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Medicare Compliance & Reimbursement

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Published on Tue Sep 04, 2018

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Medicare Compliance & Reimbursement

Reimbursement:
MSSP Proposals Aim to Raise the Bar on ACOs
Hint: Expect reporting to decrease while financial risks increase. The Medicare Shared Savings Program (MSSP) [...]

Review 5 Major Changes in the MSSP Proposed Rule
Hint: CMS wants ACOs to ramp up their risks. If you’re considering joining an Accountable [...]

Enforcement:
Hospices May Be Next on the Feds' Target List
Prepare for these actions focused on GIP, nursing facility patients, and more. The OIG has [...]

Clip And Save:
Review Your State's Rules on Social Media and Medicine
Sidestep social media issues related to patients to keep your license intact. Social media is [...]

Reader Question:
Master CCI Edits with Unlikely, Exclusive Expertise
Question: The Correct Coding Initiative (CCI) is an enigma to me; I have a lot [...]

Industry Note:
Do You Have Clinical Concerns? CMS Wants to Hear About Them
Practicing medicine can be a solitary profession with little time to discuss interesting studies, medical [...]

Industry Note:
Don't Miss the Due Date for MIPS Exceptions
If your practice was impacted by disaster this year, you can still submit a hardship [...]

Industry Note:
Know this Medicare Deadline Loophole
If you run behind on submitting your documentation for a claim under medical review, you [...]

Industry Note:
Family Practitioner Gets 5 Years in Prison for False Claims
A Saratoga, California physician pretended that she didn’t understand how the federal healthcare system worked. [...]

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