OIG Regulatory Guidance Standards
OIG Regulatory Guidance from the Office of the Inspector General for U.S. Department of Health and Human Services

OIG Regulatory Guidance Standards

What is OIG Regulatory Guidance in Healthcare? OIG Regulatory Guidance has seven elements and is divided by the healthcare industry sector. The U.S. HHS Office of the Inspector General (OIG)…

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Medicare Changes to Skilled Nursing PDPM in 2020
Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update

Medicare Changes to Skilled Nursing PDPM in 2020

As of 2020, CMS has mandated that Skilled Nursing Facilities (SNFs) adopt the new Patient-Driven Payment Model (PDPM), certification surveys.  Additionally, SNFs must use the QAPI process.  QAPI is the…

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Pharmacy Benefit Manager Expert Witness
Pharmacy Benefit Managers - U.S. Pharmacy Distribution and Reimbursement System

Pharmacy Benefit Manager Expert Witness

Pharmacy Benefit Manager Expert Witness A Pharmacy Benefit Managers expert witness (also known as PBM expert witness) must comprehend that Drug Prices are complex. First, I'm introducing some introductory concepts.…

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U.S. District Judge Lew Affirms Michael F Arrigo as Expert Witness in Medical Coding, Medical Billing, Medicare Fraud, Fraud Damages, Electronic Health Records

Expert witness Michael Arrigo was affirmed as an expert by U.S. District Judge Lew.  To view the ruling click here: United States and State of California v Pacific Health Corporation. Excerpt:…

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Expert witness ambulatory surgery center billing Morning Edition National Public Radio, Kaiser Health News Quote Expert Michael Arrigo RE High Cost Medical Care
Image credit: Kaiser Health News. Janet Winston stands in her rose garden in Eureka, Calif. Testing revealed she is allergic to numerous substances, including linalool. Winston still can handle roses, which contain linalool, but she can't wear perfumes and cosmetic products that contain the compound.

Expert witness ambulatory surgery center billing Morning Edition National Public Radio, Kaiser Health News Quote Expert Michael Arrigo RE High Cost Medical Care

Expert witness ambulatory surgery center billing Expert witness ambulatory surgery center billing quoted in allergy test overbilling investigation.  Michael Arrigo interviewed by journalists at National Public Radio (NPR) for broadcast…

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Medical Billing Expert Witness Howell and Collateral Source Rule

Medical billing expert witness Howell specials work in California in matters involving personal injury, medical malpractice, and payor provider disputes.  Experts should have  an understanding of the collateral source rule.…

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Drug Pricing Expert and Classification Systems
Academy of Managed Care Pharmacy diagram showing flow of prescription drug supply chain and funds

Drug Pricing Expert and Classification Systems

Drug Pricing Expert A drug pricing expert witness understands pricing trends and drug classification systems and how these impact the overall cost of health care.   Our team has over…

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eMeasurement of Health Data for Quality, eCQM Adoption Issues
Telehealth Visits Show Growth in Benefits for Insureds
Telehealth on iPad. Increasing numbers of procedures are covered by Medicare

Telehealth Visits Show Growth in Benefits for Insureds

Telehealth Update - CMS to Start Covering in Home Monitoring Telehealth update: Health plans are beginning to offer telemedicine services to their insureds that offer 24/7 access to online doctor…

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