April 28, 2016

Palmetto GBA: when a doctor’s notes are not readable

We all know the joke: if you have poor penmanship, you should become a doctor.  Unfortunately, poor penmanship on patient notes and records can lead to claim denials, because if Medicare can’t read what the doctor wrote, we can’t know if the services were reasonable and necessary and meet all guidelines for coverage. Medicare requires […]

Working safely with Diabetes

Diabetes has been called an epidemic in America. A 2014 report from the Centers for Disease Control and Prevention estimates that 29.1 million people in the United States – almost 10 percent of the population – have the disorder. Of those, 8.1 million are undiagnosed. The seventh leading cause of death in the nation, diabetes […]

Medicare’s program integrity initiatives

For many years, the Centers for Medicare & Medicaid (CMS) has funded programs to reduce claims payment errors (either paying too much, paying too little or payments being made when none should be).  Some of these programs are handled through systematic checks that look for anomalies and mismatched services, and some are handled through clinical […]

OSHA warns of heat illness in outdoor workers

HEAT ILLNESS CAN BE DEADLY. Every year, thousands of workers become sick from exposure to heat, and some even die. Heat illnesses and deaths are preventable. Employers are responsible for providing workplaces that are safe from excessive heat. What is heat illness? The body normally cools itself by sweating. During hot weather, especially with high […]

RRB: new benefit year began July 1

A new benefit year under the Railroad Unemployment Insurance Act began July 1, 2015. The maximum daily benefit rate payable for claims under this Act increases to $72 in the new benefit year. Benefits are normally paid for the number of days of unemployment or sickness over four in 14-day registration periods, so maximum benefits […]

Disability insurance available to members

Updated: October 1, 2015 Although you may have missed the open enrollment period for the long-term (VLTD) and short-term disability (VSTD) plans, members can still sign up for disability insurance. Members who missed the open enrollment deadline will be subject to pre-existing condition screening, a medical exam and approval.  Additional questions should be directed to […]

Anthem says cyberattack stole data of millions

Anthem, one of the nation’s largest health insurers, said Feb. 4 that the personal information of tens of millions of its customers and employees, including its chief executive, was the subject of a “very sophisticated external cyberattack.” The company, which is continuing its investigation into the exact scope of the attack, said hackers were able […]

Are you as active as you should be?

Are you as active as you should be? In less than 15 minutes a day, you can do a few simple and effective strengthening exercises that may help you set some health and wellness goals. Below are some simple exercises that can be done just about anywhere, according to Yourtracktohealth.com. Yourtracktohealth.com is your online gateway to […]