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Medical Billing and Coding Careers Increase Your Career Potential Become a well-rounded resource in the healthcare community by maximizing your career potential as a medical Billing and Coding specialist. Be prepared to be a vital part of any hospital, clinic and healthcare facility nationwide - medical Billing and Coding careers open the door to many career paths!A medical Coding and Billing specialist is responsible for accurately recording and processing data about patients, such as treatment records, insurance information, bills and payments. As a biller and coder, you will code a patient's treatment and diagnosis, and request payments from the insurance company or directly from the individual - you'll play an essential part in the billing cycle from beginning to end!

Monday 30 September 2019

Semafone adds new accessibility features to award-winning Cardprotect Voice+ payments solution

Enabling contact centres to serve all their customers securely, maintain PCI DSS compliance, and deliver a frictionless customer experience

Boston, MA and Guildford, UK – September 30, 2019 – Semafone®, the leading provider of data security and multi-channel compliance solutions for call and contact centres, today announced that it has added a range of new features to its award-winning and patented telephone payments solution – Cardprotect Voice+.



Semafone logo

Semafone logo



One of the most important new features is Live Voice Capture, which addresses the needs of elderly or disabled customers who are unable or reluctant to use a telephone keypad to enter their payment card details. Live Voice Capture enables contact centre agents to place a call into secure voice capture mode, allowing customers to read out their payment card details over the phone. As with all Semafone products the agent cannot hear the details being shared but can monitor customer progress and follow each step of the payment transaction/card capture process. The agent remains available if the customer needs any help. Once the payment data is captured, the agent can take control of the call to complete the transaction and collect any additional non-sensitive information that is required. This process keeps the customer’s details secure and the organisation remains compliant with industry regulations, such as the Payment Card Industry Data Security Standard (PCI DSS), while offering a frictionless agent and customer experience.


“Semafone is continually evolving and setting the standard for best practices in payment security,” said Gary E. Barnett, Chief Executive Officer, Semafone. “With the latest release of our flagship platform, Cardprotect Voice+, we are helping organisations keep PCI DSS compliance and user experience top of mind. This new version significantly improves the way contact centres can securely serve every customer, without adversely impacting agent call handling times, and delivers accessibility and inclusivity without compromise.”


As part of the new security capabilities released in this version of Cardprotect Voice+, Semafone has also implemented key technical enhancements to the Voice+ Platform, making an even faster and smoother implementation of the product possible. The solution integrates seamlessly with existing contact centre technology and customisable analytics capabilities will ensure customers have access to meaningful, real-time data on payment transactions as they occur across a customer’s estate.


“Existing customers are already realising the benefits of being fully protected by our award-winning solution,” said Gary E. Barnett. “The upgrades in Cardprotect Voice+ not only enable customers to now deploy swiftly, but they come at a time when organisations across all industries face increasingly complex business and data security challenges. Companies must make data security, compliance and the delivery of a frictionless customer experience a key priority, and we’re here to empower them to do so.”


For more information about Semafone, please visit: www.semafone.com


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About Semafone
Semafone provides pure cloud, hybrid cloud and on-premises solutions to contact centres and all businesses accepting payments; enabling them to collect personal data securely across all channels – including the telephone, webchat, social media, email SMS, QR codes and more. Semafone's patented data capture method collects sensitive information such as payment card or bank details and social security numbers directly from the customer for processing. This prevents personal data from entering the business and IT infrastructure, which protects against the risk of fraud and the associated reputational damage, ensuring compliance with industry regulations such as PCI DSS. Semafone’s suite of solutions creates a seamless, omni-channel experience that increases sales conversion rates and boosts customer loyalty, while at the same time simplifying compliance.

The company was founded in 2009 and now supports customers in 26 countries on five continents. Semafone is vertically agnostic and its extensive customer base includes companies such as Aviva Canada, Amica Mutual Insurance, British Sky Broadcasting, Pethealth, Rogers Communications, Santander, Sutter Health and TVG.

