Federal fraud watchdog agencies may be taking a closer look at Medicare Advantage in 2019, according to a recent report released by Bass, Barry & Sims, a Washington, D.C.-based law firm.
Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions, and the total cost of limited health literacy to the U.S. healthcare system is estimated at $50–73 billion.
Q: Our facility is used to reporting modifier -59 (distinct procedural service), but we're not sure when modifier -XE (separate encounter, a service that is distinct because it occurred during a separate encounter) would be appropriate instead. Could you provide an example?
Earlier this week, HHS’ Office of Civil Rights sent out a reminder that public comments to their request for information on improving care coordination and reducing the regulatory burdens of HIPAA are due by February 12, 2019.
Mandatory participation in Medicare bundled payment programs may yield better results, the U.S. Government Accountability Office (GAO) said in a report released January 22.
Data is an essential tool in understanding the patient population that will guide the focus of your program. Both internal metrics and community/public health data will provide strategic focus to case management practices.
