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November 2012 | Newsletters

blackburn group inc.

November 2012

Electronic Health Record Warning from HHS

Did you know that the Secretary of the U.S. Department of Health and Human Services (HHS) and the U.S. Attorney General for the Department of Justice (DOJ) recently issued a letter to five of the nation's largest, most influential health care organizations, stating that there are "troubling indications" that some hospitals and health care providers are using electronic health record (EHR) technology "to game the system," by fraudulently entering billing codes and inflating the level of care provided to a patient, or by ramping up the severity of the patient's symptoms to increase the amount of reimbursement from Medicare and Medicaid. Click on the above link for more information.

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Medicare Who Pays First?

The Department of Health and Human Services (HHS) has published an official guide to inform beneficiaries how Medicare works with other types of insurance or coverage. When Medicare is the Secondary Payer for all Workers Compensation or Liability claims, always be sure you have the appropriate Conditional Payment, Medicare Set-Aside, and Final Demand Letters secured. Being proactive and making the most prudent decisions can make the difference between being compliant under the law versus being faced with any potential fines, interest, and penalties.

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CMS Fast Facts Overview

The Centers for Medicare and Medicaid Services (CMS) has recently announced that 52 Million Americans expected on Medicare in Year 2013, 43 Million Aged, and 9 Million Disabled. Please click the link below for the Fast Facts website.

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