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Anthem To Rebrand As Elevance Health

Anthem is opting to change its name to better reflect its purpose in the healthcare business. Its new name Elevance Health will better represent what the insurance company has evolved into; a lifetime trusted health partner for the millions of people they provide to. Continue reading to learn about this change. Anthem is changing its…

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World Health Organization Releases ICD-11

The World Health Organization (WHO) has officially released the newest code set in ICD-11, which will be replacing ICD-10. Although the timeframe of the U.S. implementing the new code is uncertain, there is still much to learn about the new code set. Keep reading to learn more.  Although the U.S. timeline for implementing ICD-11 is…

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Healthcare Billing Fraud: 9 Recent Cases

The year may have just begun but healthcare billing frauds are already running rampant across the nation. Continue reading to learn about nine of the biggest billing fraud cases taking over the headlines. From Cincinnati-based Bon Secours Mercy Health agreeing to pay $1 million to settle allegations that it improperly billed Medicare, to a Florida…

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Medical Decision Making: Drug Therapy Requiring Intensive Monitoring for Toxicity

There are often questions and confusion on what is included and acceptable when choosing “Drug therapy requiring intensive monitoring for toxicity” in the Medical Decision-Making Risk category for Evaluation and Management coding. This article reviews the definition and guidelines as provided by CMS and their Medicare Administrative Contractors (MACs). Risk: High MDM – Drug therapy…

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