MRA Alerts and Updates

On April 10, 2013, the Centers for Medicare & Medicaid Services (“CMS”) and the Department of Health and Human Services Office of Inspe...

The Department of Justice recently stated that it is not their policy to assess fines and penalties for honest billing mistakes. However...

UnitedHealth Issues Warning Over Medicare Advantage Cuts - Kaiser Health News UnitedHealth Issues Warning Over Medicare Advantage Cuts ...

CMS’s surprising proposal in the Feb. 15 “45-day notice” for Medicare Advantage plans’ 2014 payment rates to place strict limits on the us...

Physician turnover rate hits all-time high By  Frank Irving, PhysBizTech.com Medical groups reported an average turnover rate of ...

OIG pressures CMS on home health sanctions By  Stephanie Bouchard, Managing Editor As the number of home health agencies and frau...

  Practice Management: Key Resource for Medicare Advantage Who has more face time with your members than anyone else? Is it their pri...

Will The Leaders of Today, Be The Leaders of Tomorrow? If history repeats itself, they will not. Today’s leaders and their corporations ...

Whose Patient Engagement Goals Are We Talking About? | Center for Advancing Health

The ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10 code sets.  1. What does ICD-10...

April 22, 2013, 9:08 a.m. ET Quintiles Unlocks Path for Digital Patient Engagement New report demonstrates how the digital patient c...

Medicare Health Risk Assessment   CMS is considering excluding from risk adjusted payment any diagnosis data collected from MA enroll...

AUDIT YOUR PRACTICE BEFORE SOMEONE ELSE DOES Medicare and Medicaid now require physicians to establish a compliance plan that can e...

The Digital Disruption Medicine is destined to be the most regulated industry in the world. The current culture of healthcare in ...

Updated resources are now available to reflect the October 1, 2014, deadline. The CMS implementation guides, checklists, and timelines ha...

Health Plan’s Secret Sauce is Social Media Health Plan's Secret Sauce is Social Media Jacqueline Fellows, for HealthLeaders Media...

Engaged Patients Cost Less Marianne Aiello, for HealthLeaders Media  , April 17, 2013 It's safe to say that practically every...

ERM'S PROPRIETARY EDUCATION MODEL Return on Investment -  over 300% Empirical Risk Management has identified a methodology...

Announcement of Calendar Year (CY) 2014 Medicare Advantage Capitation  Rates and Medicare Advantage and Part D Payment Policies and Final...

This list identifies the most commonly submitting HCC's. COPD $3112 496 COPD 493.20 Asthma w/chronic COPD (Chronic Obstructive...