Why vaccination is important for everyone by Steven lash San Diego

As you all know about vaccination, it will activate our immune system without making us sick. Many dangerous diseases can be cure in effective way. I suggest everyone to go and get your first jab of vaccine as soon as possible. For some disease vaccine provides lifelong protection. As per WHO data India and USA is leading in world, one of the major vaccination drive through the world.

What will happens whenever you vaccinate yourself?

During vaccination, the body is exposed to either a weakened microbe (bacteria or virus), fragments of a microbe, or something that resembles the microbe. When the active substances in the vaccine meet the body’s immune system, immune cells and antibodies are produced that will recognize the “real” microbe. When the vaccinated person encounters this microbe, the immune system will provide a faster and better immune response that can prevent disease. This is artificially acquired active immunity. I personally feel fever and cold after the vaccination but after two days I feel really refreshing and healthy, so my recommendation to all people of the world to get yourself vaccinate as soon as possible by Steven lash San Diego.

What are Pros and Cons of Covid-19 Vaccination by Steven lash San Diego?

What are Pros and Cons of Covid-19 Vaccination by Steven lash San Diego?

When the news comes in the world, after the global approval of Covid-19 vaccination. Everyone is happy to hear this news. As per my opinion the front line worker who has been fought throughout this pandemic will get the first dosage of vaccine. There is lot of pros and cons of this vaccination process; I’ll discuss one of them by one by one.

Pros of Vaccination:
1. Covid-19 vaccine keeps your body away from disease.
2. If you sometime contact the virus this vaccine prevent you from serious illness.
3. Although wearing a mask, washing hands frequently and social distancing is the best protection from dreaded virus.

Cons of Vaccination:

  1. Sometime mild pain or swelling at site of injection which are usually very common after any
  2. Sometime it includes headache, fatigue, muscle pain and fatigue etc.
  3. The person must speak to doctor if there is any allergic reaction.

For more information on Covid-19 vaccination you can contact Steven lash San Diego.

What Precautions you should take during Corona virus by Steven lash San Diego

In the world there is huge effect of covid19, many people lost their lives and many lost their job. Every industry is affected and many of them have lost their work. This pandemic situation in the world is even worst then you thought. To save yourself from covid19 you should take necessary precautions which must be taken by every individual.

To Prevent the Spread of Corona Virus, you must clean your hands on regular basis by soap or alcohol based hand rub. You should maintain a safe distance from anyone who is coughing or sneezing. Always wear a mask whenever you’ll go outside the home and tells others to do the same. If you ever feel any chances of fever, cough immediately contact to medical center. The best and effective way to spread covid19 is take as many as precautions which must save you and your family. Don’t get out of home for unnecessary reasons stay home and stay safe by Steven Lash San Diego. Steven lash has been helping many people through social media by sharing useful information on covid19,how we can save our family as well others.

Steven lash San Diego thoughts on Covid-19

Today, I am going to share some of my thoughts on Covid-19 virus, As you all know this deadly virus is spreading all over the world very rapidly. In the world 3 million people are suffering from this virus and more than 100k people are already dead because of this. The most affected country in the world is USA where almost one million people are suffering and around 50k people are dead, So as American it’s my responsibility to help my country in whatever way. We can help the poor people by feeding food to them in your near streets as well donate some money online to the organisation who are working towards country and also donate some money to Gov to fight against this corona virus.

We people 12unite together and let this virus out of our country as soon as possible. We should appreciate our health workers who are working 24*7 for our country. We should need to stay indoor as possible as can. We should always wear mask while going outside for any grocery items and also sanitise your vehicle while going outside for any work.

I request people of United States to help as many people around you. My name is Steven lash San Diego, I’m feeding many people in my area who can’t afford food and other necessary things of daily life, I hope everything in the world will be fine soon and all people stay safe and healthy everywhere they are.


Dilemma Solved: A/R Collections During a Billing System Conversion By Steven Lash

As a Revenue Cycle Director, it is likely during your career you will be faced with a Billing System conversion.  You have a daunting decision whether to convert the old A/R, use existing staff to work the old A/R and at the same time learn they need to learn the new Billing system.steven lash san diego

This is a major undertaking fraught with operational and financial risk. It gets even more complicated if a new clinical system is going in at the same time. Supporting a seamless revenue cycle conversion requires extensive planning and training, along with laser-like focus on the operations and features of the new platform with the staff having to learn the tips and tricks along with functionality.

An initial decision to use existing staff to wind down collections at the same time as learning the new system exacerbates the major organizational effort that is required. Billing personnel will be pulled in multiple directions as they attempt to master the complexities of the new system while at the same time try to wind down aging accounts receivable linked to the legacy platform. Attempting to juggle these competing tasks can produce the worst of both worlds; outgoing claims submitted through the new system stall or decrease, while unresolved accounts in the old platform pile up. Cash flow erodes as days in AR and denials increase. And if unanticipated problems or delays emerge during the Billing System implementation, the financial problems can quickly snowball.

To mitigate these risks and preserve cash flow, a bifurcated approach to the revenue cycle transition should be strongly considered. By establishing a clean cut off after thorough testing and training of the new system the internal staff would handle new system billing activities, in-house personnel can submit claims in an accurate and timely manner after the cut off.  This is their sole focus.

Legacy accounts, meanwhile, can be outsourced to a qualified, third-party AR resolution vendor. Turning the old inventory over to external specialists not only allows internal staff to concentrate on current claims and the new system, it also ensures that aging denials will be worked methodically to resolution. This would result in cash being collected on accounts that most likely would have been written off due to divergent priorities by the in-house staff.

