Healthcare It News

DECEMBER 5, 2022

Findings like these serve as a call to action for Medicare Advantage plans to add brain health and social connection features to their ancillary wellness services, according to Brett Hanson, Head of Market & Product Development, Optum Health Solutions. “Working up a sweat is one way that seniors want to increase their wellness.

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Physician Credentialing Company

JANUARY 6, 2025

Payer Specific Guidelines Payers like Medicare or commercial insurance companies have their own guidelines regarding the billing of 93970. Many payers, such as Medicare, have a pre-authorization requirement for duplex ultrasounds as they are costly procedures. Insurance companies ask for documentation in the submitted claims.

Medical Billing 40

Medical Billing Medicare Medicare Compliance 40

American Medical Compliance

JUNE 21, 2024

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.

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Fraud Compliance Medicaid Medicaid 105

Medisys Compliance

JUNE 26, 2024

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 Stay updated with the latest changes and updates in ICD-10 codes.

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Medical Billing Medical Billing Outsourcing Medicaid Medicaid 45

Medisys Compliance

FEBRUARY 28, 2023

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.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 52

Physician Credentialing Company

NOVEMBER 4, 2024

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. Medicare demands detailed written reports about its medical necessity and process details before releasing funds for reimbursement.

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Medical Billing Medicare Medicare Telemedicine 52

AIHC

MARCH 2, 2023

My task was to educate providers and staff through seminars on rules and regulations with Medicare. Opposed to leading by providing seminars, motivating various clinical staff meant getting to know them and their capabilities and being able to let go.

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Compliance Officers Compliance Fraud Medical Billing 52