by Bruce Miller | Feb 24, 2016 | news
Medicare Advantage Plans, need to update your strategy? Provider responsibilities and look back periods are reduced in the CMS final rule for overpayments. See more information: The Centers for Medicare & Medicaid Services has issued a final rule regarding the...
by Bruce Miller | Aug 6, 2015 | news
Medicare uncovers claims overpayments due to incorrect units of service and provider coding errors. CMS states Medicare contractors should collect their overpayments – how many outpatient overpayments are overlooked? Most focus on inpatient only. We can help!See...
by Bruce Miller | Jul 6, 2015 | news
Some Health Plans are charting new territory in population health management: Member centric clinical persona. In the traditional disease/condition categorization, many members were in separate and unconnected programs. The nine clinical personas are: healthy kids,...
by Bruce Miller | Jun 22, 2015 | news
Which “more specific” diagnosis/symptom/injury code is your favorite with the release of ICD-10 in October? At Well Solutions Group, we picked “Pecked by a Chicken”, but “Bitten by a Cow” was a close second. Read More
by Bruce Miller | Jun 1, 2015 | news
Proposed Medicaid Managed Care Organization regulations include quality ratings for private plans providing benefits, in addition to provider network certification and member education. These changes are aligned with Medicare plan requirements, although well behind...
by Bruce Miller | May 26, 2015 | news
The power of data to help personalize optimal treatment for cancer is exciting; yet even more exciting is the ability to prevent it. Even though the health care industry recognizes the risks to quality of life as well costs associated with a disease event, innovation...
