Home Health Pre-claim review – August 1, 2016?
Yes – with less than 5 days to go – there is still significant debate about the Medical pre-claim review demonstration for Home Health...
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Allegiant Experts
Jul 26, 20165 min read
Alert: Proposed CMS rule for coordinated cardiac and hip fracture care
CMS released yesterday that it plans to expand the CJR (Comprehensive Joint Replacement) bundled payment system to include not only...
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Allegiant Experts
Jul 26, 20161 min read
Three new ARHQ Guideline Summaries posted
AHRQ released three new guideline summaries this week. From the American Academy of Orthopaedic Surgeons – Medical Specialty Society,...
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Allegiant Experts
Jul 25, 20163 min read
CMS Projections of National Health Expenditures Data Released
Office of the Actuary in the Centers for Medicare & Medicaid Services released its annual projections of health care spending for...
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Allegiant Experts
Jul 20, 20161 min read
Alert: CMS IRF and LTCH Quality Reporting Training in August!
CMS posted that registration is open for in person provider training for both rehabilitation and long-term hospital providers. Inpatient...
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Allegiant Experts
Jul 7, 20163 min read
Why are dud artillery shells like fraudulent Medicare claims?
The False Claims Act and qui tam law have a long and interesting history together. During the Civil War, massive civilian procurements by...
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Allegiant Experts
Jul 6, 20161 min read
Supreme Court ruling on false certification and the False Claims Act
I have been sitting on this ruling for a few weeks attempting to decide how I wanted to address the content within our blog. However, the...
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Allegiant Experts
Jul 4, 20161 min read
Happy Fourth of July!
Allegiant Experts wishes everyone one a happy and safe Independence Day! For some fun science based micro-fireworks check out the NIH...
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Allegiant Experts
Jul 1, 20161 min read
2017 ICD-10-CM Update Released
Yep, the updated ICD-10-CM and PCS code sets are posted! Fast Facts: 1,943 new codes, 351 revised codes, and 313 deleted codes. 2017 Code...
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Allegiant Experts
Jun 30, 20162 min read
Move over CJR…Here comes OCM!!!
CMS implemented the Comprehensive Care for Joint Replacement (CJR) bundled reimbursement as of April 1st, 2016, and there are still more...
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Allegiant Experts
May 27, 20161 min read
Dr. Heimlich uses the Heimlich maneuver for the first time!
Yep, as strange as it sounds, the 96-year-old surgeon who developed the life-saving technique known as the Heimlich Maneuver had never...
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Allegiant Experts
May 26, 20161 min read
CMS releases new ICD-10 Resources
The Centers for Medicare & Medicaid Services (CMS) has released updates to the ICD-10 Provider Resources page. Please check out the...
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Allegiant Experts
May 24, 20161 min read
New bill would expand the scope of who can be excluded due to healthcare fraud
US House of representatives Lois Frankel (D-Fla.) and William Keating (D-Mass.) introduced a bill to amend title XI of the SSA to expand...
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Allegiant Experts
May 12, 20161 min read
Updates for the Diagnosis and Treatment of RMSF released!
Morbidity and Mortality Weekly Report (MMWR) updated the Practical Guide for Health Care and Public Health Professionals regarding the...
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Allegiant Experts
May 12, 20161 min read
Happy Birthday Florence Nightingale!
National Nurses week begans on May 6 and ends on May 12, Florence Nightingale’s birthday. Nurses play a critical role in healthcare and...
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Allegiant Experts
May 4, 20161 min read
Medicaid Managed Care Enrollment Report and Data Released
Medicaid Managed Care Enrollment Report and Data Released CMS released the 2014 Managed Care enrollment Data! According to Medicare the...
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Allegiant Experts
May 4, 20162 min read
Medical Errors Still One of the Leading Causes of Death in the U.S.
With Nursing Week upon us, it comes as a shock that while we continue to make a focused effort on safer nursing practices, medical errors...
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Allegiant Experts
Apr 4, 20163 min read
The Comprehensive Care for Joint Replacement (CJR) Model is here!
Medicare has implemented the Comprehensive Care for Joint Replacement (CJR) Model as of April 1st, 2016! Yep, as if the DRG system and...
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Allegiant Experts
Mar 11, 20161 min read
Urgent Adobe Updates!
Healthcare providers, payer and guardians of PHI can unknowingly make their data available to hackers and thieves by not keeping their...
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Allegiant Experts
Mar 10, 20161 min read
Indiana Increasing the Cap on Medical Malpractice Damages
Medical malpractice damage caps are a relatively common practice, with approximately 70% of states having adopted some kind of law that...
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