by Blog Master | May 28, 2025 | MarketingBlog, Uncategorized
What is the cost of fraud? This month a rheumatologist from Texas was accused of falsely diagnosing patients with chronic diseases to defraud the payers with false claims totaling $118 million he also administered unnecessary treatments that had potential harmful and...
by Blog Master | May 22, 2025 | MarketingBlog, Uncategorized
CMS Rolls Out Aggressive Strategy to Enhance and Accelerate Medicare Advantage Audits | CMS “We are committed to crushing fraud, waste and abuse across all federal healthcare programs.” – Dr. Mehmet Oz, CMS Administrator. CMS just announced a huge expansion of...
by Blog Master | Apr 30, 2025 | MarketingBlog, Uncategorized
Recently we had a conversation that was centered around why some providers perform better in value-based contracts than others. In my opinion, there are three elements that ensure success: education, support and EMRs. 1. Education, education, education. There are...
by Blog Master | Mar 25, 2025 | MarketingBlog, Uncategorized
In its most recent report to Congress, MedPac projects that payments to Medicare Advantage in 2025 will be about 20% more traditional Medicare. This report along with the recent confirmation hearing of Dr. Oz has brough renewed attention to the No Upcoding Act which...
by Blog Master | Mar 20, 2025 | MarketingBlog, Uncategorized
We can be assured that the increased scrutiny on Medicare Advantage will continue. During the first day of his confirmation hearings before Senate Finance Committee on Friday Dr. Oz called out the practice of over coding in Medicare Advantage to gain additional...
by Blog Master | Mar 20, 2025 | MarketingBlog, Uncategorized
I had the privilege of attending RISE National this week. As usual, it did not disappoint. Here is a summary: The landscape of Medicare Advantage has changed significantly and the need for increased oversight and strong compliance were discussed throughout the entire...
