DME Medical Coding and Medical Billing Disclaimer: This DME Medical Coding article discusses generally accepted coding, billing, documentation, and audit standards at a high level. It is not a legal…
Verifiable credentials in healthcare Verifiable credentials in healthcare are emerging as an important digital identity technology for patient access, provider verification, consent management, and electronic health record exchange. For healthcare…
Health plan strategy | Pharmacy spend | High-cost claims | ERISA fiduciary oversight Medical Cost Strategies for Employers, Health Plans, Providers, and Healthcare Investors Medical cost strategies based on UnitedHealthcare’s…
Form 5500 under ERISA Form 5500 (officially the Annual Return/Report of Employee Benefit Plan) is the primary annual reporting form required under the Employee Retirement Income Security Act of 1974…
Intensive Outpatient Programs (IOP) Federal MHPAEA and ACA Standards, State-by-State Variations, and Medical Billing Implications for Behavioral Health and Substance Use Disorder Treatment Intensive outpatient programs are designed to treat…
Covenant Health Ransomware Breach Analysis: Likely HIPAA Security Rule, Cybersecurity, and AI Observability Lessons from the May 2025 Qilin Attack By Michael F. Arrigo Note: This analysis is based on…
Michael F. Arrigo Managing Partner, No World Borders, Inc. LinkedIn: linkedin.com/in/marrigo Rising Healthcare Costs Driving Up Auto Insurance Premiums Don't Stipulate to Medical Bills in Bodily Injury Litigation While inflation…
Is Your Business Vulnerable to Wiper Malware? Lessons from the Stryker Attack and Prevention Strategies for 2026 Recent high-profile cyber attacks, such as the March 2026 wiper malware assault on…
What is Promoting Interoperability? Promoting interoperability was formerly known as "Meaningful Use" under the ARRA HITECH Act of 2009. Promoting interoperability promotes patient engagement and electronic exchange of information using…
In October 2020 and April 2021, the U.S. National Security Administration posted advisories regarding known vulnerabilities that Chinese and Russian hackers use to breach U.S. and other networks. Our Observations:…
Integrated Medical Bill Review and Subrogation Integrated medical bill review combines silos into one solution. This article provides a summary of various strategies to determine the value of medical bills. Plaintiffs in…
Medicare LCDs Medicare Local Coverage Determinations (LCDs) are inconsistent and cause uneven access to care for Medicare beneficiaries based on arbitrarily geographic boundaries and jurisdictions, rather than on medical necessity.…