Author: admin

Healthcare.gov gets a facelift

The recent re-launch of Healthcare.gov aims to be a one-stop shop for information on the Health Insurance Marketplace. Although, the Marketplace itself won’t be up and running until October 1st when open enrollment begins, the site does contains up to date information on what to expect for individuals or families, as well as small businesses.   Individuals and […]

CMS Postpones New POS Policy

In late March CMS announced that it was postponing the effective date for it’s new national policy regarding POS coding assignments. Transmittal 2435 delays the effective date from April 2nd 2012 to October 1st 2012.   The Transmittal revises and clarifies how POS codes are assigned. In the past the policy was to report the POS code […]

Documentation Isn’t The Only Thing Under Scrutiny

State and federal governments are using advanced technology to find suspicious billing patterns that would indicate upcoding or unbundling, and when they find suspicious patterns, they aren’t just looking at the documentation.   MedStar Health System’s Good Samaritan Hospital agreed to pay $793,548 to settle allegations that it submitted false claims to the to federal benefit programs from […]

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