Healthcare IT Today
JUNE 29, 2023
However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance. Medicare Certification ASCs must sign a contract with Medicare and meet its Conditions for Coverage (CFC) to be paid. ASCs must also meet Medicare’s Conditions for Coverage.
Verisys
DECEMBER 22, 2021
Should a group health plan, insurer, or state agency find that time is running out on achieving regulatory compliance with H.R. Donald Potts has helped healthcare customers define business problems and design innovative solutions since he started at Optum in 2008. The post Ensuring Provider Directory Compliance With H.R.
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Innovaare Compliance
FEBRUARY 14, 2022
Operational teams—such as the Member Services Department and the Appeals & Grievances Department—have significant compliance regulations, so they must know to maintain compliance. This includes CMS regulations for Medicare Plans, regulations for Commercial Plans and Medicaid regulations for state plans.
Health Care Law Brief
APRIL 11, 2022
Similar to the AKS, the OIG may initiate administrative proceedings against the person offering or transferring the remuneration. However, through its advisory opinion process, OIG has blessed certain arrangements when cash equivalents have been offered or provided to beneficiaries.
Innovaare Compliance
NOVEMBER 4, 2021
Armed with this regulatory compliance information, you should be in a better position to create accurate universes that comply with the latest Medicare and Medicaid protocols. Inovaare has been providing healthcare organizations with quality services that help them comply to Medicare/Medicaid regulations since 2008.
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