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Showing posts from March, 2023

Mobile use with wrong posture leads to serious spine problems

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 'Tech neck'. Check your posture.  At a 60-degree inclination, the spine must support about 27 kg of weight. It is the same as wearing an 8-year-old around your neck. This puts unnecessary pressure on muscles, ligaments, and tendons, causing neck pain. The disc and joints may also be impacted by this. Major symptoms of text neck are: stiff neck, muscle weakness, compression of the spinal discs, etc. By Medlife Asia ( your guide to informed decisions in surgery) Dr M Khalid Munir MBBS, C Diab ( university of Copenhagen). Hyderabad Mail medlifeasia (at) gmail.com  #ergonomics 

How specific data elements from the 837 claim file could be used to identify medical insurance fraud

How specific data elements from the 837 claim file could be used to identify medical insurance fraud.   1. Billing for services not provided: This could be detected by comparing the "Service Date" field in the 837 claim file to the patient's medical records to verify that the billed service was actually provided on that date. 2. Upcoding: This could be detected by comparing the "Procedure Code" field in the 837 claim file to the patient's medical records to verify that the service billed for matches the service that was actually provided. If the billed service is a more expensive code than what was provided, this could be flagged as potential upcoding. 3. Unbundling: This could be detected by comparing the "Service Date" and "Procedure Code" fields in the 837 claim file to verify that multiple services that should have been billed together were not instead billed separately. 4. Duplicate billing: This could be detected by comparing the ...