𝐠 𝐃𝐚𝐭𝐚 𝐚𝐧𝐝 𝐓𝐞𝐜𝐡𝐧𝐨𝐥𝐨𝐠𝐲 𝐭𝐨 𝐈𝐦𝐩𝐫𝐨𝐯𝐞 𝐎𝐩𝐞𝐫𝐚𝐭𝐢𝐧𝐠 𝐑𝐨𝐨𝐦 𝐄𝐟𝐟𝐢𝐜𝐢𝐞𝐧𝐜𝐲 𝐖𝐢𝐭𝐡𝐨𝐮𝐭 𝐈𝐧𝐜𝐫𝐞𝐚𝐬𝐢𝐧𝐠 𝐁𝐮𝐫𝐧𝐨𝐮𝐭. -> Improve scheduling and utilization outcomes without adding workload to already stretched teams -> Apply real-time performance data to manage block time and reduce operational delays -> Align surgical, clinical, and operational stakeholders around shared performance measures that improve satisfaction and outcomes 📍 𝐉𝐮𝐧𝐞 𝟏𝟓 - 𝟏𝟔, 𝟐𝟎𝟐𝟔 What is the biggest barrier to improving OR efficiency in your organization today: technology, processes, or alignment? Every delayed case compounds across the schedule. Solve the bottlenecks where they start: Operating Room Summit 2026
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Deepak Pahuja shared thisAerolib Expands AI-Powered Mobile Ecosystem with Advanced Clinical Coverage, Bundling, and Payer Intelligence Tools.Aerolib Expands AI-Powered Mobile Ecosystem with Advanced Clinical Coverage, Bundling, and Payer Intelligence ToolsAerolib Expands AI-Powered Mobile Ecosystem with Advanced Clinical Coverage, Bundling, and Payer Intelligence Tools
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Deepak Pahuja shared thisExciting Updates from Aerolib! We’re thrilled to introduce two powerful new features on https://aerolib.app designed to strengthen your appeal success: 🔹 Chemo Denials Support Enhanced guidance for chemotherapy-related denials, helping teams better justify medical necessity and improve inpatient approval rates. 🔹 Readmission Bundling Insights Smarter handling of readmission cases — including when they support inpatient level of care and when unbundling is appropriate for optimal reimbursement. These additions are built to make your appeals sharper, faster, and more effective. #Aerolib #HealthcareInnovation #DenialsManagement #UtilizationReview #RevenueCycle #HospitalOperationsAerolib Physician Advisors | The Ultimate Appeals MachineAerolib Physician Advisors | The Ultimate Appeals Machine
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Deepak Pahuja shared thisWe’re excited to share a glimpse into what we’re building at Aerolib Healthcare Solutions. https://lnkd.in/gGJJ5s9g This video highlights our vision for transforming the appeals and denials process—bringing together clinical expertise, structured workflows, and intelligent automation to help hospitals recover revenue and improve outcomes. Denials are no longer just administrative hurdles—they’re opportunities for better clinical storytelling, stronger documentation, and smarter systems. At Aerolib, we’re focused on: • Streamlining appeal generation • Enhancing clinical accuracy • Empowering physician advisors and case management teams • Driving measurable financial impact Take a look and let us know your thoughts—we’d love your feedback and insights. #HealthcareInnovation #RevenueCycle #DenialsManagement #PhysicianAdvisors #HealthTech #Aerolib
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Deepak Pahuja shared thisStop letting "pocketed" documentation gaps turn into permanent losses—yesterday's UR oversight is tomorrow’s high-dollar denial. The Aerolib ecosystem arms elite Physician Advisors with payer-specific AI to neutralize denials at the source and protect your hospital's revenue. https://lnkd.in/gGJJ5s9g #RevenueCycle #PhysicianAdvisor #DenialsManagement #HospitalFinance #Aerolib #UtilizationReview
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Deepak Pahuja reposted thisDeepak Pahuja reposted thisEarlier in April, I was very happy to be a panelist at the Health 2.0 Conference, giving me a chance to discuss my perspective regarding this year's theme: The Great Healthcare Shakeup: Technology, Trust, and the Road Ahead. I had the opportunity to talk about how new developments in AI are impacting health and different ways in which new technologies can be utilized in order to improve the healthcare system and its processes. Overall, I had a great experience and was able to learn a lot from my fellow panelists! Deepak Pahuja, Anne Deatly, PhD and CEO, Kenneth Y. Lin, Greg Caldwell, Hany Demian, MD
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Deepak Pahuja reposted thisDeepak Pahuja reposted thisHonoring leaders who are redefining healthcare excellence 🌍 At the Health 2.0 Conference – Las Vegas 2026 Edition, we proudly recognize Dave Karp, Dayna DeHerrera-Smith, Deborah Viano, MSN, APRN, FNP-BC, Dr. Deepak Pahuja, Diana Conner Reed, and Dr. Donna Woods for their impactful contributions to patient care, innovation, and community-driven healthcare. Their dedication continues to elevate the standards of care and inspire progress across the global healthcare ecosystem. Congratulations to these exceptional professionals on receiving the Excellence in Healthcare Award. #Health2Conf #ExcellenceInHealthcare #HealthcareLeadership #HealthcareInnovation #GlobalHealth
