Billing and Upcoding: How Physicians Can Stand Up to Managed Care Organizations
As healthcare costs continue to rise, government programs such as Medicare and Medicaid, as well as private insurers, rely heavily on managed care organizations (MCOs)
As healthcare costs continue to rise, government programs such as Medicare and Medicaid, as well as private insurers, rely heavily on managed care organizations (MCOs)
Fraud within Long-Term Care and Assisted Living Facilities is a serious issue. It’s important to be aware of the various forms of fraud that can
It’s easy to see how healthcare fraud can cost taxpayers and governments billions of dollars every year. And while that is not something to be
According to the National Library of Medicine, managed care refers to a healthcare insurance approach that integrates the financing of care and related services to
Medical Loss Ratio (MLR) fraud occurs when plans knowingly misrepresent a proportion of funds spent on patient care and quality improvement measures as opposed to
Medicare Advantage is a type of health insurance plan offered by private companies contracted by the government. Also known as Medicare Part C, Medicare Advantage