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The Department of Health and Human Services (HHS) estimated that improper payments in the Medicare and Medicaid programs exceeded $100 billion from 2016 to 2023. Fraud, waste, and abuse (FWA) in healthcare present significant challenges, causing substantial financial losses, eroding public trust, and compromising the quality of patient care.
Continuing education programs and seminars can be valuable resources. Utilize resources such as the American Psychiatric Association (APA) and the Centers for Medicare & Medicaid Services (CMS) for updates and guidelines. Regular training and workshops can help in maintaining coding accuracy.
This can be done by attending coding seminars, joining coding organizations, and reading industry publications. Here are some tips to help you stay industry updated: Attend conferences and seminars: Attend conferences and seminars related to radiology coding to stay up-to-date on the latest developments, changes, and trends in the field.
This education can include online courses, workshops, conferences, seminars, academic writing, research, and hands-on training. The material aligns with patient care guidelines and aims to improve care practices and achieve optimal patient outcomes while adhering to reimbursement rates set by the CMS for Medicaid and Medicare beneficiaries.
Health Insurance Portability and Accountability Act (HIPAA) and Centers for Medicare and Medicaid Services (CMS) urge the providers to not only bill accurately but also adhere to their compliance rules. Medical billers should attend training programs and seminars to understand the new trends and use of technology.
Familiarize yourself with guidelines from regulatory bodies such as the Centers for Medicare and Medicaid Services (CMS) and commercial payers. Stay updated on the latest coding changes, regulations, and reimbursement policies through seminars, webinars, conferences, and industry publications.
Telemarketing to educate patients about various upcoming seminars, health screenings work well in the rural and small group practices. For companies that fall under the regulation of billing Medicare and Medicaid, which are not under a medical exemption, they will need to be Accredited by an approved Accreditation Organization.
The Joint Commission, the Centers for Medicare & Medicaid Services (CMS), and other accrediting bodies have obliged healthcare organizations to comply with the regulatory policies. Hospitals should hold training sessions, seminars, workshops, and meetings to inform doctors.
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