In Billing
Oct 18th, 2019
The government is keeping a close eye on how you are coding claims. Are you? The Office of Inspector General (OIG) is updating its Work Plan this month with new watch items that pertain to Medicare. At press time, there were five additional items the OIG intends to pursue in 2020. OIG Work Plan items ...
In CMS
Sep 19th, 2019
Proactive rule seeks to curb fraud and abuse against vitally important federal health care programs. The Centers for Medicare & Medicaid Services (CMS) issued a final rule earlier this month that strengthens their ability to stop fraud before it happens by keeping unscrupulous providers out of our federal health insurance programs. This first-of-its-kind action changes ...
In Coding
Sep 10th, 2019
USPSTF drafts new HCV screening recommendations. New recommendations aim to curb the growing number of individuals infected with the hepatitis C virus (HCV). To address this public health dilemma, the U.S. Preventive Services Task Force (USPSTF) issued a draft recommendation statement on screening for HCV infection in adolescents and adults and now suggests that all ...
Emergency response and management are of great significance for reducing the financial and psychological burdens associated with healthcare delivery. Rapid urbanization, aging infrastructure, scarcity of resources, and population explosion have put a significant strain on the existing emergency response and management system. From natural disasters to the management of comorbid conditions, such as ...
Sep 3rd, 2019
In response to Hurricane Dorian, a public health emergency (PHE) is in effect for Puerto Rico, Florida, Georgia, and South Carolina. A temporary waiver of certain Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) requirements; special enrollment opportunities for hurricane victims; and improved access to dialysis care are now in place. The PHE in Puerto ...