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Retrieving Billions in Overpayments by CMS

Healthcare IT Today

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). Currently, Pults told me, CMS is focusing on overbillings during the height of the COVID-19 pandemic.

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These are the compliance issues providers should be preparing for, post-PHE

Healthcare IT News - Telehealth

While the nation seeks to reopen and put COVID-19 behind us, providers are still addressing new variants and recovering from the financial and emotional impact of the pandemic. Additionally, any reimbursement resulting from these claims could be considered an overpayment. Healthcare IT News is a HIMSS publication.

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Medicare Advantage 2024 Rate Announcement – Further Impacts to Risk Adjustment

Health Care Law Brief

The 2024 EGR also accounts for effects from COVID-19 and other changes, such as lower morbidity from excess COVID-19-related deaths, lower total spending due to shifts in care from inpatient to outpatient settings (e.g., hip and knee replacements), and to reflect an increase in dual-eligible beneficiaries enrolling in MA.

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Clinical Trial Payments: Optimizing the Path Forward for Site Payments

HIT Consultant

This is in stark contrast to just 14% before the Covid-19 pandemic and 47% at the pandemic’s peak. They can reduce the burden on clinical and financial staff for payments, disputes, reporting and reconciliations, all while minimizing site and study overall costs and overpayments.

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Health Care Real Estate Briefing: HHS Extends Public Health Emergency | SNF Staffing Shortages Still on the Rise | Record Amount of Real Estate to Hit the Market This Year

Hall Render

In other news, the number of new COVID-19 cases in SNFs is down significantly, although staffing shortages continue to be one of the top issues facing SNFs and other health care providers. Furthermore, COVID-19 is having a major impact on return to work. AARP released new data on the impact of COVID-19 on SNFs.

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Why Medicaid Programs Need to Update Their Information Systems

HIT Consultant

You don’t have to be a news junkie or political aficionado to know that state unemployment information systems massively failed during the COVID-19 pandemic at a time when they were most desperately needed. In Ohio, unemployment overpayments reached $3.86 billion during the pandemic. About Brett Furst.

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Introduction to Telebehavioral Health

AIHC

Compliance Considerations for Best Outcomes Written in collaboration with the AIHC Volunteer Education Committee Delivering mental health services via telehealth has increased since the COVID-19 pandemic. Higher rates of use of telehealth are now standard in many practices since the coronavirus disease 2019 (COVID-19) pandemic.