Tuesday, October 20, 2020

CMS Proposes a Regulatory Definition of Medically "Reasonable and Necessary"

›
It has taken CMS more than 50 years, but the agency has finally   proposed   a regulatory definition for determining whether an item or serv...
1 comment:
Friday, September 25, 2020

2021 ICD-10 Updates

›
  Effective Dates The 2021 ICD-10-CM files below contain information on the ICD-10-CM updates for FY 2021. These 2021 ICD-10-CM codes are to...
Wednesday, September 23, 2020

Incorrect Acute Stroke Diagnosis Codes Submitted by Traditional Medicare Providers Resulted in Millions of Dollars in Increased Payments to Medicare Advantage Organizations

›
  09-16-2020 | A-07-17-01176 |  Complete Report  |  Report in Brief Why OIG Did This Audit This audit involved individuals eligible for Medi...
Saturday, September 12, 2020

Billions in Estimated Medicare Advantage Payments From Diagnoses Reported Only on Health Risk Assessments Raise Concerns

›
  Key Takeaways: Billions in estimated risk-adjusted payments supported solely though HRA’s raise concerns about the completeness of payment...
Monday, August 31, 2020

George Franklin Smith M.D.

›
  1948 - 2020 George Franklin Smith, M.D., 71, passed away on August 25, 2020 in Austin, Texas. He was born November 25, 1948 in San Augusti...
Tuesday, August 18, 2020

Save 30% on all 2020 HCC Tools

›
  USE this code: FLASH to save 30% on all HCC Coding Tools!! Prepare for Victory... What will define those who claim victory and those who a...
Thursday, August 6, 2020

Newly Unsealed FCA Suit Targeting Cigna Medicare Advantage

›
By  Jeff Overley Law360 (August 5, 2020, 9:39 PM EDT) --  Cigna Corp . overbilled Medicare Advantage by more than $1.4 billion by persuadi...
Tuesday, August 4, 2020

Congress Considers Timeline as Accelerated and Advance Payment Recoupment Looms

›
Monday, August 3, 2020 To provide additional financial support for Medicare providers responding to COVID-19, and pursuant in part to CARES ...
1 comment:
Wednesday, July 22, 2020

Six Reasons Your Risk Scores are Inaccurate

›
By Kameron Gifford, CPC As we enter the third quarter of 2020, healthcare organizations have been struggling for months to balance prio...
1 comment: