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April 2024 Bad Actors Roundup

Verisys

April 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. The post April 2024 Bad Actors Roundup appeared first on Verisys. Secure your success by choosing Verisys.

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Budget 2024: Private hospitals tapped to provide psychiatric telehealth amid crisis

Healthcare IT News - Telehealth

In its latest 2024-2025 Budget, for example, the Ministry of Health and Aged Care announced a funding of A$588 million over eight years to establish a new national digital service to provide support for people in temporary distress. It will be implemented initially over the next two years starting in November.

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Medicare Advantage 2024 Rate Announcement – Further Impacts to Risk Adjustment

Health Care Law Brief

On Friday, March 31, 2023, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2024 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies ( Rate Announcement ). 1395w-23): Medicare Advantage Organizations (MAOs) are paid a base rate by CMS. Risk Adjustment.

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Navigating the 2024 CPT Code Updates

Medisys Compliance

In 2024, the AMA introduced 349 changes to the CPT code set, comprising 230 new codes, 49 deletions, and 70 revisions. Staying abreast of these 2024 CPT code updates is essential for healthcare professionals to ensure precise coding and proper financial reimbursement.

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2024 HHS-OIG Top Areas of Focus

Provider Trust

Though HHS has made efforts to address the challenges outlined in this year’s report, there are still many opportunities for improvement in 2024. We’ve broken down the report’s primary themes and how they affect healthcare organizations moving forward in 2024. With Medicaid, the challenges are equally formidable.

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Navigating the Complexities of Wound Care Billing in 2024

Medisys Compliance

Introduction Wound care billing in 2024 continues to be a dynamic and intricate aspect of healthcare administration, offering both challenges and opportunities for providers and coders. Prior Authorization Challenges and Strategies Another challenge in wound care billing in 2024 is navigating prior authorization requirements.

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Medicare Fee Schedule Changes in 2023

Medisys Compliance

The internet is ringing with the news of the CMS Updates Final rule for the 2023 Medicare Physician Fee Schedule. The finalized 2023 Medicare Physician Fee Schedule was announced by the Centers for Medicare & Medicaid Services (CMS) on November 1 2022. Medicare reimbursement for telehealth services. Conclusion.