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How to Improve Coding Quality to Prevent Denials, Reduce Payer Takebacks, and Improve Cash Flow

Practices should take a fresh look at their coding quality, which can help reduce denials, payer takebacks, and cash flow issues. Implementing intensive coding training, CAC technology, and internal audit and review programs can help. However, for practices that lack the resources to make such investments, outsourcing may be a better approach. ....

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The Importance of Active Registration: Lessons for Federal Contractors | Schwabe, Williamson & Wyatt PC

On May 23, 2023, the Court of Federal Claims (COFC) granted a preliminary injunction halting the award and performance of a contract awarded to Cloud Harbor Economics, LLC Cloud Harbor. ....

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Lapse in SAM Registration Disqualifies Government Contractor from Contract Award | PilieroMazza PLLC

The Court of Federal Claims (COFC) recently interpreted FAR Clause 52.204-7, which requires offerors to register in the System for Award Management (SAM), to indicate that even a slight. ....

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Speaker: Surgeons should understand how to bill for orthobiologics

LAS VEGAS — In addition to discussing the use of orthobiologics with patients, surgeons need to understand how to bill for orthobiologics, according to a presenter here.“Corticosteroids and [hyaluronic acid] HA are generally reimbursed, but there are still about 15 states that have no coverage decisions for HA,” Brian J. Cole, MD, MBA, FAANA, said in his presentation at the ....

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Public Notice ND Medicaid Program Effect

Public Notice ND Medicaid Program Effective for dates of service on or after January 1, 2023, North Dakota Medicaid will be providing a 3.75% inflationary increase for all Nursing Facility services. ND Medicaid will be submitting a State Plan amendment to update the rate methodology for nursing facility services effective January 1, 2023. Medicaid expenditures for these services are expected to increase $15 million for a 12-month period. Effective for date of service on or after January 1, 2023, North Dakota Medicaid will be providing a one-fourth percent inflationary increase for all Psychiatric Residential Treatment Facility services. In addition to the one-fourth percent inflationary increase and consistent with Medicaid State Plan Authority, rates for Medicaid-eligible individuals residing in instate psychiatric residential treatment facilities will be adjusted, based on cost reports submitted by the facilities within the current rate methodology. Medicaid expenditures for these se ....

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