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Federal Law Enforcement Agencies routinely uncover health care fraud schemes involving Durable Medical Equipment (DME) that were not medically necessary or were never received.Be diligent in identifying sudden increases in medical spending across your ACO. Specifically, be sure to review Part B DME claims. Be...
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By Ashish V. Shah, CEO, DinaFirst came the rise of telehealth. Now home-based care is gaining traction with Accountable Care Organizations (ACOs) as care delivery continues to move outside of the hospital and into the home and community.Evidence of this shift is present in recent...
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By: Ed White, Nelson MullinsIn November 2020, the Centers for Medicare & Medicaid Services (CMS) finalized value-based exceptions under the Stark law, and the Office of Inspector General (OIG) finalized value-based safe harbors under the Anti-Kickback Statute to accommodate and facilitate the evolution of value-based...
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Mike Segal, Partner, Nelson MullinsAnother type of ACO has recently been unveiled – ACO REACH! We will be discussing this new model more closely in the Nelson Mullins/Pinnacle Consulting FLAACO Webinar on April 20, but here is a little information to help get you ready!On...
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Saint Johns, FL, December 01, 2021 –(PR.com)– Real Time Medical Systems (Real Time), the industry-leading and KLAS Rated interventional analytics solution, joins the Florida Association of ACOs (FLAACOs) as its newest Strategic Partner. With the Real Time cloud-based solution, FLAACOs members can access fully transparent post-acute care...
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