Supreme Court Issues Landmark FCA Ruling

Published: Tue, 06/13/23

Link to all things medical coding & billing

Supreme Court Issues Landmark FCA Ruling

The U.S. Supreme Court ruled on a False Claims Act (FCA) case last week. As you probably know, the FCA makes it illegal for a healthcare provider to submit for reimbursement a false claim. For example, submitting a claim for someone who does not exist – that would be a false claim.

New Changes from CMS for HCCs Reimbursement

HCCs and value-based care have been a major focus for healthcare organizations during recent years. As many of you may know, the CMS released the related advance-notice final rule in April, and it includes major changes to the HCC reimbursement methodology that go into effect in 2024.

Moving The Needle In Healthcare: From Price Transparency To Automation

The last several years have been tumultuous for the healthcare industry. Providers are continuing to face challenging profit margins, increased costs, staffing shortages and burnout. At the same time, consumers are demanding better experiences and greater transparency.

3 Advances That Could Change Patient Care

Amid the many challenges health care leaders face today, it can be easy to lose sight of some recent advances that could significantly change patient care.

Here’s a look at some breakthrough advances cited by the Association of American Medical Colleges...

New AI tools to cut billing burdens, improve testing and more

The pace of innovation is picking up as health IT vendors seek to integrate artificial intelligence into their offerings for provider operations, medical testing, patient engagement and other use cases.

Aspira Women’s Health, Belong.life and Outbound...

Common coding problems, from unbundling to undercoding

Odds are, you are making these mistakes and missing out on revenue

Q: What are the most common coding mistakes physicians make?

A: As I work with providers across the country, I’ve found many challenges in accurately using CPT and ICD-10 Codes...

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