In CMS
Apr 13th, 2018
An Office of Inspector General (OIG) report found the Centers for Medicare & Medicaid Services (CMS) reimbursed some telehealth claims that didn’t meet Medicare requirements, according to a release from the oversight group. OIG Found Incomplete Claims The OIG analyzed 191,118 2014 and 2015 telehealth claims and discovered that more than half of the professional telehealth services report...
Mar 28th, 2018
Millennials are changing everything about how we do and how we think, and their choices will challenge medical coding and billing dramatically, as revealed in a recent survey by EBRI Research. Here are some of the findings: Millennials have the highest rates of wellness program participation. According to the study, Millennials are nearly across the board ...
Mar 21st, 2018
After a quiet year, expect three significant changes to the way you do your medical coding, as indicated by recent announcements by the Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS). Medical coders will see the changes in 2019, making medical coding certification more important than ever. Based ...
In Audit
Mar 14th, 2018
Although most providers aim to stay under the radar of the Office of Inspector General (OIG) and private payers for fraudulent billing practices, others hide intentional wrong-doing and are fearful of being discovered. While still other providers choose to self-disclose once errors and fraudulent conduct is revealed. If your healthcare organization finds illegal billing activity, consider ...
Intermountain Healthcare recently combined 35 telehealth programs into what it calls a “virtual hospital,” touting the new service’s ability to reach underserved areas. Connect Care Pro will not only service patients directly, but cut healthcare costs for inpatients, the system says. Telehealth is Broad Solution The Utah-based system has 22 hospitals, including regional facilities...