HEALTHCON 2019 (April 28-May 1 in Las Vegas) is for everyone on the business side of healthcare, and provides cutting-edge education, networking, and other opportunities to attendees. Expert speakers, such as Office of Inspector General (OIG) Special Agent Tony Maffei, help make this a professional event you can’t miss. AAPC asked Maffei about his presentation, ...
In CMS
Aug 15th, 2018
If Congress and other stakeholders continue to drag their heels, Medicare bankruptcy is a real possibility. The Medicare Part A trust fund will be depleted by 2026 and Medicare Part B spending will grow more than 8 percent over the next five years, according to the 2018 Annual Report by Medicare’s Board of Trustees. Two things ...
In Billing
Jan 29th, 2018
Continuing the effort to prevent and combat healthcare fraud, waste, and abuse where it occurs most, the Centers for Medicare & Medicaid Services (CMS) has extended the statewide temporary moratoria on the enrollment of new Medicare Part B, Medicaid, and Children’s Health Insurance Program (CHIP) non-emergency ground ambulance providers and suppliers and home health agencies, sub-units, and ...
In CMS
Jan 23rd, 2018
The U.S. Department of Veterans Affairs (VA) and U.S. Department of Health and Human Services (HHS) announced on Jan. 23 they are joining forces to share data, data analytics tools, and best practices to help identify and prevent fraud, waste, and abuse of government healthcare dollars. The effort will help America’s veterans by using gains ...
Keep calm, know your responsibilities and risks, have a plan, and carry on. If your physician office receives a request for records from a health plan’s special investigations unit (SIU), your best defense is knowing the options, responsibilities, and duties attached to the request. Understand the SIU and FWA The SIU is part of the ...