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Enforcement actions relating to a lack of medical necessity | Health Care Compliance Association (HCCA)

In a climate of shrinking margins, diminishing reimbursement, and frequent denials, healthcare organizations may make efforts to increase the volume of services they provide, especially.

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CMS Can Fix Medicare Vaccine Coverage To Protect Seniors From RSV

CMS Can Fix Medicare Vaccine Coverage To Protect Seniors From RSV
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COVID national emergency in the US might end early — What does this mean?

Public health emergency still in place for now; ending the emergency declaration would formally restructure the federal coronavirus response

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Alzheimer s volunteer urges Medicare, Medicaid to approve new drug

MOULTRIE, Ga. — Alzheimer’s disease and other dementias are devastating. On Jan. 6, the U.S. Food and Drug Administration approved a medication that offers hope to those with Alzheimer s.

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Optum to payers: Two new Azheimer s drugs are in the pipeline

A new Optum report highlighting upcoming medications in the drug pipeline is meant as a heads-up for payers as they track developments with a couple of therapies for Alzheimer's disease – lecanemab and donanemab. Lecanemab, from Eisai/Biogen, is under review for the treatment of mild cognitive impairment (MCI) due to Alzheimer's disease. It's an antibody that binds to

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