RT Welter
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Industry Hot Buttons- Medicare Advantage!

Medicare Advantage: You have probably heard some industry buzz about the recent investigations (and settlements) into risk adjustment fraud with several of the major insurers. United Health Group along with others, are accused of manipulating diagnosis codes to make patients appear to be sicker to achieve higher reimbursement outcomes via the Medicare Advantage program. Medicare Advantage allows providers…

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Small Medical Practices Could Benefit From Newly Proposed QPP Rule

Check out this article about how more small medical practices could benefit from and qualify for exclusions from the Quality Payment Program!  Small practices could add points to their total performance scores in the merit-based incentive payment system and may qualify for an exemption from EHR requirements. More small practices may qualify for exclusions from…

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Anthem Plans To Participate in Colorado Health Insurance Exchange in 2018

Check out this article regarding the announcement that Anthem has calmed controversy over Colorado’s health insurance by submitting its proposed plan for 2018 to the state.  Health insurance giant Anthem announced late Monday that it has submitted proposed 2018 plans to the state, easing fears that it might back out of Colorado’s health insurance exchange…

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