Better, Smarter, Healthier: In historic announcement, HHS sets clear goals and timeline for shifting Medicare reimbursements from volume to value We’ll be updating you on how these goals are met and posting any updates on what this shift means to you for Medicare reimbursements. You can download the Fact Sheet and read the entire release: …
Court of Appeal holds that a party’s denials of requests for admissions are inadmissible at trial ,where a party’s conduct in litigation is not in issue. The First District Court of Appeal ruled yesterday that a party’s denial or lack of admission in response to requests for admissions cannot be used for impeachment purposes. The …
In further implementation of the SMART Act, on January 5th, 2015 CMS released the latest version of the MMSEA Section 111 NGHP User Guide. The changes were expected, and are welcomed. The 2 major changes to the user guide are outlined below: 1) CMS will now accept 5 digit SSN’s on submitted records. RREs that …
Dear Friends and Colleagues: The following informative update has been received from a colleague, and I pass it along as it touches on aspects of Medicare and other insurer reimbursement, particularly in the context of charges disputed because they are asserted to be excessive. Please let me know if you would like to discuss any …
