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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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The Stage is Set: California Finalizes OHCA Regulations Requiring Notice and Review of Material Healthcare Transactions in 2024

Sheppard Health Law

At long last, the cost and market impact review (CMIR) regulations promulgated by the California Office of Health Care Affordability (OHCA) have been approved by the California Office of Administrative Law (OAL). Who is subject to the CMIR process?

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How We Help Medicaid & Long-Term Services and Supports

NCQA

LTSS Distinction, for MCOs, and Case-Management for LTSS (CM-LTSS), for community-based organizations (CBO)— increase oversight of care for this vulnerable population. In July, NCQA will update these programs to further align with best practices and federal regulations. Why Should MCOs Earn LTSS Distinction?

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Why Avoiding Costly Coding Mistakes Is More Critical Than Ever

HIT Consultant

Physicians should emphasize their value in terms of patient outcomes, quality of care, and cost-effectiveness. Value-Based Care Initiatives: Participating in value-based care models and accountable care organizations can lead to increased reimbursement based on improved patient outcomes and cost savings.

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An inside look at AdventHealth's powerful telemedicine program

Healthcare It News

" This alleviated the need for many follow-up appointments, while allowing transparency in the care plan progress. "Video visits grew substantially with COVID accounting for almost 75% of our outpatient visits during COVID. "Amwell became our partner in both video visits and inpatient use cases," Bard said.

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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.

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The National Imperative to Improve Nursing Home Quality

Briggs Healthcare

“Nursing homes play a unique dual role in the long-term care continuum, serving as a place where people receive needed health care and a place they call home. The 1986 Institute of Medicine report Improving the Quality of Care in Nursing Homes identified a range of challenges to the quality of care in nursing homes.

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