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Tag - medical coding services

How to clean up your medical coding glitches?

How to clean up your medical coding glitches?

Improving the revenue cycle starts with clean up your medical coding. Codes should have to be right, or the claims your facility or practice submit will be rejected. If claim get rejected mean you don’t get paid on time, [...]

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How CMS Will Protect Medicaid Provider Payments?

How CMS Will Protect Medicaid Provider Payments?

CMS’s Existing Initiatives Protect Medicaid In 2014, CMS revised the Medicaid Provider Reassignment Regulation to provide for a new exception to the direct payment requirement for certain providers, which primarily include independent in-home personal care workers. This new regulatory exception [...]

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Cost Variation For A Diagnostic Test In Healthcare Industry Affecting Reimbursement

Cost Variation For A Diagnostic Test In Healthcare Industry Affecting Reimbursement

The health care costs in the USA are exceeding considerably by 17% of GDP. Whereas expenditure done by other countries are less but with the same time healthcare cost is in increasing trend. As the population ages, the advanced [...]

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CMS’s New Compliance Review

CMS’s New Compliance Review Program

The Centers for Medicare & Medicaid Services (CMS) Division of National Standards, on behalf of the Department of Health and Human Services (HHS), have launched the Compliance Review Program. All HIPAA-covered health plans and other entities must comply with [...]

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Final rule for Medicare Advantage and Medicare Part D plans

Final rule for Medicare Advantage and Medicare Part D plans

The CMS (Centers for Medicare & Medicaid Services) issued a final rule on May 16, 2019 that modernizes and improves the Medicare Advantage and Part D programs. Now patient will have transparency into the cost of prescription drug in [...]

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