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Medicare Advantage plans received billions from Medicare for home visits. The feds are skeptical

FierceHealthIT

Medicare Advantage (MA) insurers, namely industry titans UnitedHealth Group and Humana, could be using health risk assessments and chart reviews to inflate payments from Medicare through upcoding, | A federal watchdog is questioning whether UnitedHealthcare, Humana and other Medicare Advantage payers are either creating diagnoses out of thin air to (..)

Medicare 128
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Health Insurance in Aisle 3: Why a Grocery Chain is Working on Medicare

Health Populi

“You can trust us to help you find the right Medicare coverage for you and your lifestyle,” the tagline reads. It is, specifically, Midwest Heritage, Hy-Vee’s banking, insurance and investments subsidiary, that will implement the Medicare Aisle program.

Medicare 317
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Discount drug company Waltz Health moves into Medicare market

Mobi Health News

The company will offer a customizable version of its Marketplace Search Technology to health plans supporting Medicare beneficiaries.

Medicare 315
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CMS puts forward meager offering for digital health in final Medicare physician fee schedule rule

FierceHealthIT

Days before the 2024 presidential election, the Centers for Medicare & Medicaid Services (CMS) released an unpublished version of the final calendar year 2025 physician fee schedule final rule | Digital therapeutics, telehealth, rural heath clinics and opioid treatment programs all got updates in the final 2025 Medicare physician fee schedule rule, (..)

Medicare 127
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Medicare Is Cutting 2022 FFS Payments 9.75% & Raising CCM Reimbursements by 54%

Most healthcare systems & medical practices aren’t prepared for Medicare’s changing priorities. This eBook will teach you how to: Increase patient engagement. Combat provider burnout. Get reimbursed for staff time. Bonus: Get the Free 5-Day CCM Mini-Course!

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How copy and paste in EHRs is hurting patient care

KevinMD

The cult of the EHR “copy and paste” (CP) club in hospital care makes defending a Medicare billing audit a daunting task should a physician be required to justify Read more How copy and paste in EHRs is hurting patient care originally appeared in KevinMD.com.

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OIG finds $348M in improper Medicare payments for telehealth psychotherapy

Mobi Health News

According to an audit by the Office of the Inspector General, Medicare improperly paid for $580 million of psychotherapy care, including $348 million of telehealth services, during the first year of the COVID-19 public health emergency.

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