by Advize Admin | Apr 1, 2022 | Community, Healthcare
Patrick Green, a utilities plant operator in Modesto, California, siphons wastewater sludge to be analyzed for evidence of SARS-CoV-2, the virus that causes covid. Across the country, sewage surveillance has become a crucial public health tool for community-level...
by Advize Admin | Mar 25, 2022 | Healthcare
When the Biden administration announced a set of proposed nursing home reforms last month, consumer advocates were both pleased and puzzled. The reforms call for minimum staffing requirements, stronger regulatory oversight, and better public information...
by Advize Admin | Mar 25, 2022 | Healthcare
A lead investigator in the criminal case against former Tennessee nurse RaDonda Vaught testified Wednesday that state investigators found Vanderbilt University Medical Center had a “heavy burden of responsibility” for a grievous drug error that killed a patient in...
by Advize Admin | Mar 25, 2022 | Compliance
Providers are most often paid in Fee-For-Service (FFS) models for visits AFTER they occur. The patient sees a provider, a service or procedure is performed, and a bill (claim) goes to the health insurance plan (payor/issuer) for reimbursement for those services that...
by Advize Admin | Mar 25, 2022 | Healthcare Facepalm, OIG Files
I recently needed to get a CT scan done as part of a full physical examination. The ordering doctor and the imaging center are associated with a very large group in the Central Florida area. Upon leaving the visit with the physician, I was handed a hard...
by Advize Admin | Mar 18, 2022 | FWA
Last spring, Lags Medical Centers, a sprawling chain of pain clinics serving more than 20,000 patients in California, abruptly shuttered amid a cloaked state investigation into “credible allegations of fraud.” Tens of thousands of patients were left scrambling for...
by Advize Admin | Mar 18, 2022 | Healthcare
Patients are no longer required to pay for out-of-network care given without their consent when they receive treatment at hospitals covered by their health insurance since a federal law took effect at the start of this year. But the law’s protections against the...
by Advize Admin | Mar 18, 2022 | Healthcare
Even as the war in Ukraine has prompted an exodus of international companies — from fast-food chains and oil producers to luxury retailers — from Russia, U.S. and global drug companies said they would continue manufacturing and selling their products there. Airlines,...
by Advize Admin | Mar 11, 2022 | Compliance
Risk adjustment is a newer payment methodology that is designed to allow for a proactive approach to managing healthcare. It does not seek to audit against current claims or encounters. It is a yearly collection of diagnosis codes to accurately build a total RAF (Risk...
by Advize Admin | Feb 25, 2022 | Healthcare
A congressional effort to fix the nation’s deteriorating mail service may come at the expense of an even bigger and more complicated problem: Medicare solvency. The Postal Service Reform Act of 2022 would help shore up post office finances by ending the...
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