Medicare Overpayment Patient Satisfaction 
MRO Compliance
JANUARY 16, 2025
Scenarios like this illustrate the importance of interoperability and ensuring patient records transfer seamlessly across providers and plans. To address these gaps, the Centers for Medicare & Medicaid Services (CMS) now mandates the use of FHIR-based APIs for data sharing.
Healthcare IT Today
NOVEMBER 22, 2022
After all, more patients should generate more billable services—and thus, more payments. But as organizations balance productivity goals with payer policies, sometimes their version of “enough” patient volume is actually too much. The number of Medicare TPEs and commercial payer take-back audits alone is skyrocketing.
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Innovaare Compliance
MARCH 24, 2024
The Centers for Medicare & Medicaid Services (CMS) reported that in the fiscal year 2020, they recovered $3.1 A survey by the American Medical Association found that 92% of physicians reported that prior authorization requirements had a negative impact on patient clinical outcomes. 2021, January 15). 2021, April).
Innovaare Compliance
MARCH 24, 2024
The Centers for Medicare & Medicaid Services (CMS) reported that in the fiscal year 2020, they recovered $3.1 A survey by the American Medical Association found that 92% of physicians reported that prior authorization requirements had a negative impact on patient clinical outcomes. 2021, January 15). 2021, April).
AIHC
SEPTEMBER 5, 2023
Increasing importance on patient satisfaction, providing efficient and quality care, and minimizing costs have also led to higher telehealth implementation. Medicare covers many telebehavioral and telemental health services including audio-only services. This is also called “store-and-forward telemedicine.”
Healthcare IT News - Telehealth
JUNE 8, 2022
Additionally, several telehealth flexibilities (that generally expand Medicare coverage for telehealth services) have been extended 151 days (about five months) beyond the termination of the HHS PHE. If Medicare coverage requirements for telehealth services (e.g., If Medicare coverage requirements for telehealth services (e.g.,
Hall Render
OCTOBER 7, 2022
Judge orders Anthem to face lawsuit over alleged Medicare overpayments. Delaware retirees protest switch to Medicare Advantage plan. Bayfront Health takes in ICU patients evacuated from Lee Memorial, recovering from Hurricane Ian. Medicare cuts concern Kentucky home health leaders. but state officials optimistic.
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