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Vickie Bridge

About Vickie Bridge

Vickie is a Senior Manager at Pinnacle Healthcare Advisors. She has more than 20 years of experience working in and with healthcare organizations to enhance their clinical documentation and revenue integrity processes.Click here to meet the other members of the Pinnacle Leadership Team

An Integrated Approach to a Case Management Denial Prevention Program

2024-06-28T23:09:08-04:00

Case Management (CM) plays a pivotal role in ensuring the Revenue Cycle (RC) operates efficiently and effectively by improving patient care and patient relationships, reducing denials, and enhancing the organization’s overall financial performance. Within the denial reduction scope, an effective Case Management department can pre-emptively address encounters that have a higher likelihood of medical necessity denials to ensure streamlined compensation.  According to Change Healthcare, their research shows nationally that medical necessity denials [...]

An Integrated Approach to a Case Management Denial Prevention Program2024-06-28T23:09:08-04:00

Coding Backlogs – What is Your Root Cause?

2021-05-06T12:20:40-04:00

Blog Article By Vickie Bridge and Cheryl Nicholson Coding backlogs can create havoc on accounts receivables (A/R). Just as patient visit volumes fluctuate so do the number of patient accounts that need coded. Reduce coding backlogs with a consistent, proactive approach to managing discharged not final coded (DNFC) accounts. The root cause of coding backlogs can come from a variety of sources. As you analyze the coding workflow [...]

Coding Backlogs – What is Your Root Cause?2021-05-06T12:20:40-04:00

Medicare Annual Wellness Visits: Driving the Patient’s Personalized Prevention Plan

2021-01-16T19:10:04-05:00

Many providers think administering Medicare Annual Wellness Visits (AWV) is simple and easy.  In reality, numerous providers continue to struggle and face challenges with developing the patient’s five-to-ten-year personalized prevention plan as required by Medicare.  Medicare requires the personalized plan to be developed during the initial AWV and updated annually during the subsequent AWV.  Challenges may derive from having deficient workflows, incomplete AWV templates, and confusion with understanding the Medicare AWV requirements.  [...]

Medicare Annual Wellness Visits: Driving the Patient’s Personalized Prevention Plan2021-01-16T19:10:04-05:00

Rebuilding Your Medicare Annual Wellness Visit Program in the Age of COVID

2020-10-23T08:15:15-04:00

Provider volumes for medically necessary and preventive care visits dropped dramatically at the start of the COVID-19 pandemic.  Volumes for medically necessary visits have largely rebounded because of the  relaxed telehealth and in-person visit guidelines, and providers have an opportunity to regrow preventive visit volumes as well.  In response to the COVID-19 Public Health Emergency (PHE) issued on March 1, 2020, the Centers for Medicare & Medicaid Services (CMS) expanded access to telehealth [...]

Rebuilding Your Medicare Annual Wellness Visit Program in the Age of COVID2020-10-23T08:15:15-04:00
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