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Medicare Advantage Health Plans Face Increased Scrutiny
As of Jan. 12, 2009, CMS forced suspension of WellPoint, Inc. Medicare Advantage (MA)plans and Part D marketing and enrollment until problems with member's access to prescription drugs and other identified issues are resolved. This suspension is the first of many to hit MA insurance plans. MA Plans must increase their compliance activities and awareness.
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CMS Approves RAC Audit Process Implementation- Providers Must Get Ready
Although there had been a temporary delay due to the protest of the award of the Recovery Audit Contractor (RAC) contracts, the protests were settled on February 4, 2009. The settlement means that the delay has been stopped and CMS will continue with the implementation of the RAC program. Get ready today!
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HIPAA Security Enforcement Becoming Much More of a Reality
It is difficult to remember a time without HIPAA Rules, yet, only a few years have passed since implementation of the HIPAA Security Rule. Not surprising are the number of health industry reports indicating many covered entities are not yet, years later, compliant with all of the specifications of the Security Rule. Get ready to respond to greater HIPAA scrutiny.
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Sinaiko Healthcare Consulting is pleased to announce the published work of Jeff Sinaiko and Greg Endicott in this year's 2009 Health Law and Compliance Update.
To Purchase Book-Click Here
Please view Chapter 4: Fair Market Valuations in Health Care: A Better Understanding Breeds Better Compliance.
By Jeff Sinaiko & Greg Endicott.
Jeff Sinaiko interviewed on AMA's American Medical News on XM Radio.
June 15, 2009.
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