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One of the significant challenges to public health programs like Medicare and Medicaid is financial fraud. Every year, the government loses $60-90 billion to fraud [*]. The majority of the perpetrators of these acts are medical providers. They use patients' health information to submit misleadin...
To stay ahead in 2025, follow these best practices for telehealth billing: Verify Patient Eligibility: Before scheduling a telehealth appointment, confirm that the patient’s insurance covers the service. Check for specifics like copayments and deductibles to avoid surprises. Use Accurate Telehealth ...
or coverage is under the non-custodial parent. Often, a patient is unaware that they are eligible for a government-sponsored plan. If the patient is eligible, retroactive Medicaid status can take more than 30 days to process. Alternatively...
Health Maintenance Organizations, or HMOs, provide healthcare directly to the insured through their medical providers within the organization. As stated by the US government, HMOs tend to limit coverage and care to “doctors who work for or contract with the HMO.” ...
Medicare Customer Service Representatives: When contacting Medicare customer service or other official Medicare channels for assistance, you may need to share your Medicare card information to verify your identity and access specific account details. Other Trusted Parties: Share your Medicare card informatio...
The Centers for Medicare and Medicaid Services (CMS) uses something called the National Provider Identifier Standard to keep track of physicians who serve Medicare patients. As a result, each provider is assigned something called an NPI number. All Medicare providers are required to supply their NPI...
You will have to fulfill these steps to get a free government iPhone. Find ACP/Lifeline provider First, you must find any ACP/Lifeline provider that offers a free iPhone in your state via these programs. Verify your eligibility Next, check whether you are eligible to apply for these program...
While you can’t schedule a specific date for an on-site inspection, you can identify as many as 10 black-out dates. A surveyor from the accreditation agency will tour your facility and may interview one or more employees to verify the information in your application and the preliminary evide...
Republicans on the Senate Finance health subcommittee on Wednesday (Oct. 30) called for stricter oversight of states’ procedures for determining whether beneficiaries qualify for Medicaid, but Democrats criticized bureaucratic requirements that result in people losing Medicaid even though they are eligible...