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Substantial revisions to QIO Manual for reviews involv...

CMS recently released an extensive revision of QIO Manual Chapter 9 related to QIO reviews in cases potentially involving sanction recommendations from the OIG...

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New HCPCS Effective April 1, 2016...

Effective April 1, 2016, nine new HCPCS codes have been created for reporting drugs and biologicals in the ASC setting and have been granted...

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New Medicare Mapping Disparities Tool...

On March 17th, the Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH) released a new interactive map to increase understanding...

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New CMS Radiology Modifier “CT”...

Beginning in 2016, claims for CT (Computed Tomography) scans identified by the CPT codes listed  below  (and by successor codes) that are furnished on...

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Medicare Reporting and Returning of Self-Identified Ov...

The Centers for Medicare & Medicaid Services (CMS) published a final rule February 11, 2016 that requires Medicare Parts A and B health care...

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Medicare Requirements for Non-Payment of Bone Marrow a...

The OIG posted a report stating that Medicare paid 10 of 143 selected inpatient claims for bone marrow and stem cell transplant procedures in...

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Zika Virus Awareness – New to the Western Hemisphere...

Zika virus spreads to people primarily through mosquito bites. The most common symptoms of Zika virus disease are fever, rash, joint pain, and conjunctivitis...

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Patient Estimates joins the athenahealth® Marketplace...

Experian Health is pleased to announce that its Patient Estimates solution has joined the athenahealth® Marketplace, also known as  the More Disruption Please (MDP)...

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Experian Health Partners With St. Clair Hospital To D...

Experian Health is pleased to announce that we went live with Patient Estimates at St. Clair Hospital located in Pittsburgh, PA on February 22,...

Read More Experian Health Partners With St. Clair Hospital To Deliver First In Region Patient Estimates Cost Transparency Tool