Provider Circle

           Prescription drug cost can be costly overall for the disabled or those suffering with an illness. Having helpful resources can help save you time, money and quality! Transparency  There where three ladies who each took the same prescription, each one lived in the same zip-code and had a different Health Insurance Coverage. Each of their prescriptions came from a different Pharmacy. When they all came together for morning Tea, they each shared their experience with taking the prescribed medicine. Some still complained of Pain, and other side effects. So they each took out their pills to see what could be the difference with each of their experiences. They learned that each of the pills had the same name, but had a different color, shape and number on it. The two ladies that still had pain, decided to have their prescription switch to the Pharmacy, that their friends prescription was filled at, to see if they would receive Pain relief for thei...

The Metrics               Pre-Billing is the foundation for reshaping the budget  in Realtime. With a background in Medical Billing, prior authorizations was a turn-key projection for the most part of services that are deemed medical necessity.  With EVV, implementation, Insurance Payors are confident that these measures will help monitor the Budget , and Care by adding MCO and ACO to the Team. Pre-Billing is great  for Accounting , it identifies billable hours, and accounts that require further review. This data is also shared with Insurance Payors in real-time.

Start Today I truly believe that Art is the Peace of the Heart. It relaxes the Mind, and Elevates the Energy of Creativity and Empowerment. Here & Now I promise to love myself and give myself the best life possible, to grow, to learn and connect with others who share a passion to uplift Humanity! Healing @ Home Healing at Home, add some Art to your day! We don't have to consume the pain, we want to find measures that will Heal that which needs it own time and personal space, while we focus on the Heart of the Matter, and that is our Mental Health. Painting, Journaling, Crafting or Worksheets, keep your members Inspired and Connected with simply the best Art form. Did you Know? In Healthcare Insurance Payor's are implementing holistic practices into Care Plans. It is a proven practice, that will enhance development skills, while the body and mind heal, in peace and harmony!

 My Life is Better because of your consistent Help! Managed Care over the last 50 years and counting, is starting to reface it's brand. With improved quality measures and reporting, Oversight is leading the way in how observation targets assessments, and determines; if goals are being met. Community based Healthcare Services are designed to correct or improve the medical condition.   Care Management and Reporting, are Measures to add to your Clinical Review.  Creating a Blue Print around the POC, and F2F Visit and ongoing assessments and surveys.  Change of Status and  Monitoring Tracking Change of Status in Patient Care is apart of Managed Care  Tracking when Patient is admitted into the  Hospital, and working with your MCO, Referring or Ordering Physician to ensure proper treatment is being administered. Communicating with your Members Care Calls, are very instrumental in establishing healthy relationships with your members. Calling goes al...

 Electronic Visit Verification                 What is EVV, and how is your Provider Agency transiting?            The 21 Century Act Bill Passed  Section 12006(a) of the  21st Century Cures  Act mandates that states implement  EVV  for all Medicaid personal care services (PCS) and home health services. Community Based Providers that have not experienced EVV, did effective January 1, 2021.  The transition for Medicaid Providers was definitely a new experience, that came with lot's of training and Provider Credentialing with new MCO (Managed Care Organizations) and PHP (Private Health Providers). So how does EVV actually Work and What is the Program Goal? Prior to EVV, Provider Agencies that participated in Community Based Care, Personal Care Services, Skilled/ Non Skilled care would capture, the Services Provided Manually.  EVV, requires services to be  captured e...

It's All in the Planning. I love creating my own customized Journals for Planning! Whether it be for Business, Health, or Simply Crafting, Journals are a great way to capture your ideas. Learning how to Plan was very instrumental in my development process! Bringing the Vision Forward, in a creative Process will help you complete each Goal set. My Favorite Planning tools I use For Health & Wellness I create Junk Journals, using note books, old books and fill them will hand crafted message, clip-art and photos to inspire me along my journey. Business Journaling I enjoy using the Happy Planner, Standard Planners filled with writing pages. I enjoy adding inserts into the journal, it allows for bettering organizing.   

              Our Health is our Wealth. Supporting our communities as Collective. Learn, Share, Grow!