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NEWS and COMMENTS

HHS Ignored signs of failing ACA co-op plans. Will the 1.2 Billion in Federal Loans to these co-ops be recoverable?

The Republican staff of the Senate investigations subcommittee recently reported that HHS failed to act on clear warning signs that the co-op health ...

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When talking to family about Patient Care, can I report an E/M code that includes that time in the visit?

The answer to this question is YES.  The E/M CPT’s are defined as “face-to-face time spent with the patient and/or family”.    ...

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ACA EXCHANGE WARNING SOUNDED OFF BY AETNA

Every fall, ACA Exchange consumers have the opportunity to buy coverage for the following year.  Aetna, and other major health insurers are ...

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Medicare FFS Sequestration Payment Reductions Continue

In an article from Palmetto GBA on February 25, 2016, they announced that Medicare FFS sequestration payment reductions of 2% “Continue until ...

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What Can a Failed IRS Audit Do to Your Practice?

There are two reasons why the IRS might choose to audit your business. Either you have been randomly selected for this joyous experience or ...

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Commentary on ACA Exchanges: Are they Unraveling?

In November of 2015, UnitedHealth Group, Aetna, Anthem, and Humana reported larger than expected financial losses on ACA exchanges. Some of these ...

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PATIENT FIRST STOPS ACCEPTING NEW ANTHEM PATIENTS

Patient First, one of Virginia’s largest providers of primary and urgent health care, announced that effective Feb. 2, they have stopped ...

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Hard work outs might not shed weight? Studies show this may not be true.

In a Medscape article by Peter Russell, he explains that although exercise is important for keeping our bodies and minds healthy, it may not be the ...

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MEDICARE OVERPAYMENTS: CONTROVERSIAL RULE FINALIZED

According to a Modern Healthcare article published on February 11, 2016, CMS finalized a controversial rule regarding the return of Medicare ...

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HIPAA QUIZ : ANSWERS TO THIS MONTH’S NEWSLETTER

(ANSWERS BOLD-UNDERLINED BELOW) 1.) The minimum fine for a minor HIPAA violation is $100; the maximum fine for a serious HIPAA violation is $50,000. ...

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