Posts

Swine Flu Coding and Other Interesting News

Buried, which seems to be my status since August.  Some interesting items:  An official study indicating that the use of an EHR can improve primary care and supports the Medical Home model.  This is something our clients have known for 25 years.  Again, the MGMA tells us that “Medical practice revenues fall.”  At first, I …

Oxford Shenanigans

A few weeks ago, Dr. Stoller sent me this (and I have just been too swamped to keep up): “OXFORD:  ALERT! Recoupment Requests Based on Extrapolation Some members have received letters from Oxford requesting that they pay large alleged overpayments based on extrapolation. Members are urged to alert their office staff to be aware of …

The Verden Effect

A couple weeks ago, the Verden Alert gave me this little notice about Oxford: Please note that in an effort to become more transparent and communicate more clearly, Oxford has modified its policy change listings. Oxford now posts exactly what revisions have been made to its changed policies. Interesting, because happened shortly after the release …

Perhaps I Spoke Too Soon (More UHC/Ingenix and Oxford/Alerts)

Just as Dr. Stoller hit PedTalk with the info, I was reading the teaser over on FierceHealthcare: Now, a consumer is raising the stakes a bit by attempting to get class action status for a suit against Ingenix itself. I’ve written about my experience with the Ingenix “data” and their relationship with UHC, though I …