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Deepak Pahuja liked thisNew Innings Arrived in Atlanta for my new assignment as Consul General of India Consulate General of India in Atlanta serves the States and Territories of : Alabama, Florida, Georgia, Mississippi, Puerto Rico, South Carolina,Tennessee and Virgin Islands.Deepak Pahuja liked this🇮🇳 Welcome to Atlanta 🇺🇸 Consul General Ambassador Dr Sumit Seth was received and welcomed at the Airport by the Head of Chancery and other officials as he assumed charge as the new Consul General of India.
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Deepak Pahuja liked thisThis week, two of my cases in the cath lab were rescheduled due to prior authorization issues. In today’s healthcare environment, technology solutions that streamline prior authorization are essential. They can help multiple specialties reduce delays, protect patients from unnecessary cancellations, and ultimately improve the quality of care.Deepak Pahuja liked thisWhat a refreshing 2 days at the #InnovatorMD World Congress. 👏 Congratulations to the #InnovatorMD team on an event that brought together some of the most thoughtful voices in healthcare innovation. The caliber of speakers and sessions was genuinely energizing — including standout perspectives from Geoffrey Rutledge, MD, PhD, Robert Pearl, MD, Eric Bricker, MD, and Reena Bhargava, MD, FACP. Conversations like these are how the industry moves forward. We were proud to have our Co-Founder & Chief Product Officer, Srividya Sunderamurthy take the stage for a session at the heart of what we do: "The 2027 Prior Auth Shake-Up: What Every Specialty Practice Needs to Know." Prior authorization is about to change more than it has in thirty years — and what practices do now determines whether that change helps them or blindsides them. A few of the takeaways from the session: 🔹 The reforms are real — but they don't reach the front desk automatically. Faster payer decisions and public denial-rate reporting are here; the day-to-day work of getting an authorization still lands on practice staff. 🔹 2027 modernizes the payer's side, not the provider's. The #CMS APIs let payers respond faster — but someone still has to determine requirements, assemble evidence, submit, and chase. The rails aren't the work. 🔹 The mandate covers only part of the market. Commercial plans and most drug PA sit outside it, adoption will be uneven for years, and the specialist-to-PCP referral fax it never touches at all. 🔹 The practices that win prepare for a hybrid. Not a switch that flips in 2027 — a multi-year mix of APIs, portals, and fax, where the advantage goes to whoever can work across all of it. One point from our recent article worth underscoring: "ready" on paper isn't ready in practice. The rails are being laid; the daily workflow hasn't moved yet. 📅 What's next: We're going deeper on all of this in a webinar this September 2026 — including the three moves every specialty practice should make now to turn these changes into faster approvals, fewer denials, and hours back every week. Registration details in the comments. Grateful to #InnovatorMD for the platform and the community. 🙏 #IWC2026 #InnovatorMD #PriorAuthorization #HealthcareInnovation #SpecialtyCare #HealthIT #HealthcareAI Naidu Annamaneni Ramarao Lankipalli Rakesh K. Sharma, MD, FACC, FSCAI, FSCCT Ravi Kamepalli Ravi Chari Michelle P Stark RN, BSN, MBA Umesh Choudhry, MD, FACG, FASGE Shashank P. Srividya Sunderamurthy Mani Vindhya, MD, FASA, FASE
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Deepak Pahuja liked thisDeepak Pahuja liked thisLast week marked the end of my IBM Quantum Operations internship, and I couldn’t have asked for a better experience. I spent the summer immersing myself within operations, where I explored every aspect of what it truly means to make a scalable system. From building dashboards to deploying AI agents, my most memorable project was laying the foundation for an enterprise-wide agentic sales system designed to streamline sales for everyone at IBM. Pitching the concept and collaborating directly with diverse stakeholders gave me a firsthand look at how a large organization operates, as well as a lot of insight into what it takes to build code and systems designed to last. I’d like to give a huge thank you to my manager Kimberlee Durham and the entire Quantum Operations team, especially my mentor Dorienne Y.or Dorienne Y. who taught me more than I could have ever imagined. Everyone I talked to at IBM helped me learn so much, and I’m excited to take this newly formed business acumen into Northeastern UniversityNortheastern University and my upcoming internship at Amazon. #internship #technology #ai #student #innovation