Under the best of circumstances, even with a flawless implementation (this has never happened) it’s not unusual for organizations undergoing new Billing Systems installations to experience an increase in both days in AR and denials, along with a commensurate reduction in cash flow critical that every step be taken to ensure a successful implementation. Partnering with a qualified third party to resolve legacy AR enables internal staff to focus exclusively on the new billing platform. It is safe to assume the odds for success are greatly improved if the in-house billing staff is not required to simultaneously work legacy denials while attempting to submit clean claims through the new system. Beyond the extra workload and inconvenience that juggling the two tasks entails, allowing personnel to continue to interact with the legacy platform can undermine acceptance of, and confidence in, the new billing process. This, in turn, can reinforce outmoded processes or behaviors and hinder the development of staff-wide competence with the new system. The net result is further financial risk. For more info you can visit here Steven lash San Diego.


With an unrelenting focus on patient outcomes under value-based reimbursement systems, providers are seeking the holy grail in order to improve population health management programs that target at-risk groups, such as chronically ill patients.

Medicare programs such as Annual Wellness Visits and Chronic Care Management program are one such example of a Population Health tool, that not only improves patient outcomes, but also can generate new revenues for a medical practice. There is a lot of literature and research that supports that a robust Annual Wellness Visit program coupled with a Chronic Care Management program provides significant advantages in being proactive in Preventive Care as well reduce the progression of chronic disease and avoid the development of new chronic conditions.

A good start is for providers to start identifying the most expensive patient populations, which usually have higher hospital readmission rates and more emergency department visits. Medicare has a program called Transitional Care Management which is right on point for reducing these events. These are high-cost events for providers and value-based care models will penalize providers for not preventing these healthcare events.

Researchers historically advise healthcare organizations to acquire/affiliate/link with more primary care physicians to boost preventative and chronic care management, invest in patient-centered medical homes, focus on care management for high-risk patients, and use clinical registries to monitor patient health statuses.

“You need a methodology to identify high-risk patients and then a care management program to manage the care of those high-risk patients,” commented Jonathan Niloff, MD, McKesson’s Chief Medical Officer. “It’s a well-known phenomenon that a small proportion of patients always account for a disproportionate share of costs, so one can get a lot of return from focusing on those high-cost patients.”

While EHR systems are critical to collecting population health data, providers would benefit from additional patient risk stratification programs to identify high care utilizers and cost drivers. The more information click here Steven lash San Diego.

Steven lash San Diego shared Best Practices on Value-Based Care Reimbursement

Steven lash San Diego shared Best Practices on Value-Based Care Reimbursement

Payers have begun to transition to value-based care reimbursement from the more traditional fee-for-service payment system. Executives and financial experts are begrudgingly understanding that it will take longer than expected to adopt the new payment structures. Many obstacles will impact the timing and effectiveness of this transition. Payers should follow some key best practices.

 Evaluate the patient population

Steven lash San Diego explain how we can move to value-based care reimbursement effectively, payers will need to understand their subscriber base to understand the type of care and preventive services that will be required from the provider network. The results of this analysis can be communicated to relevant medical facilities to establish appropriate treatment for each patient.

Key strategies payers should include patient risk stratification and population health management analytics. Payers could help inform providers on which members are in need of greater engagement in their chronic disease management. Payers should follow Medicare’s lead and pay for a Chronic Care Management program.

Improvements in hypertension, weight management and sugar control show that it will have a positive impact on patient outcomes, but that usually takes years to benefit the patient and ultimately benefit the overall cost. This of course, is the payer conundrum since patients can change their health plans annually so the payer that has paid for these programs may not reap the benefit.

 Passing the financial risk to providers should be done slowly

An important component for moving to outcome-based care is to introduce financial risk gradually. A Carrot and Stick approach is a radical change for providers and cannot be rushed into the provider community. When providers partner with payers through a risk sharing model (aka value based reimbursement), they’re often required to assume more financial risk as opposed to payers taking on more risk in a fee-for-service model.

Quality measures should fit existing provider patient care goals

Healthcare providers often have their own quality improvement goals for their patient population and as of late a standardized set. Payers could effectively transition to value-based care by aligning their quality measures to fit existing goals of their providers. This means that instead of forcing providers to adhere to differing quality metrics between public and commercial health plans, payers would implement their quality measures to align with that of CMS and the MACRA regulations.

 Support healthcare delivery reform

Payers should follow Medicare’s lead and actively support changes in the healthcare delivery change. ACOs have been shown (when well run with good leadership and tools) to improve quality and reduce costs. In their infancy Medicare economically supported the formation of these ACOs. Additionally, models such as patient centered medical homes have also driven down costs and improved patient care.

Member engagement and empowerment

Steven lash San Diego explain how you can see the best results from value-based care reimbursement it will be necessary to invest in patient engagement and for patients to assume accountability for their health. Patients with the tools needed to make appropriate decisions in their healthcare shopping are more likely to choose more affordable options to the benefit of their wallet.

Chronic Care Management Conclusion by Steven Lash

It is evident based on the 2 earlier articles that Steven Lash published this is a very heavy lift for almost all practices. Even large practices will have to add significant staff to establish the program. This would lead to very low margins.

• The practice will have new fixed cost structures in the form of employees, computers, space, telephones, etc., with no assurance that the practice will be able to capture every patient every month for reimbursement from Medicare.

• A do it alone approach will impact/change in a very major way existing practice workflow. This will reduce office efficiency and either lead to longer workdays for the entire practice or a reduction of the number of patients coming into the office as time was taken up performing new workflow activities.
• One of the most important items is that the practice and the physician providers would be subject to compliance concerns and potential problems. No provider wants to have a Medicare audit and certainly not one where they are recouping tens of thousands in Medicare payments. More info Steven lash