In CMS
Jun 28th, 2019
Conduit alleges whistleblower lawsuit and feds agree. The Department of Justice (DOJ) intervened in a whistleblower lawsuit against Questcor Pharmaceuticals, now a part of Mallinckrodt ARD LLC, formerly known as Mallinckrodt ARD Inc. The federal government alleges that the drug company Mallinckrodt engaged in fraudulent behavior that directly violates the False Claims Act by using a ...
In Billing
May 29th, 2019
Consumers overspent $18.5 billion on diagnostic imaging in 2017, according to a UnitedHealth Group (UHG) research brief, released May 23. The health insurer attributes the overspending to price gouging by some providers. Echocardiograms in 2017, for example, cost patients anywhere between $210 and $1,830, according to the brief. The average was $480, but UHG says ...
Apr 23rd, 2019
I was recently asked what the value of local chapter meetings was by a newly certified member. I was a little taken back that she did not know the core value on which AAPC was founded, which is networking. Local chapters were key to AAPC  in the beginning, and they continue to be today. That is ...
In Billing
Apr 17th, 2019
Healthcare administration, including medical coding and billing, makes up a huge part of America’s healthcare bill, according to a paper by the Center for American Progress (CAP). Administration Complexity The complexity of all administrative activities include everything from duplicative forms, transferring records, managing claims, and other activities, but CAP estimates payers and provider...
In Coding
Apr 7th, 2019
Express Scripts, Atrium Health, and Cigna are three of six organizations adopting newly HIPAA-compliant skills kits to help patients and providers, Rachel Jiang, head of Alexa health and wellness at Amazon, recently announced. Alexa Skills Set for Healthcare According to Jiang, the Alexa Skills Kit enables select covered entities and business associates to build Alexa skills ...