Remove 2021 Remove COVID-19 Remove Fraud Remove Overpayments
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Preventing Genetic Testing Fraud: 5 Actions for Health Plans

Healthcare IT Today

The following is a guest article by Erin Rutzler, Vice President of Fraud, Waste, and Abuse at Cotiviti In Delaware, more than 250 Medicare patients underwent unnecessary genetic testing based on telehealth consultations that often lasted less than two minutes— costing Medicare thousands of dollars per patient. In 2021, a U.S.

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Retrieving Billions in Overpayments by CMS

Healthcare IT Today

This article focuses on the relatively young technologies that enable CMS to uncover overbillings, whether they be errors or fraud. Challenges of Investigating Overpayments Undeserved payments are needles lurking in the haystack of 135 million Americans enrolled in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP).

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2023 Non-Monetary Compensation to Physicians (and Chance to Review 2022)

Hall Render

As part of the final regulations released by the Centers for Medicare & Medicaid Services (“CMS”) effective January 19, 2021, CMS finalized a new exception for arrangements where an entity pays a physician less than $5,000 over the course of a calendar year in exchange for items or services. New Exception for Limited Remuneration.

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Health Provider News – August 26, 2022

Hall Render

COVID-19 emergencies linger throughout U.S. Alabama’s COVID-19 positivity rate begins to decline. Alaska’s COVID ‘superstorm’ experience of 2021 offers lessons for future pandemics, study says. COVID-19 hit California transit, air industry hard, study shows. Compliance with Oct.

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Health Provider News

Hall Render

New California rule aims to limit health care cost increases to 3% annually UC San Diego Health operations deal with California hospital slows to crawl Kaiser reports data breach affecting 13.4M area health system chief leaving for post in Florida Supreme Court will not hear D.C. biotech’s patent infringement appeal A D.C. health dept.