Make Your Revenue Smarter - Medical Reimbursement Education - Page 86

Partnership for Patients Funding Announced

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  From the HHS News Release: Hospitals across the country will have new resources and support to make health care safer and less costly by targeting and reducing the millions of preventable injuries and complications from healthcare acquired conditions, the U.S. Department of Health and Human Services (HHS) announced. As a part of the Partnership […]

Sunshine Rule Proposed

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  From the HHS News Release: The proposed rule would require manufacturers of drugs, devices, biologicals, and medical supplies covered by Medicare, Medicaid, or the Children’s Health Insurance Program to report to CMS payments or other transfers of value they make to physicians and teaching hospitals. The proposed rule would also require manufacturers and group […]

OIG Health Care Provider Compliance Videos

On , in Documents, by AQ-IQ LLC

  From the OIG News Release: The newest step in OIG’s Provider Compliance Training initiative is free videos and audio podcasts – averaging about four minutes each – which cover major health care fraud and abuse laws, the basics of health care compliance programs, and what to do when a compliance issue arises. The first […]

OIG discusses the Physician Self-Referral Law

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  From the OIG HEAT Compliance Videos: OIG’s Provider Compliance Training initiative provides free videos and audio podcasts – averaging about four minutes each – which cover major health care fraud and abuse laws, the basics of health care compliance programs, and what to do when a compliance issue arises. These are in the audio […]

Medical Loss Ratio (MLR) Rule Updated

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  From the HHS News Release: CMS issued a final regulation that will ensure health insurance companies spend at least 80 percent of consumers’ health insurance premiums on medical care, not income, overhead and marketing. Insurance companies that fail to meet the new standard are required to provide a rebate to consumers. Known as the […]

Medicare Expands Competitive Bidding Program (DMEPOS)

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  From the HHS News Release: The Medicare Competitive Bidding Program for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) was expanded by the Affordable Care Act and is estimated to save Medicare, seniors, and taxpayers more than $28 billion over 10 years. Already in 2011, the first phase of the program has saved Medicare […]

Medicare Covers Screening And Counseling For Obesity

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  From the HHS News Release: Medicare is adding coverage for preventive services to reduce obesity.   This adds to Medicare’s existing portfolio of preventive services that are now available without cost sharing under the Affordable Care Act.  It complements the Million Hearts initiative led jointly by CMS and the Centers for Disease Control and Prevention […]

CMS Recovery Audit Program Updates

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This document includes links to CMS details regarding the RAC Program. Recovery Audit Program Home Page Medicare FFS RAC contact info (12.6.16) [PDF, 223KB] Medicare FFS RAC Map – November 2016 [PDF, 244KB] Nov. 30, 2016 RAC SOW Regions 1-4 [PDF, 517KB] Nov. 30, 2016 RAC SOW Region 5 [PDF, 1MB] Medicare Learning Network Provider […]

Small Business Tool: Find And Compare Health Insurance Plans

On , in Industry News, by AQ-IQ LLC

    From the HHS News Release: A greatly expanded website to give small business owners an unprecedented detailed review of their health insurance plan choices was announced today by the U.S. Department of Health and Human Services. Just in time for 2012, this powerful new tool allows small business owners to compare the benefits […]