Artificial DNA can control release of active ingredients from drugs




A drug with three active ingredients that are released in sequence at specific times: Thanks to the work of a team at the Technical University of Munich (TUM), what ...

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Millions of Americans’ Medical Images and Data Are Available on the Internet. Anyone Can Take a Peek.

This could be a scary reality for your practice. Get Meducated!

Hundreds of computer servers worldwide that store patient X-rays and MRIs are so insecure that anyone with a web browser or a few lines of computer code can view patient records. One expert warned about it for years.

Medical images and health data belonging to millions of Americans, including X-rays, MRIs and CT scans, are sitting unprotected on the internet and available to anyone with basic computer ...

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Quest Diagnostics says 12 million patients may have had their personal information exposed

It is apparent now more than ever, the urgency of making sure everyone touching your patient information is HIPAA certified and technologically aware. Quest Diagnostics faced a breach of 12 million customers due to an unauthorized user that gained access via a billing vendor that Quest hired. Make sure all of your staff and vendors are staying current with the tricks hackers play through the fast and easy compliance training website, Your ...

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United States Settles False Claims Act Allegations Against Orthopedic Surgery Practice For $4,488,000

A Florida orthopedic office has agreed to pay $4.4 million in medicare fraud claims.  This recoupment is for all the things we frequently uncover as outside auditors:  “incident to” billing errors, modifier misuse, bundled services billed in global periods, and lack of medical necessity documented.  Compliance services such as staff e-learning programs, external chart audits, and outside compliance specialists like would have uncovered these ...

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Cut IPPE denials with a concerted focus on CMS’ 7-pronged requirements (May 2017)

By Richard Scott (Belinda Holmes as Contributor)

in May 1, 2017 Part B News: Patient Encounters

Focus more on the preventive aspects of the “Welcome to Medicare” visit instead of the physical exam components and you may steer your practice to more success with this oft-denied service.

Practices endured a 17% denial rate for G0402 (Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare enrollment) in 2015, the latest year of available Medicare claims data. The ...

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Medicare Uses Big Data to Fight Fraud (Feb. 2017)

Medicare Employs Sophisticated Data Analytics to Catch $1.5 Billion in Fraud 


The latest in Medicare and Medicaid fraud prevention? A collaboration between the Centers for Medicare & Medicaid Services (CMS), predictive analytic technology, and big data that has contributed to more than $1 billion in savings in 2014 and 2015.

The Fraud Prevention System (FPS) is a proactive strategy that analyzes payment requests submitted by providers. By looking at 4.5 million Medicare claims made on a daily basis, it aims to prevent ...

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Attestation for 2016 MU & PQRS Now Open (Jan. 2016)

Attest to 2016 Program Requirements by February 28, 2017

The Centers for Medicare & Medicaid Services Registration and Attestation System is now open. Providers participating in the Medicare EHR Incentive Program must attest to the 2016 program requirements by February 28, 2017 at 11:59 p.m. ET in order to avoid a 2018 payment adjustment. The EHR reporting period was any continuous 90 days between January 1 and December 31, 2016.

If you are participating in the ...

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HMC Helps Prepare You and Your Staff For ICD-10 (Sept. 2015)

by Belinda Holmes, BS, CPC, CCP-P 

AMA & CMS Highlights on ICD-10 Implementation

“ICD-10 implementation is set to begin on Oct. 1, and it is imperative that physician practices take steps beforehand to be ready,” Dr. Steven Stack, AMA’s president, said in a statement. The Medicare claims processing systems will not have the capability to accept ICD-9 codes for dates of services after Sept. 30, 2015, nor will they be able to accept claims for both ICD-9 and ICD-10 codes.

In July, with ...

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ICD-10 … Making Positive Changes in Your Medical Practice (Aug. 2015)

by Owen Dahl
August 5, 2015

Medical practices will soon face a major change in the way they do business. The deadline for implementation of ICD-10 is days away. This is just one of the many regulatory changes practices must comply with, to stay current in the policy landscape. Instead of dreading “change,” how about thinking about it in a different way? You are not changing, your practice is “transitioning” to a new way of doing things.

You may think this is ...

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ICD-10: One Symptom in New Medical Codes: Doctor Anxiety (Sept. 2015)

by Robert Pear
September 13, 2015

“We will have to be very much more specific,” said Dr. Pardeep Kumar, an internist in practice with his wife in Terre Haute, Ind. Credit James Brosher for The New York Times

TERRE HAUTE, Ind. — The nation’s health care providers are under orders to start using a new system of medical codes to describe illnesses and injuries in more detail than ever before. The codes will cover common ailments: Did a diabetic also have kidney ...

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