GAO Findings on Prior Authorization and HATA’s Survey
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In a recent report to the U.S. Senate Committee on Finance, the Government Accountability Office (GAO) was asked to examine the Centers for Medicare & Medicaid Services’ (CMS’s) prior authorization programs, including its benefits and challenges. The GAO spoke with many providers, suppliers,
and... Click Here to Read More
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CMS Proposes Redesign of Medicare Shared Savings Program
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On August 9, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would redesign the Medicare Shared Savings Program (MSSP). The proposed changes would accelerate the risks associated with participation, as well as tighten participation requirements. The redesigned
program... Click Here to Read More
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10 Examples Of Customer Experience Innovation In Healthcare
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The Latin root for "hospital" is from Old French “hoste," which means "host" or “guest." Synonyms for host are multitude, abundance and wealth. That’s not what we think of when we imagine a hospital today. Too often we take what is presented without asking why. For example, why can't a hospital be more like
a... Click Here to Read More
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Severe Protein Calories Malnutrition in the OIG Crosshairs |
The diagnosis of severe protein calorie malnutrition is under high scrutiny from the Centers for Medicare & Medicaid Services (CMS) and the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG).
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8 Medical Coding Mistakes That Could Cost You
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Government and private insurers’ audits have revealed unfortunate cases of fraudulent or abusive medical billing practices. You deserve to be paid for the medical care you provide, but it is essential that you avoid improper billing practices to steer clear of trouble and maintain a flourishing practice. When it comes to medical coding errors, they fall
into...
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