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MiraMed’s eAlerts are distributed via email every Wednesday, and contains the latest industry information regarding business process outsourcing solutions, helpful coding news, or any number of relevant topics in the fast-paced, ever-evolving world of healthcare. To subscribe, simply complete the form below. Below the subscription form, you will find the archived eAlerts available.
November 30, 2016
Medicare Administrative Contractors process an estimated 1.2 billion fee-for-service claims each year on behalf of the Centers for Medicare & Medicaid Services (CMS) for more than 33.9 million Medicare beneficiaries. Of the 1.2 billion claims filed in 2015, 123 million or about 10 percent were denied, and 3.7 million of those (about three percent of total claims) were appealed.
Read more: Settlement Offer Announced for Appealed Medicare Claims
November 23, 2016
Chart auditing programs have become more important in light of increased federal payer audits. As a result, many providers want assurances that their medical chart documentation is accurate and is descriptive of the provided medical services. Validating processes and functions in a healthcare setting follows the same principles as fact checking a news story. Medical chart auditing is analogous to fact checking political promises or even validating a tabloid claim.
Read more: Separating Fact from Fiction in Healthcare Medical Chart Auditing
November 16, 2016
“We realize mistakes happen, and we can forgive that,” says patient advocate Carol Hemmelgarn, whose nine-year-old daughter died of medical error and a hospital-acquired infection (HAI) in a teaching hospital. “But you harm us again by not being honest and transparent with us . . . we should be healing and learning together how to prevent this from happening to someone else.”
Read more: A Timely, Transparent Response to Unexpected Harmful Events
November 9, 2016
According to federal data released November 1, more than 1,600 hospitals will see bonuses from Medicare in 2017 under the Hospital Value-Based Purchasing (VBP) Program; about 200 fewer than last year.
Read more: Data Released on Medicare Bonuses
November 2, 2016
You would have to be living completely off the grid to be unfamiliar with WikiLeaks, the multi-national media organization founded by Julian Assange. WikiLeaks has elevated itself as the most well-known name in hacking, exposing classified, censored or otherwise restricted official materials involving war, spying and corruption. The organization is despised for uncovering secrets that were not meant for public consumption and applauded by millions who believe that the world’s most persecuted documents should be available to everyone. Who would have thought that hacking could land someone on the cover of TIME Magazine as the coveted Person of the Year? Assange held that distinction in 2010.
Read more: WikiLeaks, Hackers and Cybercriminals Keep Healthcare IT Stakeholders on Guard
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