Health Populi
JUNE 5, 2022
Consumers Overpay for Generic Drugs , a new paper from the Leonard Schaeffer Center for Health Policy & Economics asserts, with recommendations to address the intermediaries who benefit from the way Americans currently pay for medicines. The good news about prescription drugs, in the context of medical spending in the U.S.,
Innovaare Compliance
MARCH 24, 2024
Balancing AI-Driven Payment Integrity with Provider Relations A large health insurance company implemented an AI-powered payment integrity system to identify and prevent potential fraud, waste, and abuse in healthcare claims. They also streamlined their dispute resolution process to ensure quick and fair resolutions.
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Healthcare IT Today
FEBRUARY 17, 2023
government and calls for better oversight , the Centers for Medicare & Medicaid Services announced in early February that it would investigate overbilling by those plans. How can such overpayments be uncovered? public in overpayments. They expect to recoup 4.7 billion dollars through this program.
The Health Law Firm Blog
NOVEMBER 18, 2023
Board Certified by The Florida Bar in Health Law On June 15, 2022, the U.S. Supreme Court said the federal government improperly cut more than $1 billion a year in Medicare reimbursements to hospitals. By George F. Indest III, J.D., This came in a ruling that limits regulators’ power to control what the program pays for certain [.]
The Health Law Firm Blog
AUGUST 23, 2022
Board Certified by The Florida Bar in Health Law On June 15, 2022, the U.S. Supreme Court said the federal government improperly cut more than $1 billion a year in Medicare reimbursements to hospitals. By George F. Indest III, J.D.,
AIHC
SEPTEMBER 5, 2023
Most private insurers and Medicaid cover telebehavioral health care, but check for reimbursement restrictions and obtain professional coding and billing guidance to avoid overpayment situations. Not all forms of technology are recognized as services which can be reimbursed by health insurance.
Hall Render
FEBRUARY 23, 2024
NATIONAL 382 rural hospitals cut chemotherapy, breakdown by state 1 year after Amazon-One Medical deal finalized: What’s happened since ACOs want increased participation of long-term and post-acute care providers ‘Behind the times’: DC tries to catch up with AI’s use in health care CMS finalizes DSH payment cuts for some safety-net hospitals: (..)
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