Tag: coding

Health Policy and Economics

Wednesday Feature: Fraud Recap

Recent healthcare billing fraud cases show similar conduct moving across bill coding, DME, telemedicine, and product billing. Read the provider-level analysis….by Reginald Hislop, III Earlier this week I wrote about CMS barring eleven medical…

Health Policy and Economics

Medicare Advantage Fraud: Villages and Kaiser

Medicare Advantage plans are paid through risk adjustment. The government sends each plan a fixed monthly amount per enrollee, and that amount rises when the enrollee’s record contains certain diagnosis codes. The system assumes sicker…

Top Regulatory Compliance Risks in Healthcare

Home Health

Top Regulatory Compliance Risks in Healthcare

Top regulatory compliance risks are reshaping healthcare strategy. See where senior living and post-acute leaders face the greatest exposure this year….
Medicare Overpayment Demands Are a Strategic Risk

Health Policy and Economics

Medicare Overpayment Demands and Risk

Medicare overpayment demands can expose weak controls, strain cash flow, and invite scrutiny. Providers need a disciplined response before recoupment begins….

Senior Living

Defend Your Long-Term Care Facility Against Litigation with Expert Data Analysis

My firm has a unique practice concentration in the area of complex litigation. Our expertise is principally on the defense side of claims. Our team assists long-term care providers in leveraging intricate data to safeguard…

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Reg

Healthcare executive, consultant, and author covering post-acute care, senior living, and the economics behind both - for 30+ years.

The Weekly Briffing

No noise - just what changed in healthcare policy and economics, and why it matters to your operation.