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Health Care Consulting  
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With complex managed care arrangements and Medicare's fraud and abuse laws, consulting for diverse health care organizations has become more difficult.

Some of the complex issues covered in PPC's Guide to Health Care Consulting include: Medicare reimbursement issues; understanding how to code medical bills; developing a Medicare compliance program; understanding and negotiating managed care contracts; governmental laws and regulations (including HIPAA, Stark I and Phases I and II of the Stark II Rules, Antikickback Statute, and other referral regulations); incurred but not reported (IBNR) claims liabilities; and performing a medical practice valuation.

The Guide also includes national Medicare E/M code statistics.



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