Verisys

NOVEMBER 8, 2023

CMS.gov The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) required the creation of a standard, unique health identifier for healthcare providers, which the NPI satisfies. Providers also need an NPI to enroll in Medicare. Why Are NPI Numbers Necessary?

Fraud 97

Fraud HIPAA Medicare Medicare 97

AIHC

NOVEMBER 29, 2023

Medicare changed reimbursement methodology in the 1980s by introducing Relative Value Units (RVUs) and the RBRVS (Resource-Based Relative Value System) for physician reimbursement. As the cost of providing care grew, payers started instituting methods to curb expenses and how claims were paid. healthcare system were exorbitant.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

HIPAA Journal

JUNE 9, 2023

The Supreme Court unanimously ruled that it could not support “such a boundless interpretation” of the Identity Theft Penalty Enhancement Act of 2004. The post Supreme Court Ruling Narrows Reach of Identity Theft Law appeared first on HIPAA Journal. The Supreme Court disagreed.

Fraud 98

Fraud Medicaid Medicaid Doctors 98

AIHC

NOVEMBER 29, 2023

Medicare changed reimbursement methodology in the 1980s by introducing Relative Value Units (RVUs) and the RBRVS (Resource-Based Relative Value System) for physician reimbursement. As the cost of providing care grew, payers started instituting methods to curb expenses and how claims were paid. healthcare system were exorbitant.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Verisys

FEBRUARY 1, 2022

CMS.gov’s Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 ( HIPAA ) mandated the adoption of a standard, unique health identifier for each healthcare provider. Providers also need an NPI prior to enrolling in Medicare. 23, 2004, established the NPI as this standard.

Fraud 52

Fraud Medicare Medicare HIPAA 52