Tag: Medicare

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Success at a glance: Turning incomplete patient data f...

“Experian Health’s speed and ability to speak our business language definitely impressed us,” said ACS president, Tim Anderson. “Some of the claims were valid...

Read More Success at a glance: Turning incomplete patient data from COVID-19 testing and vaccinations into valid reimbursable claims
Navigating the complexities of health coverage and rei...

Product featured in this article: Coverage Discovery As of the end of March 2021, more than 53 million Americans have been fully vaccinated, allowing...

Read More Navigating the complexities of health coverage and reimbursement beyond the pandemic
Finding unidentified coverage without a Social Securit...

Finding previously unidentified insurance coverage can feel a little like a game of hide and seek. Patients may not always be aware of their...

Read More Finding unidentified coverage without a Social Security Number (SSN)
Medicare MBI: COVID-19 and Medicare claims...

At the beginning of the year, the healthcare industry moved away from Medicare identifiers based on Social Security Numbers (SSNs), in favor of more...

Read More Medicare MBI: COVID-19 and Medicare claims
How long will providers be able to tap into CARES unin...

There is no doubt the healthcare industry has taken a financial beating as a result of COVID-19. But there is a glimmer of hope...

Read More How long will providers be able to tap into CARES uninsured reimbursement benefit for COVID care?
Efficient patient registration is important during flu...

This time last year, the Centers for Disease Control and Prevention and hospitals across the country weren’t quite ready for the flu season, which...

Read More Efficient patient registration is important during flu season
Search for Excluded Persons...

To avoid Civil Monetary Penalty (CMP) liability, health care entities need to routinely check the LEIE to ensure that new hires and current employees...

Read More Search for Excluded Persons
National Health Care Fraud Takedown Results in Charges...

Most Defendants Charged and Largest Alleged Loss Amount in Strike Force History 6/22/16 Attorney General Loretta E. Lynch and Department of Health and Human...

Read More National Health Care Fraud Takedown Results in Charges against 301 Individuals for Approximately $900 Million in False Billing
DHHS’ OIG Mid-Year Work Plan...

The U.S. Department of Health and Human Services (DHHS) Office of Inspector General (OIG) recently released an updated Mid-Year Work Plan for fiscal year...

Read More DHHS’ OIG Mid-Year Work Plan