Innovaare Compliance
MARCH 24, 2024
The Importance of Payment Integrity Payment integrity is crucial for health plans to control costs, reduce fraud, waste, and abuse (FWA), and ensure the accuracy of healthcare payments. The Centers for Medicare & Medicaid Services (CMS) reported that in the fiscal year 2020, they recovered $3.1
Med Com Blog
JANUARY 18, 2023
Fraud detection: AI can be used to detect and prevent fraudulent activity in the revenue cycle, such as billing for services that were not provided or upcoding of services. This can improve patient satisfaction and increase the likelihood of payment. This can improve efficiency and reduce the risk of errors.
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Healthcare IT News - Telehealth
JUNE 8, 2022
While it is important to carefully consider the most effective methods of providing care and the intended purpose behind various reimbursement, privacy, and fraud and abuse regulations, it is also clear that healthcare delivery has always and continues to evolve, and the regulatory framework needs to do the same. PTs, OTs, and SLPs).
Verisys
FEBRUARY 14, 2024
It emphasizes conducting activities transparently, ethically, and in a manner that secures the trust of patients, staff, and stakeholders alike. This holistic approach to governance ensures that decisions are informed by a comprehensive understanding of the hospital’s overall performance and its implications for patient care.
AIHC
SEPTEMBER 5, 2023
Increasing importance on patient satisfaction, providing efficient and quality care, and minimizing costs have also led to higher telehealth implementation. Medicare covers many telebehavioral and telemental health services including audio-only services. This includes understanding various fraud and abuse laws.
Hall Render
NOVEMBER 4, 2022
AMA scrutinizes lack of competition, consumer harms in Medicare Advantage plans. CMS makes big changes to Medicare Shared Savings Program. 2 orthopedic hospitals facing Medicare readmission penalties. State hospital patients held staff against will with make-shift weapons. CMS bumps ASC payments to 3.8 That Number is 3.
Hall Render
JANUARY 5, 2024
The amount could vary by the thousands Idaho hospital board member resigns Idaho Health Provider Will Pay $2 Million to End PPP Fraud Suit ILLINOIS HSHS St. Retina Group of Washington reports massive data breach A trifecta of viruses in the D.C. region has health officials worried Half of Black D.C.
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