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Deepak Pahuja liked thisSome news I'm proud to share. I've been named Associate Section Chief for AI, Clinical Innovation, and Quality in the Division of Hospital Medicine at Long School of Medicine, UT Health San Antonio. I'll also chair the AI Workgroup for the Department of Medicine. Thank you to Dr. ankur segon and Dr. Saket Kottewar. This role exists because our division chose to put real weight behind AI and clinical innovation, and I'm grateful they trusted me to help lead it. A few things I care about going in. Clinical AI should make the day easier for the people at the bedside. The tools that last get built with the frontline, not just for it. And good quality work starts with the clinician and the patient, then finds the technology. Over the next year, I want to help our faculty grow with these tools, bring more of our innovation and quality work into the open, and keep the frontline at the center of every decision. I'm ready to get to work. More to come. University Health Society of Hospital Medicine Bexar County Medical Society Texas Medical Association Laura Suttin, MD, MBA, PCC Tom Patterson #HowWeHospitalist #HospitalMedicine #AIinMedicine #ClinicalInnovation #ClinicalAI #MedEd
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Deepak Pahuja liked thisDeepak Pahuja liked thisExcited to know that ColigoMed has earned CARIN Code of Conduct for Consumer-Facing Applications (CARIN-CFA) accreditation and this is very important in the field of Medicine. This independent recognition validates ColigoMed commitment to transparency, informed consent, strong privacy safeguards, and responsible handling of health data—standards recommended as best practice by ONC, CMS, and the broader industry. As ColigoMed continue helping providers reduce administrative burden and improve care coordination through AI-powered prior authorization and continuum-of-care tools, this accreditation reinforces the trust Proud if you Team and congrats to all ColigiMed team
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Deepak Pahuja liked thisDeepak Pahuja liked thisVisit to Capitol Hill with the American Society of Hematology Advocacy Leadership Institute is always a profound privilege, and this year’s visit left me more energized and optimistic than ever! 🏛️ It is incredibly inspiring to be back in Washington, meeting with lawmakers and their teams to advocate for policies that shape the future of hematology research and directly improve the lives of our patients. During our visits, we focused on three critical priorities: 🔬 Protecting NIH & CDC Funding Robust, sustained federal funding for the National Institutes of Health (NIH) and CDC is the backbone of medical innovation. We urged Congress to support strong biomedical research funding to ensure we can continue developing life-saving treatments and cures for blood disorders. 🩸 The Sickle Cell Disease Comprehensive Care Act We championed this vital bipartisan legislation (S. 721 / H.R. 5178). By expanding the Medicaid Health Home program, this bill will help ensure that individuals living with Sickle Cell Disease have reliable access to the comprehensive, high-quality outpatient and clinical support services they deserve. 🏥 Access to Palliative Blood Transfusions End-of-life care should prioritize comfort, dignity, and quality of life. We advocated for the Improving Access to Transfusion Care for Hospice Patients Act (S. 1936), a bipartisan bill designed to remove financial barriers for hospices, ensuring patients can receive necessary palliative blood transfusions without jeopardizing their hospice benefits. These national priorities hit incredibly close to home in Florida. The $928 million in annual NIH funding awarded to our state does more than just drive biomedical research at our leading academic centers—it is a massive economic engine. Last year alone, that funding directly supported nearly 15,000 jobs and generated $2.98 billion in economic activity across Florida, yielding over $3 in local growth for every federal dollar invested. Beyond research, addressing the comprehensive care needs of the thousands of Floridians living with Sickle Cell Disease and ensuring our large aging population doesn't have to choose between palliative transfusions and hospice care are critical imperatives for our local healthcare ecosystem. Thanks, Senator Ashley Moody and U.S. Rep. Kathy Castor, for your leadership and support. Advocating for our patients, our state's economy, and the future of science is an absolute honor. Thank you to the congressional offices that took the time to listen, and a huge thank you to ASH for equipping us to make our voices heard. Together, we are driving meaningful change! Ali Sanati-Mehrizy Delaney D. Ding Heather Male Bart Scott Suzanne Leous Tracy Becker Roades #Fight4Hematology #ASHAdvocacy #Hematology #SickleCellDisease #MedicalResearch #PatientCare #CapitolHill #HealthPolicy #FloridaHealthcare #EconomicGrowth
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Honors & Awards
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Executive Introduction to RSAIF: A Primer on Responsible and Secure AI
AICERTS
Executive-level understanding of RSAIF’s framework for ethical AI governance, security, and compliance with global standards.
