National Provider Identifier (NPI)

Jul 11, 2023 | Jeff Lagasse

Health Connect America fined more than $4.6M for alleged Medicaid fraud

The allegations involved HCA billing Medicaid improperly for three separate behavioral health services available to…

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Jun 23, 2023 | Jeff Lagasse

CMS rolls out plan to cover new Alzheimer's drugs

Medicare will cover drugs with traditional FDA approval when a physician and clinical team participates in a registry.

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Oct 17, 2019 |

Medicaid rebates central to the concern over 340B drug program, survey shows

Different states have different methods for identifying 340B drugs billed to programs, findings showed.

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Apr 06, 2018 | Beth Jones Sanborn

6 focus areas CIOs are prioritizing in 2018

Merger and acquisition activity sent waves through the information security sector too, and CIOs are acutely aware of the security complications…

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Jan 03, 2018 | Susan Morse

CMS streamlines quality reporting for MACRA

Eligible clinicians are encouraged to log-in early and often to familiarize themselves with the system.

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Physician to pay $580K over Medicare billing

Aug 30, 2017 | Beth Jones Sanborn

Oklahoma physician hit with $580,000 settlement to resolve false Medicare billing allegations

Government alleged that Gordon Laird caused false claims to be submitted to Medicare for service…

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Apr 04, 2016 | Susan Morse

As provider directory fines near, insurers look for ways to improve, update them

While healthcare provider directories have always been hard to maintain, new regulations can mean costly…

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Oct 08, 2015 | Susan Morse

Medicare posts data on providers who referred medical equipement

Over 385,000 providers referred products such as wheelchairs, walkers and diabetes supplies in 2013, according to CMS.

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Aug 28, 2015 | Mike Miliard

Final ICD-10 end-to-end testing a success, CMS says

According to the agency, 29,286 test claims were received and 25,646 test claims were accepted, marking an 87 percent acceptance rate.

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Apr 30, 2015 | Healthcare Finance Staff

CMS to run ICD-10 acknowledgement testing June 1 to 5

Any provider who submits claims electronically can participate in acknowledgement testing.

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Improving the Patient Financial Experience Throughout the Patient Journey While many healthcare providers believe that improving the patient financial experience is a critical step for their organization, few have done so successfully. Read this brief to learn strategies that increase patient ...

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