Major investors of Semafone include Octopus Ventures and BGF (Business Growth Fund).

Semafone has achieved the four-leading security and payment certifications: ISO 27001:2013, PA-DSS certification for its Cardprotect payment solution, PCI DSS Level 1 Service Provider and is a registered Visa Level 1 Merchant Agent. To learn more, visit www.semafone.com and follow us on LinkedIn, Twitter and Facebook. 

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Saturday 28 September 2019

CODER (NON-CERT)

Posted on:  Thu, 15 Aug 2019 12:44:37 GMT
Location: Washington, DC 20016
Responsible for the discharge analysis and coding of all medical records; Maintain coding accuracy and productivity standard of 95% accuracy rate. More 



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CODER OUTPATIENT AND ED

Posted on:  Tue, 24 Sep 2019 18:44:41 GMT
Location: Lynchburg, VA 24501
Adheres to the ICD coding conventions, official coding guidelines approved by the Cooperating Parties, the CPT rules established by the American Medical… More 



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MEDICAL RECORDS CODER I

Posted on:  Sun, 25 Aug 2019 09:41:07 GMT
Location: Clearwater, FL
Formalized education and/or training in medical coding courses. The Medical Records Coder I assigns diagnosis and procedural codes using ICD-10-CM, ICD-10-PCS,… More 



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CODING SPECIALIST ll

Posted on:  Thu, 29 Aug 2019 20:58:53 GMT
Location: Saint Cloud, MN 56303
CentraCare Health · CCH Coding. One-year experience in a medical office. Experience in ICD-10 and CPT coding. The coder will ensure that records are coded in an… More 



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MEDICAL CODER

Posted on:  Thu, 01 Aug 2019 10:11:51 GMT
Location: Waukesha, WI
Coding in-office E&M services, procedures and surgeries. Minimal 3 years coding experience, preferably in Orthopaedics. High School Diploma or equivalent. More 



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Coder Level 1

Posted on:  Tue, 18 Jun 2019 19:44:30 GMT
Location: Atlanta, GA 30309
Reviews documentation in inpatient and/or hospital outpatient/clinic medical records, and accurately and completely assigns diagnostic and procedural ICD-10-CM,… More 



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Medical Coder

Posted on:  Wed, 28 Aug 2019 18:26:39 GMT
Location: Altamonte Springs, FL 32701
6 months medical office experience. Coding and reviewing codes prior to submitting claims. Medical knowledge to be able to engage in communication with provider… More 



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Medical Coder

Posted on:  Thu, 26 Sep 2019 18:44:13 GMT
Location: Sikeston, MO 63801
Past experience coding with ICD 9 CM Coding system, preferably in a hospital setting, is required. Knowledge of the ICD 10 coding system, medical terminology,… More 



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Medical Coder

Posted on:  Tue, 06 Aug 2019 18:28:38 GMT
Location: Miamisburg, OH 45342
Participate in peer review of coded medical records. Assist with monitoring and resolving any coding or corporate compliance concerns. More 



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Professional Coder (1.0 FTE)

Posted on:  Wed, 14 Aug 2019 14:59:33 GMT
Location: Brainerd, MN 56401
Successful completion or currently enrolled in a medical coding program which includes completed course work in ICD-1-CM, HCPCS, CPT codes, medical terminology,… More 



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Coder

Posted on:  Wed, 11 Sep 2019 15:08:58 GMT
Location: Arlington, VA 22204
Performs specialty tasks assigned to the Coding Section involving screening and reporting of data to medical staff committees and legally mandated registries. More 



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Coding Specialist I

Posted on:  Thu, 26 Sep 2019 19:48:28 GMT
Location: Dallas, TX
UTSouthwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. More 



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Medical Coder

Posted on:  Sat, 02 Mar 2019 22:11:24 GMT
Location: Indianapolis, IN 46250
This person will be responsible for policy and procedure creation regarding coding processes. Ability to provide guidance to the corporation in process… More 



