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Medical necessity is one of the top reasons for Medicare claim denials through the Recovery Audit Contractor program. To date,…
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Medical necessity is one of the top reasons for Medicare claim denials through the Recovery Audit Contractor program. To date, CMS has collected over $500 million in overpayments through Medicare RACs. According to the American Hospital Association's May 2011 RACTrac…
A Conomikes Reports has suggested a coding checklist for HIPAA 5010.
Blue Cross Blue Shield of Michigan is attracting scrutiny and criticism over its decision to invest $215 million in a national Medicaid company, according to a Crain’s Detroit Business report. BCBS CEO Dan Loepp said the investment is expected to…
The Department of Health and Human Services has awarded $185 million to 13 states and the District of Columbia to help build affordable health insurance exchanges and have also released three proposed rules to help consumers use the exchanges with…
Providers and suppliers enrolled with Medicare prior to March 25, 2011, must revalidate their enrollment information by March 23, 2013, according to a CMS Medicare Learning Network report.
The U.S. Postal Service, amidst plummeting revenues and decreasing mail volume, has proposed a plan to withdraw its employees from the Federal Employees Health Benefits Program, according to a Washington Post report.
Across the country, the average monthly individual health insurance premium per person in 2010 was $215, but there was significant variance among different states, according to a Kaiser Family Foundation study.
With the transition to ICD-10 looming, there are five big things providers should be considering, according to an ICD-10 Watch report.
In an effort to expand national Medicaid coverage, Blue Cross Blue Shield of Michigan will spend $170 million with Independence Blue Cross of Philadelphia to have 50 percent ownership in AmeriHealth Mercy Family of Companies, according to a Detroit Free…
Roughly 55 percent of providers, payors, information technology and healthcare business leaders think hiring and staffing are the biggest barriers to transitioning to ICD-10, according to a survey from TEKsystems, a technology staffing and services company.