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The X12 834 EDI Enrollment Implementation Format is a standard file format in the United States for electronically exchanging health plan enrollment data between employers and health insurance carriers.
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Overbilling is a part of many fraud audit infrastructures employed by large companies. [12] Computer programs and software is often used to screen a company's finances to check for overbilling or symptoms of overbilling. [13] Overbilling has been the focus of several infamous scandals, such as the Worldcom scandal [14] and the bankruptcy of W ...
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"The burden of resolving inaccurate medical bills often falls to patients, many of whom are older adults facing functional limitations or living on fixed or low incomes," Senior Policy Analyst ...
A Medication Administration Record [1] (MAR, or eMAR for electronic versions), commonly referred to as a drug chart, is the report that serves as a legal record of the drugs administered to a patient at a facility by a health care professional. The MAR is a part of a patient's permanent record on their medical chart. The health care ...
The Physician Quality Reporting System (PQRS), formerly known as the Physician Quality Reporting Initiative (PQRI), is a health care quality improvement incentive ...
Aug. 28—A company that provides oxygen equipment agreed to a $29 million settlement to resolve claims, brought by whistleblowers, that they were overbilling Medicare. It's the largest-ever ...