Integrity Management Services, Inc.’s Post

Maintaining compliance with Medicaid calculation and reporting requirements is essential to protecting your business and brand. Explore a scalable, accurate solution to ensuring #Medicaid compliance: https://lnkd.in/emeeCqDm #LifeSciences #ModelN #Compliance #RevenueOptimization

One of the three rules to protecting your stuff is knowing your predators. Although a helpful resource in affording the care you need, Medicaid can pose a potential threat to your nest egg if no precautionary measures are taken. Register for our free informative "How to Protect Your 'Stuff' in 3 Easy Steps" workshop to explore estate planning options that may work for you and fill in what you need to be "all set". Click the following link to register now: https://lnkd.in/e_9DuzPF #medicaid #assetprotection #trusts #revtrust #irrtrust #medicaideligibility #mapt

Providers, take note! It's crucial to safeguard your patients' information. Palmetto GBA has noticed a growing issue with some outsourced billing companies skipping the required steps, putting your practice at risk. They're urging caution and reminding providers like you to ensure your billing partners are in the know about Medicare security rules and are using the right safeguards. In some states (Florida) patients PHI can not be stored outside of US soil. According to Craig A. Phillips of Dickinson Wright PLLC. There are four states that ban any Medicaid data from being stored or processed overseas (Arizona, Alaska, Ohio and Wisconsin) After all, if something goes awry, it's you who bears the responsibility. Read more about this by visiting the link below! https://bit.ly/48f1v3j #healthcareproviders #patient #medicaid #medicare #medicalbilling

If you've ever been curious about the Medicaid managed care landscape, here is a great snapshot of how Medicaid is driving innovation in #VBR & #APM and the health plan perspectives for implementing these programs.

🌟 Your Feedback Matters! 🌟 Have you had a positive experience with my services? I would love to hear from you! 🙌💙 Leave me a review and share your thoughts. Sharing a Facebook recommendation or posting a Google review is greatly appreciated. #ClientReviews #YourOpinionMatters #CustomerFeedback #HealthInsurance #Jacksonville #Jax #JacksonvilleFlorida #FloridaHealthInsurance #Medicaid #Medicare #LifeInsurance #Supplementalinsurance

🚨 Beware of Quality Fraud! 🚨 Quality fraud refers to the manipulation of data or misrepresentation of information by healthcare providers to obtain higher reimbursements from Medicare and Medicaid for services rendered. It involves falsely inflating the quality of care provided or misreporting patient outcomes to meet eligibility criteria for enhanced reimbursement rates. Understanding and identifying quality fraud is crucial for maintaining the integrity of Medicare and Medicaid services. Quality fraud can trigger violations of the False Claims Act (FCA) and lead to the negotiation of a Quality Corporate Integrity Agreement (CIA) or exclusion. #QualityFraud #Medicare #Medicaid #Healthcarecompliance 🏥💼

Unlock the potential of data to transform #Medicaid. Join the #KPMG session at #MESC204, where state Medicaid leaders from across the US will share their strategies for creating a data-enabled environment to deliver actionable insights for their Medicaid programs. https://bit.ly/4ctGeFb

#FTC #PBM Report Is Out! FTC raises and documents significant concerns. More to follow once I get through these 73 pages. Big news, people. #lifescienses #drugpricing #antitrust #Medicare #Medicaid #healthinsurance #ESI #Evernorth #PCMA #MedicareAdvantage

Unlock the potential of data to transform #Medicaid. Join the #KPMG session at #MESC204, where state Medicaid leaders from across the US will share their strategies for creating a data-enabled environment to deliver actionable insights for their Medicaid programs. https://bit.ly/4cgkX1E

Recapping regulatory & legislative changes to CHIP, Medicaid, STM, MA, and Part D. This week’s #FridayFive episode is packed with info just released by #CMS and #HHS. https://lnkd.in/eHSsNiK5 #WeeklyRecap #ASGPodcast #InsurancePodcast #InsuranceAgents #LegislativeUpdates #RegulatoryChanges #Medicaid #CHIP #HealthcareLegislation #SpecialEnrollment #ShortTermMedical #MedicareAdvantage #PartDRedesign #MedicareUpdates #HealthcarePolicy #MaandPartD #CMSUpdates #HealthcareIndustry #HealthcareNews #InsuranceNews #MedicarePolicy