In CMS
Dec 28th, 2018
Will the latest regulations governing accountable care organizations (ACO) deliver favorable results for all? The Pathways to Success final rule, released by the Centers for Medicare & Medicaid Services (CMS) on Dec. 21, 2018, offers several new participation options and flexibility to healthcare organizations in the Medicare Shared Savings Program (MSSP). Participation options are meant ...
In CMS
Nov 13th, 2018
Proton therapy has been a tough sell for payers, but recent $25 million Oklahoma decision against Aetna may make them reconsider coverage for the spreading radiation therapy technique. Proton Tx Considered Best Choice According to the Associated Press, jurors believed Aetna reckless disregarded its duty to deal fairly and in good faith with Orrana Cunningham.  ...
In Audit
Jul 10th, 2018
Credentials open many doors to career opportunities. Which one will you enter? AAPC provides training and examination for every certification you could ever need to work in the business of healthcare. If you are new to the business of healthcare, you may not know which certification will help you to achieve your dream job. You ...
In Audit
Jun 15th, 2018
Consider a career as a healthcare business professional. The hoopla of graduating high school is over, and now everyone is asking you, “What are you going to do next?” You might give the obligatory response, “Go to college,” because that’s what everyone expects. But is that the right answer? Learn a Trade that Pays Unless ...
Jun 13th, 2018
A medical coder transforms healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. Those codes are taken from medical record documentation, such as physician’s notes, laboratory and radiologic results, etc., to be paid by insurance carriers and government payers. Medical coders check the medical chart to ensure the codes are correct and ...