There are numerous stories of physicians getting embroiled in issues of ethical nature or not a crime but seriously putting their career at stake by a medical insurance auditor. Consequently forcing many of them to deal with matters that they were not liable and damaging their practice. The undeniably meddling and regularly illogical managerial, administrative …

Read moreHow an Insurance Company Auditor Tried To Destroy a Physician’s Career

Centers for Medicare and Medicaid services are changing payments to Medicare Advantage plans to reflect the health status of each beneficiary. CMS uses Medicare advantage risk adjustment methodology to ensure that the Medicare Advantage features work effectively by paying more for registered users, who are expected to cost more to take care and less for …

Read moreThe Medicare Risk Advantage Factor (RAF) And Adjustment Methodology

The healthcare law of Patient Protection and Affordable Care, as well as increased transparency and access to patient information on the quality of care providers, has transformed the whole system. Such a shift has paved the path for pay for performance program. What is the incentive of enrolling in the programs, why should there be …

Read morePros And Cons Of “Pay For Performance” Policies And Performance Based Compensations

What is Vaping? It is becoming a popular trend; smokers are stopping out their traditional cigarettes and picking up the Vapes. Vaping is similar to smoking but instead of smoke, it is the inhalation and exhalation of the aerosol. It’s often referred to as vapor manufactured by an e-cigarette or similar device. The terminology is …

Read moreWhat Is Vaping? What You Need to Know About Vaping