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TRG Settles for $3.1M Over Alleged Improper Billing Practices

HIT Consultant

Improperly billed for services: The government alleges that TRG billed Medicare for radiology services performed by a radiologist located in the UK, which violates program regulations. The allegations against TRG raise concerns about the quality of care patients may have received and the potential misuse of federal healthcare funds.

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Why Avoiding Costly Coding Mistakes Is More Critical Than Ever

HIT Consultant

Hilton Hudson, MD, FACS, and CEO of HPC International In May 2022, a California doctor was sentenced to nearly eight years in prison for his involvement in a $12 million Medicare fraud scheme. million in reimbursements from Medicare over a three-year period. He received $4.5

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Improving Non-Emergency Medical Transportation: Driving Better Outcomes for Patients and Health Plans

HIT Consultant

Andy Auerbach, Chief Revenue Officer of SafeRide Health As the healthcare industry continues to evolve, there is a growing need for innovative solutions that not only improve the quality of care but also make care more accessible. adults without access to a vehicle or public transportation skipped needed medical care last year.

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With Medicaid Access Rule Finalized, Home Care Providers Enter ‘Wait-And-See’ Mode

Home Health Care

This article is a part of your HHCN+ Membership On Tuesday, Centers for Medicare & Medicaid Services (CMS) officials vehemently backed the thought process behind the “80-20” wage mandate in home- and community-based services (HCBS). Providers and advocates, on the other hand, continued to argue that the policy could be disastrous.

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States Will Continue to Focus on Older Adults and People with Disabilities in 2024 

NASHP

In 2024, people with Medicare and Medicaid coverage (i.e., dual eligibles) will continue to enroll in integrated managed care special needs plans or D-SNPs (Dual-Eligible Special Needs Plans). million annual appropriation for interagency collaboration on long-term care integrity and oversight.

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Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes

Briggs Healthcare

The purpose of this primer is to provide updated information to the patient safety community about the challenges of ensuring the safe care of older adults in Medicare and Medicaid certified nursing homes (NHs) associated with the COVID-19 pandemic, and the federal and state efforts taken to mitigate these challenges. Conclusion.

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Nursing Home Staffing Levels Fall 8% in Six Months

Briggs Healthcare

nursing homes failed to meet the total care staff threshold (4.10 Contract staff accounted for 7.1% LTCCC’s Q3 2021 report can help the public, media, and policymakers identify and assess the extent to which nursing homes in their communities provided sufficient staffing to meet basic clinical and quality of life needs.

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