Routinely waiving copays, coinsurance and deductibles is fraud
Routinely waiving copays, coinsurance and deductibles is fraud Commentary: As healthcare costs continue to soar, shrewd employers continue to scrutinize…
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CIO Review: Maximizing Financial Recoveries through Virtual Examiner
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Oversight of Home Healthcare Services Protects the Homebound and Prevents Fraud
Consider the case of the Nurses Registry and Home Health Corporation, based in Lexington, Kentucky. Owner and Executive Director Vickie…
The Coding Modifer 59 Subset Primer is Available Now!
PCG Software Releases Primer on the Coding Modifier 59 Subset: XE, XP, XS and XU Primer provides guidance on new…
Best Practices for Hiring and Making Use of Nurse Practitioners, Physician Assistants
The number of nurse practitioners (NPs) in the United States has doubled in the last decade, from 106,000 in 2004…
A Solid Compliance Program Avoids Whistleblowing
Medicare and Medicaid billing fraud scams—upcoding and unbundling schemes, double and triple billing, phantom billing and illegal kickback schemes —cost…