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  2. Medicare Advantage plans get billions for dubious diagnoses ...

    www.aol.com/medicare-advantage-plans-billions...

    Medicare paid private insurers operating Medicare Advantage plans about $7.5 billion last year for diagnoses reported via both HRAs and HRA-linked chart reviews, the report found. $1,869 home visit

  3. Eye care professional - Wikipedia

    en.wikipedia.org/wiki/Eye_care_professional

    Ophthalmology (/ˌɒfθælˈmɒlədʒi/ OFF-thal-MOL-ə-jee) is a surgical subspecialty within medicine that handles the diagnosis and treatment of eye disorders. [1] [2] Ophthalmologists are physicians (M.D./D.O/have a doctorate in medicine) that undergo subspecialty training in medical and surgical eye care. [3]

  4. Optometry - Wikipedia

    en.wikipedia.org/wiki/Optometry

    Optometry is a healthcare profession that is autonomous, educated, and regulated (licensed/registered), and optometrists are the primary healthcare practitioners of the eye and visual system who provide comprehensive eye and vision care, which includes refraction and dispensing, detection/diagnosis and management of disease in the eye, and the ...

  5. Medicare fraud - Wikipedia

    en.wikipedia.org/wiki/Medicare_fraud

    Jimmy Carter signs Medicare-Medicaid Anti-Fraud and Abuse Amendments into law. The Office of Inspector General for the U.S. Department of Health and Human Services, as mandated by Public Law 95-452 (as amended), is established to protect the integrity of Department of Health and Human Services (HHS) programs, to include Medicare and Medicaid programs, as well as the health and welfare of the ...

  6. Physician Quality Reporting System - Wikipedia

    en.wikipedia.org/wiki/Physician_Quality...

    As of 2015, CMS included the following health care practitioners under eligible providers: [4] Medicare providers (Physicians (Doctors of Medicine, Osteopathic Medicine), Podiatry, Optometry, Oral Surgery, Dentistry, and Chiropractic)

  7. Diagnosis-related group - Wikipedia

    en.wikipedia.org/wiki/Diagnosis-related_group

    Diagnosis codes relating to swallowing eye drops moved from DRGs 124-125 (Other Disorders of the Eye) to 917-918 (Poisoning and Toxic Effects of Drugs). [22] Grouper 34 issue addressed relating to the 7th character of prosthetic/implant diagnosis codes in the T85.8-series indicating "initial encounter", "subsequent encounter" and "sequel". [23]