Billing

Does Medicare Cover Reconstruction of the Healthy Breast?
Management & Administration Does Medicare Cover Reconstruction of the Healthy Breast?

Beneficiaries often overlook the fact that Medicare covers reconstruction following a mastectomy for any medical reason, not just for those diagnosed with cancer. This misunderstanding often stems from the common belief that while the surgery to address a direct pathology is medically necessary,

Can Nonprofits Solve the American Medical Debt Crisis?
Management & Administration Can Nonprofits Solve the American Medical Debt Crisis?

For Jen Mattingly, a resident of Hillsborough County, the mail usually brought a sense of dread as she navigated the aftermath of a severe health decline involving blood clots in her lungs and a complex clotting disease. Like millions of other Americans, her dedicated career in social services did

Healthcare Entities Reach $6.4 Million AMCA Data Breach Deal
Management & Administration Healthcare Entities Reach $6.4 Million AMCA Data Breach Deal

The resolution of the American Medical Collection Agency litigation provides a vital recovery mechanism for millions of individuals whose privacy was violated by external hackers. This settlement marks a significant conclusion to the multidistrict litigation known as In re: American Medical

Why Is the HSE Failing to Collect Millions in Drug Rebates?
Management & Administration Why Is the HSE Failing to Collect Millions in Drug Rebates?

While the HSE claims to have implemented recent audit recommendations, the historical pattern of increasing debt suggests a deep-seated failure to prioritize value for taxpayer money. This administrative deficiency has come to light during a period of intense scrutiny as the Health Service

Proposed Medicare Rules Threaten Remote Patient Monitoring Access
Management & Administration Proposed Medicare Rules Threaten Remote Patient Monitoring Access

The proposed CMS rule threatens to dismantle the 'hospital at home' model that has successfully improved medication adherence and lifestyle choices for seniors in isolated areas. This regulatory shift targets the fundamental ways in which digital health technologies, including smart scales and

How Will AI Level the Playing Field in Medical Billing?
Management & Administration How Will AI Level the Playing Field in Medical Billing?

Pre-submission line-item inference identifies errors in healthcare claims before they are sent to payers, significantly reducing the likelihood of initial rejection. This technological intervention addresses a long-standing grievance regarding the immense resource gap between massive insurance

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