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CMS issues new condition code for home health claims

The Centers for Medicare and Medicaid Services (CMS) has added a new condition code that will allow home health claims ...
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CMS clarifies 60-day overpayment rule

The Centers for Medicare & Medicaid Services (CMS) has published its long-awaited final rule that details the reporting and returning ...
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TRICARE Billing Scandal Intensifies as Feds Target More Compounding Pharmacies

Allegations of fraudulent billing practices involving compounding pharmacies and specialty creams is rearing its ugly head again. Now, the U.S. ...
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Social media posts can be used to detect healthcare fraud

In George Orwell’s novel Nineteen Eighty-Four, citizens of Oceania, a totalitarian state, are under surveillance at all times and constantly ...
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