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BC Advantage Magazine

Current Issue

Current Issue - May / June 2024 | Issue 19.3

   

Cover Feature

 
28: Considerations for Whistleblowers and Companies

The United States Supreme Court’s decision in United States ex rel. Polansky v. Executive Health Resources (599 U.S. 419; 2023) confirmed that the United States government has nearly unfettered discretion “to dismiss a [federal False Claims Act] suit over a relator’s objection” (Id. at 423; see also State ex rel. Fox v. Thornley, 2023 IL App [4th]; citing Polansky as instructive when interpreting the Illinois False Claims Act).
 

Feature ARTICLES

  • 10: Coding for Zika: Unraveling the Threat of a Silent Predator
  • 16: Regulatory Issues Facing Radiology Groups in 2024
  • 20: How Lab Benefits Management Can Smooth the Transition to Value-Based Care
  • 24: Understanding the Changes in the CMS-HCC Model V28
  • 34: Artificial Intelligence in Healthcare: A Medical Coder’s Perspective
  • 38: Navigating the Maze of ASC Claim Denials: Proven Strategies for a Seamless Process
  • 42: Five Critical Comparisons to Evaluate AI in RCM
  • 46: Monthly Spotlight on Fraud, Waste, and Abuse

     

 

OTHERS

 

  • 6. News / Updates
  • 50. Reviews
    25 Modifier Reference Card: PRINT AND SHIP

    Evaluation & Management Reference Guide & Workbook 2024 Edition

 

 

 

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Editorial Board

We are proud to highlight our editorial board members to our readers and ecourage you to personally contact them with any questions or comments.


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Featured Editorial Board

Larry J. Hughes

Director of Operations

at Medical Management Professionals, Inc
View bio and contact details

 
Bradley Hart, CPC, COBGC

Biller | Coder

at ACOG
View bio and contact details

 
Peter Wagonen

at
View bio and contact details

 
Kevin Campbell

CEO

at DTA Healthcare Solutions
View bio and contact details