by Advize Admin | Jan 11, 2022 | Healthcare
SACRAMENTO, Calif. — California’s sweeping new program to buy Rx drugs for its nearly 14 million Medicaid patients has alarmed health clinics that say they will lose money and have to cut services. Gov. Gavin Newsom acknowledged Monday that some clinics, which serve...
by Advize Admin | Jul 9, 2021 | Healthcare Facepalm
A federal price transparency rule that took effect this year was supposed to give patients, employers and insurers a clearer picture of the true cost of hospital care. When the Trump administration unveiled the rule in 2019, Seema Verma, then chief...
by Advize Admin | Jun 11, 2021 | Healthcare
In April, San Francisco-based primary care company One Medical revealed an eye-popping compensation package for its chief executive and chairman, Amir Dan Rubin. His $199 million payday, particularly noteworthy at a company that has yet to turn a profit,...
by Advize Admin | May 14, 2021 | Healthcare
Pamela Valfer needed multiple covid tests after repeatedly visiting the hospital last fall to see her mother, who was being treated for cancer. Beds there were filling with covid patients. Valfer heard the tests would be free. So, she was surprised when the testing...
by Advize Admin | Sep 18, 2020 | Coding, Dental, Fraud, FWA
This week’s Fraud Spotlight features guest contributor Mark R. Brengelman, JD, MA. Be sure to tune into the column next week for more examples of dental fraud from real cases! This article points out some basics of dental misconduct – fraud. A dentist who...
by Advize Admin | Dec 9, 2016 | Coding, Healthcare
Billing and documentation guidelines are not the same in all 50 states. A statement such as, “I saw and evaluated the patient. I agree with the resident’s documentation,” may be acceptable in some states, but in other states, the Medicare Administrative Contractor...
by Advize Admin | Sep 23, 2016 | Healthcare
Andy Slavitt, the Acting Administrator of the Centers for Medicare and Medicaid Services (CMS), recently published a detailed blog post outlining the Quality Payment Program (QPP). QPP is slated to begin January 1, 2017. If you are unfamiliar with QPP, let’s back up a...
by Advize Admin | Apr 26, 2016 | Coding, FWA, Payers
Billing issues, to an extent, are expected in any physician or healthcare provider office. Most patients are in possession of both medical and vision benefits coverage, and this duality often causes confusion in ophthalmology offices. Certain procedures that are...
by Advize Admin | Apr 14, 2016 | Careers, Medical Record Auditing
External auditors, or auditors who work for external auditing firms, are often trained in a variety of specialties and have experience in auditing for many different payers, providers, and facilities. Hiring an external auditor is extremely advantageous because they...
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