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Skilled Manpower Shortage According to a recent survey by AKASA, more than 57 percent of healthcare practices and hospitals have more than 100 open roles to fill, with one in four finance leaders needing to hire more than 20-plus employees [...]
The No Surprises Act prohibits nonparticipating providers and emergency facilities from billing patients for more than their applicable cost-sharing amounts for certain services, also known as balance billing. The prohibitions on balance billing and cost-sharing protections vary among providers [...]
Defining Medical Necessity As per Cigna’s definition Medical Necessity means health care services that a physician, exercising prudent clinical judgment, would provide to a patient. The service must be: For the purpose of evaluating, diagnosing, or treating an illness, injury, disease, [...]
What is Medicare Overpayment? An overpayment is a payment made to a provider exceeding amounts due and payable according to existing laws and regulations. Identified overpayments are debts owed to the federal government. Laws and regulations require CMS recover overpayments. [...]
Medicare Coverage for MNT The Social Security Act authorizes Medicare Part B coverage of Medical Nutrition Therapy services (MNT) for certain beneficiaries who have diabetes or a renal disease. Basic coverage of MNT for the first year a member receives [...]
