Mental health fraud hits the most vulnerable citizens
Despite advancements in understanding over the past few decades, the stigma of suffering from an acute mental illness continues. But…
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Time to Try New Approach to Health Insurance
Regardless of which presidential candidate wins in the next week, changes will be coming to Obamacare. The profile of healthcare…
New vs. established: How to bill a new patient for IPPE, E/M in same encounter
Question: A new patient comes for his Welcome to Medicare visit and a medical problem. This is his first time at the…
Watch for new Medicare Advantage enrollment requirements, data sets
CMS wants to require all providers and suppliers involved in Medicare Advantage services — including HMOs, Program of All-inclusive Care for the…
Automating the claims adjudication process to strengthen provider relationships
Tuality Health Alliance is a physician-hospital community organization (PHCO) that includes approximately 80 primary-care physicians and 200 specialists. Based in…
Shining a Light on the Dark Practice of Rx Price Gouging
Remember Martin Shkreli, the indicted former CEO of Turing Pharmaceuticals, who increased the price of HIV treatment 5,000%, from $13.50…