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Harvard Law School Zero-L
Harvard Law School
Developed by Harvard Law School, Zero-L is an online course designed to ensure that everyone can gain the foundational legal knowledge needed to thrive in law school and to enjoy a deeper understanding of how the U.S. legal system works in everyday life.
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BUS5.1x: Innovating in Health Care Certificate
HarvardX
Innovating in Health Care (IHC) enables participants to meet and interact with others who are also interested in improving health care. Through case study analysis and application of the “Innovating in Health Care Framework”, this course focuses on evaluating and crafting healthcare startup business models that focus on the six factors that critically shape new healthcare ventures: Financing, Structure, Public Policy, Consumers, Technology, and Accountability. Innovating in Health Care…
Innovating in Health Care (IHC) enables participants to meet and interact with others who are also interested in improving health care. Through case study analysis and application of the “Innovating in Health Care Framework”, this course focuses on evaluating and crafting healthcare startup business models that focus on the six factors that critically shape new healthcare ventures: Financing, Structure, Public Policy, Consumers, Technology, and Accountability. Innovating in Health Care discusses the impact of these factors on business models for three different kinds of innovations: Consumer-focused, technology-driven, and integrations which create scale.
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AHLA Health Transactions Conference
American Health Law Association
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Member : Beta Gamma Sigma - The International Honor Society Recognizing Business Excellence
Beta Gamma Sigma - The International Honor Society Recognizing Business Excellence
Beta Gamma Sigma is the international honor society serving business programs accredited by AACSB International - The Association to Advance Collegiate Schools of Business. Membership in Beta Gamma Sigma is the highest recognition a business student anywhere in the world can receive in a business program accredited by AACSB International.
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Fellow in Hospital Medicine
Society of Hospital Medicine
Fellowship in Hospital Medicine is awarded to physicians who demonstrate commitment to hospital medicine showing personal dedication in teamwork, leadership, patient safety and quality improvement
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Leadership Development Achievement Award
American College of Physicians
American College of Physicians Illinois Downstate and Pennsylvania Leadership Development Achievement Award in recognition for completion of ACP`s Leadership Seminars for Young Physicians
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Tauseef Ali MD, FACP, FACG, AGAF
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🚨 Stark Law vs. Anti-Kickback Statute 🚨 Healthcare is built on trust. That’s why federal safeguards like the Stark Law and Anti-Kickback Statute exist — to ensure medical decisions are based on patient needs, not financial incentives. ✅ Stark Law prevents self-referrals for certain services (like labs) where a physician has a financial relationship. ✅ Anti-Kickback Statute prohibits payments or rewards for referrals. ✅ Safeguards such as the Bona Fide Employment Relationship exception help support legitimate care arrangements while still protecting patients. It’s critical for all of us — physicians, administrators, and patients — to know these rules. Awareness is the first step to keeping healthcare safe, transparent, and patient-centered. 💬 How well do you think these safeguards are working in today’s healthcare system?
