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An official publication of the ACR and the ARP serving rheumatologists and rheumatology professionals

Practice Support

Subcategories:Billing/CodingEMRsFacilityInsuranceQuality Assurance/ImprovementTechnologyWorkforce

Fraud and Abuse: What’s the Difference?

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Each year, fraud and abuse cost the Medicare and Medicaid programs billions of dollars. What is the difference between fraud and abuse? The Centers for Medicare & Medicaid Services define fraud and abuse as two different offenses…

National HMO Class-Action Case Settled

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The latest development in the healthcare class-action settlement will affect approximately 900,000 physicians (and some major state medical societies) who may be eligible to receive compensation from the settlement – as long as they file a claim. The case has been called “historic” by those representing both physicians and insurance companies.

REF Fellowship Training Award Expanded

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Workforce training should be at the forefront of every rheumatologist’s mind. The release of the 2006 Rheumatology Workforce Study, commissioned by the ACR, confirms that the current shortage of rheumatologists will continue to increase, affecting current and future patient care.

Consultation or Referral? That Is the Question

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One of the most troublesome coding decisions is determining whether a visit is a consultation or a referral. To avoid the hassle of incorrect coding, one must first understand the difference between a consultation and a referral.