"Any man worth his salt will stick up for what he believes right, but it takes a slightly better man to acknowledge instantly and without reservation that he is in error." Andrew Jackson
President Jackson's position on the acknowledgement of errors has withstood the test of time, not to in any manner imply that we all actually live by this standard each day. But, we would do well to consider his admonishment in our dealings with clients, vendors, partners and others with which we communicate each day.
Rest assured others know when you blow it. Its in walking away without accepting and acknowledging your hand in an error or mistake that sows the seeds of distrust and resentment. Over time, these incidents can cause a team to fail because the trust is broken and expectations are diminished.
My high school baseball coach used to tell us to forget saying "my fault" when an error was made. His reasoning was that everybody in the stadium knows its your fault, so forget it and move on. While Coach was right about most of the lessons he shared with us, he may have missed this one when applied to life and business.
Just a brief "my fault," an acknoweldgement that you are in error will provide your team with the comfort of knowing three things: 1) you know you blew it, 2) you actually care, and 3) (to borrow a phrase from my son) you are willing to "man up" and accept your failing.
While most folks race for the door on Friday afternoons, I find the time is perfect to reflect on the chaos of the week – quiet time for my brain. No phones, no deadlines, no payroll and no cash flow issues to concern me.
The week was productive. Working to ensure our business intelligence solutions are meeting our client’s needs, we have explored the BI markets newest stars – those whose model includes software as a service. SaaS meets our client’s needs and allows us to practice what we preach – our flagship software is a SaaS offering. Mashing a BI solution with our own will provide significant benefits to our clients.
AutoGov sales and marketing efforts are blowing and going. The company has a pipeline (yes, I know it’s cool, right?) for the first time since we crawled away from our consulting business years ago. We are exploring new methods of reaching our target markets.
The Mississippi Healthcare Summit held at Mississippi College in Clinton was enlightening. While the State has challenges eclipsed by few others in the United States, the leadership stands tall offering solutions and hope rather than doom and gloom. Soon to be elected Governor Phil Bryant, Insurance Commissioner Mike Chaney and newly elected Senator Josh Harkins were a few of the players that will be key to Mississippi’s continued push forward.
Operations are solid, the technology is smokin’ hot and our customer service team ready’s for a month end drawing for an iPod. The team, led by our CEO (Rose Hayden) and lead data scientist (Taylor Phillips) produced a comprehensive analysis for one of our clients. The analysis provides a clear path forward and a bright future for the client’s operations.
Now my week is done. These musings bring clarity. Monday is certain to bring the return of the chaos of a small software company, but – at least for now – all is well.
This simple, easy to understand explanation of healthcare reform provides an opportunity to understand the basics of the new law without reading 1,000 pages of legislative lawyer language.
Believe it or not there are some things about the Medicaid program that are simple. For example, while there seems to be a great mystery surrounding what makes a Medicaid claim payable, it is it is really not a mystery at all.
Three simple fact items must be present to pay a Medicaid claim. A claim must be submitted:
1. by an Eligible Provider: A provider submitting a claim for Medicaid reimbursement must be properly enrolled as an official Medicaid provider. Each state conducts separate provider enrollment providers must enroll in every state where they provide services.
2. on behalf of an Eligible Recipient: To become eligible for Medicaid, a person must be determined eligible by the state in which he or she lives. A Medicaid application must be completed and a variety of documents must be submitted. Generally, there are five specific components of the determination. The applicant must prove their identity. They must be a citizen of the U.S. and a resident of the state in which they are applying for assistance. Finally, the applicant must meet certain maximum dollar amounts for assets and income. Once eligibility is determined, the individual will remain eligible until a change in circumstances renders them ineligible. Redeterminations are conducted on a regular basis, generally annually.
3. for an Eligible Service: Medicaid program services that are available to recipients vary from state to state. Providers have some flexibility but must render services in accordance with approved services. Many rules and regulations govern the provision and frequency of these services. For example, many states require high cost or unusual services to undergo a process called prior authorization before the service can be rendered and payment remitted.
With each of these three items properly documented, Medicaid claims should sail through a state’s Medicaid payment system.
The search for perfection isn't always conducted by the rocket scientists of the world. A music teacher with little knowlege about baseball uses web-based research to win a contest and $1 million.