Appropriate reimbursement requires compliance
Compliance guidance requires education...continually
Lookup a coding or compliance topic — or ask a question.
These on-demand eCourses are available immediately.
Call our Client Support Team (877) 976- 6677
Smart Revenue Rocks!
More
This final rule implements a provision of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) which prohibits recouping Medicare overpayments from a provider or supplier that seeks a reconsideration from a Qualified Independent Contractor (QIC). This provision changes how interest is to be paid to a provider or supplier whose overpayment is […]
Pfizer To Pay $2.3 Billion For Fraudulent Marketing EXCERPT: News Release by DOJ on HHS.gov: posted Wednesday, September 2, 2009 WASHINGTON – American pharmaceutical giant Pfizer Inc. and its subsidiary Pharmacia & Upjohn Company Inc. (hereinaftertogether “Pfizer”) have agreed to pay $2.3 billion, the largest health care fraud settlement in the history of the Department […]
The Recovery Act of 2009 provides major opportunities for the improvement of our nation’s health care through health information technology (also known as Health IT or HIT.)Click HERE to visit the Newsroom at HealthIT.gov There are three main areas pertaining to Health IT in the Recovery Act that involve CMS: Health IT Incentives and Support […]
Fees Could Better Reflect Efficiencies Achieved When Services Are Provided Together Highlights of GAO-09-647, a report to congressional requesters, dated July 2009 Download the full report HERE (PDF format, 35 pgs, 962 KB) [The following text is directly from page 2 of the GAO Report GAO-09-647] Why GAO Did This Study Medicare’s physician fees may […]
MLN Matters Number: SE0801 Revised Related Change Request (CR) #: N/A Related CR Release Date: N/A Effective Date: N/A Related CR Transmittal #: N/A Implementation Date: N/A [The following is copied directly from this MLN Matters posting by CMS.] Note: This article was revised on November 17, 2015, to add a reference to MLN Matters® […]
AIS Publications – Aug 28, 2009. Health care organizations have more reason than ever to keep employees from snooping into patient records. New laws at the federal level, and in some states, make it clear that letting nosy employees slide is no longer an option. Click title to read more… The HITECH Act’s definition […]
HealthLeaders Media, August 26, 2009. It isn’t every day that rural hospital officials eagerly discuss their abysmal practice scores in crucial care areas like heart failure or hip and knee surgery. But Cleveland Regional Medical Center in Shelby, NC, and United Hospital Center in Clarksburg, WV, now wear their low rankings almost like war medals. […]
OIG Report on Non-Physicians Performing Medicare Physician Services Download the full OIG Report, HERE. (PDF Format, 40 pgs, 1,070 KB) The following is directly quoted from the report: EXECUTIVE SUMMARY OBJECTIVES For days that Medicare allows more than 24 hours of services billed by a single physician: Identify the services physicians bill to Medicare but […]
Are you in the business of offering or maintaining personal health records? Does your company offer products or services that interact with personal health records – for example, an online weight tracking program that sends information to a personal health record or pulls information from it? If that describes your line of work – and […]
