Archives for October 2015
GA Medicaid policy on unspecified codes and the requirements for ICD-10Medicare says “Unspecified ICD-10 Codes” are good enough to be paid, but Georgia Medicaid says no. For more information, review the Georgia Department of Community Health ICD-10 FAQ. Q: Could you explain the Medicaid policy on unspecified codes and the requirements for ICD-10 effective October 1, 2015? A: NOS, or “not otherwise specified” codes will be denied as there is not enough clinical documentation to determine the diagnosis.… Read More
CEO of Chicago Healthcare Company Pleads Guilty to Fraudulently Billing Medicare in $1.8 Million SchemeThe chief executive of Chicago-based Mobile Doctors pleaded guilty today to charges that he fraudulently increased Medicare bills for in-home treatment that was shorter and less complicated than the claims indicated. According to the plea agreement, Ajiri personally altered Mobile Doctors’ billing forms – and instructed Mobile Doctors’ personnel to do the same – so that many of the in-home visits were fraudulently billed to Medicare and the Railroad Retirement Board at the highest level. … Read More
Revamped ACA website debuts Sunday
Healthcare consumers shopping on the ACA federal site, healthcare.gov, can see the costs and benefits of insurance plans for 2016. The website, for people seeking insurance in 38 states served by the federal exchange, includes three new major features. According to the article, response times will be 40% faster.