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CMS proposes changes to PACE designed to modernize program

The Centers for Medicare and Medicaid (CMS) is proposing a number of changes to the regulations that control the Programs ...
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Pharmacy Benefits Manager OptumRX requires VAWD accreditation

Pharmacy Benefit Manager (PBM) OptumRx announced this month that effective Oct. 1, it will only accept billed claims for products ...
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Fda approves for a new drug to treat covid-1 9

FDA issues new guidance on when medical device manufacturers should submit a 510(k)

Technology is evolving at a rapid rate, allowing medical device manufacturers to make changes and upgrades that result in improved ...
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EHR disruptions: Do you have a Plan B?

We’ve all lived through them – power outages, computer malfunctions, etc. And, for the most part, they are minor inconveniences. ...
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How can investigators predict healthcare fraud?

Predictive modeling is a term that has been used a great deal lately in the context of healthcare fraud. In ...
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Telemedicine gaining acceptance among payors

Although not entirely embraced by insurers, telemedicine is slowly becoming a more acceptable means of providing care. Even the federal ...
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CMS Proposes Changes to Meaningful Use Reporting Period

A reprieve could be on the way for the more than 200,000 healthcare providers who have been struggling to meet ...
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Will proposed rule change clear Medicare appeal claims logjam?

The Department of Health and Human Services late last month took a small step toward easing a very big problem. ...
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Feds Step-up Crackdown on Fraudulent Billing for Compounded Meds

The recent indictment of a St. Petersburg physician who was charged with receiving illegal kickbacks for writing prescriptions for compounded ...
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Feds target healthcare fraud by looking for outliers

Last week, the U.S. Department of Justice announced the largest healthcare fraud takedown in its history. Approximately 300 defendants in ...
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