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CMS solicits public feedback to help Medicare beneficiaries

Mobi Health News

The organization is seeking feedback on how to best advance digital health to empower seniors using technology, while reducing administrative burdens and improving interoperability.

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WakeMed Health gains $10M with AI documentation and clinical insights system

Mobi Health News

What's more, the tech has resulted in $871,000 in new revenue for Medicare Severity Diagnosis-Related Group payments. The artificial intelligence application has led to $9.3 million in claims paid that might have been denied.

Medicare 241
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Medicare Advantage plans received billions from Medicare for home visits. The feds are skeptical

FierceHealthIT

Medicare Advantage (MA) insurers, namely industry titans UnitedHealth Group and Humana, could be using health risk assessments and chart reviews to inflate payments from Medicare through upcoding, | A federal watchdog is questioning whether UnitedHealthcare, Humana and other Medicare Advantage payers are either creating diagnoses out of thin air to (..)

Medicare 128
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How copy and paste in EHRs is hurting patient care

KevinMD

The cult of the EHR “copy and paste” (CP) club in hospital care makes defending a Medicare billing audit a daunting task should a physician be required to justify Read more How copy and paste in EHRs is hurting patient care originally appeared in KevinMD.com.

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Medicare Is Cutting 2022 FFS Payments 9.75% & Raising CCM Reimbursements by 54%

Most healthcare systems & medical practices aren’t prepared for Medicare’s changing priorities. This eBook will teach you how to: Increase patient engagement. Combat provider burnout. Get reimbursed for staff time. Bonus: Get the Free 5-Day CCM Mini-Course!

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CMS puts forward meager offering for digital health in final Medicare physician fee schedule rule

FierceHealthIT

Days before the 2024 presidential election, the Centers for Medicare & Medicaid Services (CMS) released an unpublished version of the final calendar year 2025 physician fee schedule final rule | Digital therapeutics, telehealth, rural heath clinics and opioid treatment programs all got updates in the final 2025 Medicare physician fee schedule rule, (..)

Medicare 127
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How AI Can Accelerate and Ensure Accuracy when Translating Medicare Advantage Materials

Healthcare IT Today

Translation of member materials is an onerous burden for Medicare Advantage Organizations (MAOs). For Dual Special Needs Plans (DSNPs), compliance is even more complex as they must meet both Medicare and Medicaid translation requirements, supporting as many as 24 languages in some states.