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How Medicare Advantage Programs Can Address Social Risk and Improve Health Outcomes

HIT Consultant

Brian Norris, Managing Director of Strategic Consulting at MedeAnalytics There are almost 33 million people enrolled in eligible Medicare programs. Nearly half are enrolled in Medicare Advantage (MA) plans, and that number is expected to continue its climb.

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At Denver Health, telehealth education and equipment help close equity gaps and boost engagement

Healthcare IT News - Telehealth

"The majority of these patients are racial/ethnic minority populations (72%), dually eligible for Medicare/Medicaid, with multi-morbidity and high healthcare needs, and lower health and digital literacy," she added. These workshops are open to all DHA residents regardless of where they receive their healthcare.

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Avoiding Billing Mistakes for Medicare

Medisys Compliance

Introduction Understanding the details of Medicare coding and claims submission can be daunting for anyone. This article serves as a guide to help you avoid billing mistakes for Medicare and ensure smooth claims processing for your Medicare patients. Ensure they have current Medicare coverage and no pending eligibility changes.

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Digital Health in the Metaverse: Three Legal Considerations

Healthcare Law Blog

The FDA has also hosted public workshops to discuss evaluation techniques for hardware, standards development, and assessment challenges for applications of extended reality in medicine. [5]. For example, services that are billed to Medicaid or Medicare must comply with regulations that may not apply to services that are paid for in cash.

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Avoiding Costly Credentialing Issues in Healthcare

Verisys

Compliance Penalties Regulatory agencies like the Centers for Medicare & Medicaid Services (CMS) and The Joint Commission enforce strict medical credentialing standards to ensure healthcare providers meet necessary qualifications and maintain patient safety.

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New Coding Guidelines for Chemotherapy Administration

Medisys Compliance

Best Practices for Implementation Training and Education: Regularly update your team on coding changes through workshops and continuing education programs. Properly implemented, these guidelines can enhance operational efficiency and financial performance. All rights reserved.

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Healthcare Providers’ Role in Preventing Fraud, Waste, and Abuse 

American Medical Compliance

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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