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Category: Contract Negotiation

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Medicare Coverage of Telehealth Services – 2024

What Is Medicare Telehealth? Medicare covers telehealth services furnished via interactive real-time telecommunications technology between a distant site provider and a patient at an eligible...

OCR Issues: Their 46th Enforcement Action Following HIPPA Complaint

In January 2024, the U.S. Department of Health and Human Services Office for Civil Rights (OCR) announced its 46th enforcement action under its HIPAA Right...

Mastering Denial Management In Medical Billing

A survey of over 131 hospitals conducted in 2021 revealed that nationwide, the average denial rates were between 6% to 13%. The efficacy of denial...

Primary Source Verification (PSV) in Credentialing: What It Is & Why It Matters

Healthcare organizations cannot take a provider’s word for their qualifications, no matter how strong the resume looks. Primary Source Verification (PSV) is the process that...

How the New No Surprises Act (NSA) Impacts Your Healthcare Organization

Who doesn’t appreciate a delightful surprise? Unfortunately, surprises lose their charm when they involve unexpected medical bills. The joy quickly turns to concern when faced...