article thumbnail

Avoiding Red Flags: Finding the Right Productivity Balance

Healthcare IT Today

The payer could also recoup the overpayments from future visits. . Relying on ever-escalating per-therapist patient volume per day will negatively impact patient satisfaction, therapist satisfaction, and outcomes.”. Meanwhile, Medicare also has a Fee for Service Recovery Audit Program.

Medicare 104
article thumbnail

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

Healthcare IT News - Telehealth

must be an established patient outside the PHE) are not satisfied, and the provider knowingly submits claims for payment in violation of these requirements, the claims could be considered false claims. Additionally, any reimbursement resulting from these claims could be considered an overpayment.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Navigating the Intersection of Payment Integrity and Provider Relations in Healthcare

Innovaare Compliance

A survey by the American Medical Association found that 92% of physicians reported that prior authorization requirements had a negative impact on patient clinical outcomes.

Fraud 52
article thumbnail

Introduction to Telebehavioral Health

AIHC

Increasing importance on patient satisfaction, providing efficient and quality care, and minimizing costs have also led to higher telehealth implementation. Behavioral telehealth may also be referred to as telebehavioral health, telemental health, telepsychiatry, or telepsychology.

article thumbnail

Health Provider News – October 7, 2022

Hall Render

Judge orders Anthem to face lawsuit over alleged Medicare overpayments. NJ hospital patient satisfaction scores boosted through courtesy. How tight nursing home capacity is bottlenecking hospital operations. Is the doctor’s office heading for extinction? Medical groups want lawmakers to bolster safety for health care workforce.

article thumbnail

Health Provider News

Hall Render

Rhode Island Ranked as the Second-Worst State for Doctors The Centurion Foundation’s purchase of Roger Williams and Fatima hospitals would rely on bond funding In Bethpage, The Safe Center creates mental health clinic School district, pediatric urgent care partner to provide mental health services King nominated as permanent R.I.

article thumbnail

KHN’s ‘What the Health?’: Finally Fixing the ‘Family Glitch’

Kaiser Health News

For the first time, Medicare Advantage plans are poised to enroll more than half of the Medicare population despite allegations that many of the largest insurers are getting billions of dollars in overpayments from the federal government.

ACA 68