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Glenn Krauss
TopGun Audit School • 22K followers
“CDI Has a Scope-of-Practice Problem.” CDI Isn’t Clarifying Anymore. It’s Diagnosing. When CDI queries introduce diagnoses physicians never documented, that’s not improvement—it’s a scope-of-practice violation and audit bait. I’m going to say what too many CDI programs are afraid to admit.☢️ If your CDI team is querying for diagnoses that do not appear anywhere in the inpatient record, you are not improving documentation. You are manufacturing diagnoses. Let’s be painfully clear: * Nurses do not diagnose. * Coders do not diagnose. * CDI does not diagnose. Yet across the country, CDI specialists are mining labs, vitals, and imaging, then introducing diagnoses the physician never made—hoping the provider will “agree.” That is not clarification. That is practicing medicine without a license. And no—calling it a “clinical indicator–based query” doesn’t make it compliant. Here’s the part Hospital Leadership keeps missing: Payers aren’t denying these cases because they’re “mean.” They’re denying them because there is no documented physician judgment, rationale, or medical decision-making supporting the diagnosis. A diagnosis that: * Wasn’t documented by the physician * Wasn’t part of the treatment plan * Wasn’t explained in the MDM …does not survive clinical validation. Ever. This is why: * CMI spikes and then collapses * Appeals fail despite “strong indicators.” * CERT and MAC auditors keep using the word manufactured And here’s the most uncomfortable truth of all: Some CDI programs are no longer supporting physicians. They’re backfilling diagnoses after the fact to feed revenue narratives upstream. CFOs- If you have deployed a postcoding prebill AI-driven platform to identify "missed diagnoses" that drive reimbursement, you are creating compliance risk- most payers, including Medicare, will reject these diagnoses as not clincially relevant, given the fact that if they were clincially relevant and impacted patient care, why were these diagnoses documented contemporarily? That doesn’t protect hospitals. It exposes them. If your CDI success depends on diagnoses that only exist because someone queried them into existence, you don’t have a documentation problem— You have a compliance problem waiting to be audited. ☢️ #SayItOutLoud #CDI #ManufacturedDiagnoses #ClinicalValidation #FalseClaimsRisk #HospitalCompliance #CFO #AuditReality #HealthcareTruth, Cesar M Limjoco MD
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Texas Provider Health Network
57 followers
🌟 What is TPHN? The Texas Provider Health Network (TPHN), powered by PNS of Texas, is a value-based delivery system designed to strengthen healthcare across Texas. TPHN is delivering patient-centered, bilingual, and accessible care, while helping providers transition successfully to value-based models. #TPHN #PNSofTexas #ValueBasedCare #HealthcareExcellence
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Mark Newsom
Health Evaluations • 15K followers
Reg dump from CMS yesterday. Here’s my initial read. 2027 MA and Part D Technical Rule: 1. Star Ratings – as proposed they dropped the Excellent Health Outcomes for All reward and reduced the number of measures. One change from the NPRM is that after careful consideration of public comments, CMS is retaining the Diabetes Care – Eye Exam measure. Collectively, the Stars provisions are estimated to be a tailwind of $5.02b in 2028 and $18.56b through 2036. 2. MA Supplemental Benefits – a) MA plans must publicly post their plan-developed Special Supplemental Benefits for the Chronically Ill (SSBCI) eligibility criteria; b) codifying existing guidance on debit card administration and adding guardrails, including real-time verification mechanisms, enhanced disclosure requirements, and improved customer support. But CMS did not finalize the proposed prohibition on marketing the dollar value of supplemental benefits; and c) cannabis products that are illegal under applicable State or Federal law, are not allowable as SSBCI. 3. Inflation Reduction Act (IRA) Part D provisions – this was just formally codifying prior program instructions on Part D redesign, sunsetting the ACA coverage gap discount program (CGDP) and launching the Manufacturer Discount Program (MDP). 4. Proposal Not Finalized: SEP for Provider Network Terminations – here’s what they said “CMS is not finalizing the proposal to establish a special enrollment period for provider terminations and are not addressing comments received on this proposal. We acknowledge the broad interest related to this topic and will continue to consider the extent to which it may be appropriate to engage in future rulemaking in this area.” 5. Requests for Information (RFIs) – CMS had RFIs on the future of MA, including risk adjustment, Stars and C-SNP growth that involves enrollment of duals. They provided nothing of substance in the final rule stating that “while CMS does not respond to specific comments in the final regulation, feedback will be considered for future rulemaking.” 6. Use and Release of Risk Adjustment Data – CMS had noted that with the growth of the MA program there had been an “increase in the number and variety of requests that CMS receives for risk adjustment data” especially encounter data. CMS proposed to remove certain barriers to accessing these data in an effort to “align more closely with standards applicable to OM claims and other MA and Part D data and allow the data to be used for more purposes than are permitted under the existing regulations.” I think this is a great transparency play and kudos to the MPPG team for their work on this. More on Hospice in another post. Have not made it through SNF and IRF yet. Next up: MA Rate Annoucement which has cleared OMB. Could come out today but more likely Mon. https://lnkd.in/eNBsmCfp
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