As part of the commitment to regulatory compliance and the strengthening of clinical practice, we are sharing the annual calendar of continuing education courses directed to participating providers of Menonita Health Plan (PSM). This program integrates trainings aligned with regulatory requirements established by ASES, together with educational sessions on clinical best practices and integrated care

The demand for mental health services has increased significantly in Puerto Rico, especially among adolescents and young adults. This increase makes accurate billing essential, not only to ensure continuous access to care but also to prevent denials and optimize administrative efficiency. Under Plan Vital, mental health services include initial evaluation, follow-up, psychotherapy, and pharmacological management,

Interview with Sandra V. Peña Pérez, PT, MHSA, Chief Officer of Claims Administration and Information Systems Operations at Plan de Salud Menonita   The implementation of the APR-DRG model in Puerto Rico marked a significant transformation in the hospital payment methodology under the Medicaid program administered by the Puerto Rico Health Insurance Administration (ASES). In

By Salvador Rovira Rodríguez, Esq, LLM, CEO of CredeMtia Health Law is the body of rules that organizes, regulates, and oversees the functioning of the health ecosystem. In Puerto Rico, although there is no formal codification under that name, the discipline operates transversally through laws and regulations governing the functioning of the health ecosystem, administrative

Interview conducted by Dr. Eddie Ortiz, Chief Strategy and Clinical Officer You can see the full interview on our Youtube channel here: Mental Health in Times of Uncertainty and the Role of the Integrated Care Model In a social and economic environment marked by uncertainty, financial stress, work overload, and the cumulative effects of collective traumatic

Interview with Gerardo Rivera Torres, Psy.D., MS, M.P.H., HSP Senior Consultant in Integrated Mental Health, Clinical Psychologist, Subspecialist in Health Psychology and Geropsychology   The sustained increase in mental health conditions in Puerto Rico, where it is estimated that nearly 25% of the population presents some form of mental disorder or problematic substance use, has

Redacted  by Vilmar Trinta | Contributed by Keila K. Marrero, Clinical Affairs and Strategic Consulting In a clinical environment where physicians face increasing pressure to see more patients, document accurately, and comply with increasingly complex regulations, having a well-trained and integrated medical assistant is no longer an operational luxury—it is a strategic necessity. As explained

Redacted by Vilmar Trinta | Interviewed Lilybeth Rivera García, Coding and Premium Management Director at Provider Network Solutions of Puerto Rico (Provider PR) Behind every code sent to an insurance company lies much more than an administrative process—each diagnosis represents a patient’s medical history, the quality of care provided, and the financial stability of an

Redacted by Vilmar Trinta | Interviewed Dr. Carlos Maldonado, Medical Director of Provider PR Educating patients on when to visit an urgent care center or an emergency room is essential to optimize healthcare resources, improve clinical outcomes, and strengthen the physician-patient relationship. Primary care physicians and their teams play a fundamental role in educating, guiding,

By Salvador Rovira Rodríguez, Esq., LLM, CEO of CredeMtia Proper management of medical appointments is an essential element in ensuring service quality and patient safety. Several studies conducted in the United States have shown that delays in accessing care can have significant clinical and legal consequences—a scenario that also resonates in Puerto Rico, where challenges