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January 2016 Archives

Physicians must beware upcoding and false billing practices

Most individuals who endure the years of schooling and training it takes to become a full-fledged medical doctor do so because they want to help people. As with many professionals, despite all of their professional training, physicians are often ill-prepared for many of the realities that come with the job.

Under Medicare, preauthorization now required for durable medical equipment

For individuals who are age 65 and older or who are permanently disabled, Medicare provides vital health insurance coverage to help pay for doctor visits, medical procedures, hospital stays, physical therapy, prescription drugs and medical equipment. According to The Henry J. Kaiser Family Foundation, during 2014, Medicare spending totaled $597 billion and accounted for 14 percent of the federal government’s total budget. Additionally, during 2013, Medicare spending accounted for “22 percent of national health spending, 26 percent of spending on hospital care, and 22 percent of spending on physician services.”

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