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Author Archives: mlubao

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Jul122022

Navigating Treacherous Waters: Medicare’s Final Rule for Reporting and Returning Overpayments

NewsJuly 12, 2022

In October 2010 a provision of the Affordable Care Act, Section 6402(a) amended the Social Security Act by inserting several…

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Jun62022

South Florida Community Care Network

June 6, 2022

South Florida Community Care Network Code auditing work swamped the nine-person claims staff of one of Florida’s largest healthcare systems.…

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Jun12022

2023 New Revenue Code

BlogJune 1, 2022

The following information appeared on, johnshopkinssolutions.com Add new revenue code 0161 (R&B/HOSPITAL AT HOME) to the valid revenue codes list.…

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Apr272022

St. Joseph’s Medical Resources

April 27, 2022

St. Joseph’s Medical Resources This healthcare organization was struggling to review the claims for its 80,000 patients using an outdated,…

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Apr272022

Physicians Integrated Medical Group

April 27, 2022

Physicians Integrated Medical Group A fast-growing independent practice association in California wanted to cut down on medical billing expenses, particularly…

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Apr272022

Naperville Health Care Associates

April 27, 2022

Naperville Health Care Associates This physician-hospital organization urgently needed a new claims code auditing system. PCG Software implemented a solution…

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