What You Should Know:
- Walmart announced it will begin selling Medicare
insurance plans during this year’s annual enrollment period, Oct. 15 through
Dec. 7.
Today, Walmart
announced the launch of Walmart
Insurance Services, LLC, a licensed insurance brokerage, which will assist
people with enrolling in insurance plans—and simplify what’s historically been
a cumbersome, confusing process. Walmart Insurance Services will begin selling
Medicare insurance plans during this year’s Annual
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Medicare Administrative Contractors (MAC)
Edifecs Launches Hosted Encounter Management Model for MAOs and MCOs
Edifecs, a global health information technology solutions company, today announced the availability of its Encounter Management solution for small and mid-sized Managed Care Organizations (MCOs) and Medicare Advantage Organizations (MAOs). The Encounter Management software-as-a-service (SaaS) model helps health plans facilitate the encounter data submission process in the transition from Risk Adjustment Payment System (RAPS) to the Encounter Data Process System (EDPS) with no infrastructure
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Recovery Audit Contractor (RAC) and MAC: Failure and Success in 2012
By Lori Brocato, Audit Product Manager, HealthPort Lori Brocato, Audit Product Manager, HealthPort writes about the failures and successes of Recovery Audit Contractor (RAC) and Medicare Administrative Contractors (MAC)
The latest CMS figures report nearly $600 million was recouped from healthcare providers in the first quarter of 2012 alone. Added to earlier overpayments, providers have “given back” over $1B since the Medicare Recovery Audit Contractor (RAC) program began.
The success
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