Jan 1st, 2015
Navigate complex state rules and comply with payers’ coverage guidelines and bylaws. By Joette Derricks, MPA, CMPE, CPC, CHC, CSSGB In 2013, the American Medical Association (AMA) established a definition for a qualified healthcare professional (QHP), in terms of which providers may report medical services: “A ‘physician or other qualified health care professional’ is an ...
In CMS
May 28th, 2010
Quality Health Plans (QHP) received notice on May 17 of the Centers for Medicare & Medicaid Services’ (CMS) intent to impose intermediate sanctions and a civil monetary penalty (CMP). The  federal agency contends that the Tampa, Fla.-based insurer has failed to comply with a number of administrative and contract management requirements. Medicare Suspends, Fines Insurer QHP was last modified: Ju...