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The Basics of HIPAA (Part 1)

HIPAA is one of the most encompassing legislative changes to happen in the US in the past 20 years. It’s also one that generates a lot of misinformation, myth and sometimes even apathy.  A lot of...

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What We’re Reading – GAO recommends ending CMS bonus payment demonstration

From the GAO.gov website and different healthcare news websites. The Government Accountability Office (GAO), a nonpartisan investigative arm of Congress, recommends that CMS should discontinue its...

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2014 Holds Big Changes for the CMS-HCC Model

The purpose of the CMS-HCC model is to improve the accuracy in predicting the costliness of Medicare Advantage (MA) enrollees’ healthcare costs and to properly fund MA plans for those expenses. It...

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