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What Health Care Providers Need To Know About Medicare and the RAC

by Mary Pat Whaley | Apr 6, 2009 | Headlines, Medicare & Reimbursement

By Carla Hannibal, CMM,CPM,CIMBS Recovery Audit Contractors (RACs) will pursue corrections of Medicare claims by auditing for overpayments and underpayments under Part A or B of the title XVIII of the Social Security Act.  Health care providers will be affected as...

Monday Special: Interview with Frank Cohen, Host of “Lean Six Sigma for the Medical Practice”

by Mary Pat Whaley | Feb 1, 2009 | Medicare & Reimbursement, The Cohen Report (NCCI & RVUs)

I was intrigued to interview the man behind the upcoming free webinar “Lean Six Sigma for the Medical Practice.”  Frank Cohen, former Physician Assistant, Hospital CEO, and Consultant of 20 years is the Senior Analyst of MIT Solutions, Inc., and the host...

Monday Special: Interview with NPIdentify’s Marti Jensen

by Mary Pat Whaley | Jan 19, 2009 | Medicare & Reimbursement

Note: Here is an updated (October 2010) list where you can find NPIs. https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do http://nynpi.com/ http://www.npinumberlookup.org/ http://www.npinumberlookup.org http://www.npivalidator.com/ http://npidb.org/...

Excellent Article: Forces at Work in American Medicine Today

by Mary Pat Whaley | Dec 29, 2008 | Medicare & Reimbursement

  FrontPageMag.com’s article “Health Care’s New Entrepreneurs” by writer Paul Howard gives a sucinct yet detail-filled overview of what docs are doing to overcome the obstacles primary care docs and patients face.  Paul Howard is the director...

Are New Consumer Satisfaction Measurements Needed for NCQA Health Plan Ratings?

by Mary Pat Whaley | Nov 7, 2008 | Medicare & Reimbursement

From today’s US News & World Report: This is the fourth year that U.S. News and the National Committee for Quality Assurance, managed care’s major accrediting and standards-setting body, have teamed up to rank healthcare plans. We release the rankings...

Basics for Healthcare Managers: Medicare Parts A, B, C & D with 2009 Premiums & Deductibles

by Mary Pat Whaley | Sep 20, 2008 | Medicare & Reimbursement

With the Centers for Medicare and Medicaid Services (CMS) revealing yesterday what the Medicare premiums and deductibles will be for 2009, it seems like a good time to brush up on Medicare and what choices providers have in enrolling and participating in Medicare....
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