Home Health Pre-claim review – August 1, 2016?
Yes – with less than 5 days to go – there is still significant debate about the Medical pre-claim review demonstration for Home Health...
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- Jul 26, 2016
- 5 min
Alert: Proposed CMS rule for coordinated cardiac and hip fracture care
CMS released yesterday that it plans to expand the CJR (Comprehensive Joint Replacement) bundled payment system to include not only...
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- Jul 26, 2016
- 1 min
Three new ARHQ Guideline Summaries posted
AHRQ released three new guideline summaries this week. From the American Academy of Orthopaedic Surgeons – Medical Specialty Society,...
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- Jul 25, 2016
- 3 min
CMS Projections of National Health Expenditures Data Released
Office of the Actuary in the Centers for Medicare & Medicaid Services released its annual projections of health care spending for...
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- Jul 20, 2016
- 1 min
Alert: CMS IRF and LTCH Quality Reporting Training in August!
CMS posted that registration is open for in person provider training for both rehabilitation and long-term hospital providers. Inpatient...
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- Jul 7, 2016
- 3 min
Why are dud artillery shells like fraudulent Medicare claims?
The False Claims Act and qui tam law have a long and interesting history together. During the Civil War, massive civilian procurements by...
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- Jul 6, 2016
- 1 min
Supreme Court ruling on false certification and the False Claims Act
I have been sitting on this ruling for a few weeks attempting to decide how I wanted to address the content within our blog. However, the...
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- Jul 4, 2016
- 1 min
Happy Fourth of July!
Allegiant Experts wishes everyone one a happy and safe Independence Day! For some fun science based micro-fireworks check out the NIH...
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- Jul 1, 2016
- 1 min
2017 ICD-10-CM Update Released
Yep, the updated ICD-10-CM and PCS code sets are posted! Fast Facts: 1,943 new codes, 351 revised codes, and 313 deleted codes. 2017 Code...
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- Jun 30, 2016
- 2 min
Move over CJR…Here comes OCM!!!
CMS implemented the Comprehensive Care for Joint Replacement (CJR) bundled reimbursement as of April 1st, 2016, and there are still more...
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- May 27, 2016
- 1 min
Dr. Heimlich uses the Heimlich maneuver for the first time!
Yep, as strange as it sounds, the 96-year-old surgeon who developed the life-saving technique known as the Heimlich Maneuver had never...
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- May 26, 2016
- 1 min
CMS releases new ICD-10 Resources
The Centers for Medicare & Medicaid Services (CMS) has released updates to the ICD-10 Provider Resources page. Please check out the...
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- May 24, 2016
- 1 min
New bill would expand the scope of who can be excluded due to healthcare fraud
US House of representatives Lois Frankel (D-Fla.) and William Keating (D-Mass.) introduced a bill to amend title XI of the SSA to expand...
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- May 12, 2016
- 1 min
Updates for the Diagnosis and Treatment of RMSF released!
Morbidity and Mortality Weekly Report (MMWR) updated the Practical Guide for Health Care and Public Health Professionals regarding the...
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- May 12, 2016
- 1 min
Happy Birthday Florence Nightingale!
National Nurses week begans on May 6 and ends on May 12, Florence Nightingale’s birthday. Nurses play a critical role in healthcare and...
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- May 4, 2016
- 1 min
Medicaid Managed Care Enrollment Report and Data Released
Medicaid Managed Care Enrollment Report and Data Released CMS released the 2014 Managed Care enrollment Data! According to Medicare the...
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- May 4, 2016
- 2 min
Medical Errors Still One of the Leading Causes of Death in the U.S.
With Nursing Week upon us, it comes as a shock that while we continue to make a focused effort on safer nursing practices, medical errors...
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- Apr 4, 2016
- 3 min
The Comprehensive Care for Joint Replacement (CJR) Model is here!
Medicare has implemented the Comprehensive Care for Joint Replacement (CJR) Model as of April 1st, 2016! Yep, as if the DRG system and...
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- Mar 11, 2016
- 1 min
Urgent Adobe Updates!
Healthcare providers, payer and guardians of PHI can unknowingly make their data available to hackers and thieves by not keeping their...
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- Mar 10, 2016
- 1 min
Indiana Increasing the Cap on Medical Malpractice Damages
Medical malpractice damage caps are a relatively common practice, with approximately 70% of states having adopted some kind of law that...
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