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ACO Reporting- A Patient-Centered Approach

p3care

An ACO (Accountable Care Organization) works for the better care of patients. Consider it as a group that combines hospitals, doctors, and other healthcare specialists for the sake of providing healthcare and is a team in care decisions. Complying with all these regulations helps in avoiding penalties.

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Why Avoiding Costly Coding Mistakes Is More Critical Than Ever

HIT Consultant

Hilton Hudson, MD, FACS, and CEO of HPC International In May 2022, a California doctor was sentenced to nearly eight years in prison for his involvement in a $12 million Medicare fraud scheme. Physicians should emphasize their value in terms of patient outcomes, quality of care, and cost-effectiveness. He received $4.5

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Putting the Brakes on Healthcare M&A and Provider/Payor Contracting: AB 2080 Poised to Dramatically Impact Healthcare Transactions in California

Sheppard Health Law

prevent HCSPs or insurers from providing provider-specific cost or quality of care information to referring providers, the HCSPs or insurer sponsors, enrollees, insureds or eligible enrollees or insureds of the HCSPs or insurers.

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Disrupting Hospital Price Increases: Using Growth Caps in Insurance Rate Review

NASHP

As major payers of health care for those enrolled in public programs and for government employees, states have a financial interest in and justification for taking action to rein in high prices. Additionally, in their role as market regulators, policymakers recognize the need to protect consumers from unchecked hospital price growth.

Hospitals 114
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HCPCS vs CPT: Everything You Need to Know

Etactics

Did you know that poor billing practices cause American doctors to lose around $125 billion each year ? These codes provide data about the quality of care given. With an accurate billowing practice, you can expect to see better communication within your organization, more timely reimbursement, and compliance with regulations.

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Weighing Policy Trade-offs: Overview of NASHP’s Model Prohibiting Anticompetitive Contracting

NASHP

One of these contributors, hospital consolidation, has played an outsized role in making health care less affordable for consumers and employers. The model also gives a state’s insurance commissioner or attorney general the ability to add other clauses through regulation that may result in anticompetitive effects.

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National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

NASHP

This section of the guide outlines considerations, examples, and resources for: Identifying stakeholders and establishing partnerships across care coordination and child-serving systems. Assessing care coordination system capacity, gaps, and process improvements. Financing care coordination systems. Meet quality requirements.