MRO Compliance

JANUARY 16, 2025

With robust infrastructure, payers can comply with evolving standards and enhance patient satisfaction and care outcomes. Breaking the Prior Authorizations Bottleneck The prior authorization process has long frustrated providers, payers, and patients. This is why payers are now shifting toward pre-pay accuracy.

Overpayment 130

Overpayment Overpayments Regulatory Compliance Patient Satisfaction 130

Healthcare IT Today

NOVEMBER 22, 2022

The payer could also recoup the overpayments from future visits. . Relying on ever-escalating per-therapist patient volume per day will negatively impact patient satisfaction, therapist satisfaction, and outcomes.”. Meanwhile, Medicare also has a Fee for Service Recovery Audit Program.

Overpayments 111

Overpayments Overpayment Medicare Medicare 111

Innovaare Compliance

MARCH 24, 2024

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.

Fraud 52

Fraud Compliance Health Insurance Medicaid 52

Innovaare Compliance

MARCH 24, 2024

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.

Fraud 52

Fraud Health Insurance Medicaid Medicaid 52

AIHC

SEPTEMBER 5, 2023

Increasing importance on patient satisfaction, providing efficient and quality care, and minimizing costs have also led to higher telehealth implementation. Behavioral telehealth may also be referred to as telebehavioral health, telemental health, telepsychiatry, or telepsychology.

COVID-19 59

COVID-19 Telemedicine Informed Consent Compliance 59

Healthcare IT News - Telehealth

JUNE 8, 2022

must be an established patient outside the PHE) are not satisfied, and the provider knowingly submits claims for payment in violation of these requirements, the claims could be considered false claims. Additionally, any reimbursement resulting from these claims could be considered an overpayment.

US Department of Health and Human Services 209

US Department of Health and Human Services Compliance COVID-19 Overpayments 209

Hall Render

OCTOBER 7, 2022

Judge orders Anthem to face lawsuit over alleged Medicare overpayments. NJ hospital patient satisfaction scores boosted through courtesy. How tight nursing home capacity is bottlenecking hospital operations. Is the doctor’s office heading for extinction? Medical groups want lawmakers to bolster safety for health care workforce.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40