@stevetolger@RosserJobs Agreed. Started with M&A in mind. ERP integrated with EMR to automate revenue, HRM for payroll, AI AP and vendor portal, all before onboarding my controller. The first deal will be a nightmare, no question. But have to embrace the suck to grow.
@RosserJobs Integrated behavioral health. Two years in, just now starting acquisitions. I’m basically a fundraiser and buyer who oversees the controller and IT. Not a typical CFO (or maybe that’s normal?)
@KyleClark Love this. Also, I’d love to see a story on what’s going on with Medicaid RAEs right now claiming network adequacy or their rate review as reasons not to let new mental healthcare providers in network and improve access.
@HunterBiden Access is the crisis 100%. I co-founded a Tx center in rural Colorado to expand care options. But OBBB (and downstream flaws in Medicaid managed care) prevent new providers from entering the fight. Public-private orgs like ours are ready to deliver if they’ll let us in the game.
@heynavtoor Thanks, and appreciate the post. An interesting future post could be how to use middleware layers instead of buying web access for our whole software stack or if that’s any cheaper. Saving to files is still cool for now though
@mcuban How about: provider files SCA. Ins denies, no mention of medical necessity, just: patient should go to X or Y provider instead bc they’re INN. But those providers don’t offer the service from the SCA.
@mcuban Except that the industry is wrought with fraud. If you want to streamline the claims process, require everyone to be accredited. Simplest solution.
@mcuban@Tanyaayn@ReFresh_Shawn A. Few get accredited. Optum requires it for some services. Easy way to prevent fraud.
B. Can bill SCAs in the credentialing process. This isn’t new news.
C. Availity et al take 10 min. And they’re not your biller or record.
D. Hire a UR rep.
All basic shit.