Ted Pitynski
MedReview’s Data Mining highlighted in NHCAA SmartBrief
MedReview's Kathy Gonzales and P3 Health Partners' Timothy Wilson will speak on data-mining at HPRI East
Upcoding, a Common Medical Fraud Exposed
Upcoding is a fraudulent medical billing practice that takes various forms, but typically involves inflating the complexity or severity of a patient's condition.
MedReview Is Honored to Celebrate with the Child Care Corporation
Our partnership with 1199SEIU Funds spans more than a decade. Our dedication to the health and wellbeing of children and teens lasts a lifetime. Thank you for all you do to support children and their families in this community!
Sepsis Upcoding Is Costing Health Plans a Fortune
Sepsis is one of the most frequently diagnosed DRGs. It’s also one of the most expensive. The condition has been a hotly contested issue among providers, payors, and regulatory agencies for decades, and remains a continued source of disagreement today.
Top 5 Ways Smaller Health Plans Can Realize Big Savings
In today’s increasingly complex healthcare landscape, small- to medium-sized health plans may lack the scope and depth of clinical resources to fully establish a proven payment integrity solution.
Americans Paying Billions for Drugs That Don’t Work
Created in 1992 in response to the AIDs crisis, the Food and Drug Administration (FDA) accelerated approval pathway is intended for drugs that address unmet medical needs.
Healthcare Organizations Heed New Warnings, Bolster Cybersecurity
MROs deploy new security measures and increase cyber-liability insurance. In response to growing concerns of Russian [...]