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Groups Push Back on Federal Warning About EHRs and Billing Fraud
If hospitals' bills to federal healthcare programs are increasing through the use of electronic health records, it may be because of improvements in documentation and a lack of national standards for gauging the intensity of some treatments, industry groups asserted in response to a critical letter from two federal agency chiefs.
Healthcare groups issued those reactions swiftly after receiving a letter Monday from HHS Secretary Kathleen Sebelius and U.S. Attorney General Eric Holder that publicly warned hospitals it is illegal to use electronic health records to inflate bills through "false documentation." "Law enforcement will take appropriate steps to pursue healthcare providers who misuse electronic health records to bill for services never provided," Sebelius and Holder wrote in the letter.
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Source: ModernHealthcare.com
Emily Goldberg Shares Insights as a Genetic Counselor for Breast Cancer Risk Screening
October 30th 2023On this episode of Managed Care Cast, Emily Goldberg, MS, CGC, a genetic counselor at JScreen, breaks down how genetic screening for breast cancer works and why it is so important to increase awareness and education around these screening tools available to patients who may be at risk for cancer.
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Examining Telehealth Uptake to Increase Equitable Care Access
January 26th 2023To mark the publication of The American Journal of Managed Care®’s 12th annual health IT issue, on this episode of Managed Care Cast, we speak with Christopher M. Whaley, PhD, health care economist at the RAND Corporation, who focuses on health economics issues, including the influence of the COVID-19 pandemic on health care delivery.
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Beyond Insulin: The Impact of Next-Generation Diabetes Technology
April 17th 2024Experts explain how new diabetes technologies like continuous glucose monitors are transforming care beyond intensive insulin therapy, offering personalized insights and improving outcomes for patients of all treatment levels.
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Need for Pharmacogenomic Testing in Mental Health Care Explored at AMCP 2024
April 17th 2024Presenters from Mayo Clinic discussed the benefits of implementing pharmacogenomic testing in mental health care for the betterment of patient outcomes, reducing medical costs, and more at the Academy of Managed Care Pharmacy (AMCP) 2024 annual meeting.
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