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Medical Coder

Posted on:  Thu, 26 Sep 2019 15:32:42 GMT
Location: Oak Ridge, TN 37830
Robust medical benefits & 401(k). Working knowledge of Pain Management, ENT, Ortho coding preferred. In this role, you will work independently in a small team… More 



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Coder I

Posted on:  Tue, 17 Sep 2019 14:23:51 GMT
Location: La Jolla, CA 92037
Converts diagnosis and procedure data from patient medical record to ICD-9-CM/ICD-10 or similar coding scheme. Meets productivity and quality standards. More 



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Coding Specialist I

Posted on:  Wed, 07 Aug 2019 06:33:17 GMT
Location: Cincinnati, OH 45219
Performs diagnosis and limited procedure coding with accurate implementation of ICD-9-CM,ICD-10-CM/PCS, and/or CPT coding guidelines. More 



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Coding Specialist I

Posted on:  Wed, 25 Sep 2019 06:10:47 GMT
Location: Tyler, TX 75701
Thorough understanding of ICD-10-CM/PCS Official Coding Guidelines for Coding and Reporting and AHA Coding Clinic. Understanding of coding resources and tools. More 



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Coding Specialist I

Posted on:  Fri, 06 Sep 2019 02:04:57 GMT
Location: Peoria, IL 61605
Assigns procedural codes according to coding conventions defined by the American Medical Association’s CPT manual, CMS, including the Correct Coding Initiative,… More 



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Coding Specialist I

Posted on:  Tue, 07 May 2019 08:58:43 GMT
Location: New Orleans, LA
Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program. More 



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Coding Specialist I

Posted on:  Wed, 24 Jul 2019 20:56:01 GMT
Location: New Orleans, LA
Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program. More 



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Coding Specialist I

Posted on:  Mon, 22 Jul 2019 08:04:32 GMT
Location: Township of Brick, NJ
CCS and ICD 10 certified Previous experience coding inpatient medical records in an acute care setting. Codes data from records utilizing computerized coding… More 



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Coder

Posted on:  Fri, 20 Sep 2019 00:27:35 GMT
Location: Remote
Our medical coders are an important part of the medical record team. Thorough knowledge of coding guidelines, medical terminology, anatomy/physiology,… More 



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Coding Specialist I

Posted on:  Mon, 08 Jul 2019 17:03:35 GMT
Location: North Platte, NE 69101
Demonstrates competency in ICD-9/10-CM and CPT coding by coding pursuant to coding rules of said coding systems. Bend, stoop, and crouch occasionally. More 



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Health Information Coder I

Posted on:  Sat, 27 Jul 2019 11:39:55 GMT
Location: San Bernardino County, CA
Abstracting and coding patient charts utilizing ICD-10 and CPT coding classifications; One (1) year of full-time equivalent experience within the past five (5)… More 



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Onkologische Dokumentations- und Studienassistentin (m/w/d) für das Lungenkrebszentrum in Vollzeit in Katholisches Klinikum Koblenz·Montabaur

Posting Date: Thu, 19 Sep 2019 10:40:06 GMT
City:Koblenz
State: RP
Country: Germany
Weiterbildung zur zertifizierten Study Nurse wünschenswert. Erfolgreich abgeschlossene Berufsausbildung zum Medizinischen Dokumentar oder Medizinischen…

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Hospital Coding Specialist, Level I

Posted on:  Mon, 15 Jul 2019 21:48:36 GMT
Location: Eugene, OR
Up to three years ICD-10 coding or CPT facility coding and abstracting preferred. Completion of classes in medical terminology, anatomy and physiology, ICD-10… More 



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eine Advanced Practice Nurse (m/w/d) in Universitätsmedizin Mainz

Posting Date: Fri, 13 Sep 2019 13:35:30 GMT
City:Mainz
State: RP
Country: Germany
Eine Advanced Practice Nurse (m/w/d). Das Zentrum für Kardiologie sucht zum nächstmöglichen Zeitpunkt für die Heart Valve Unit (IMC.

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Wissenschaftliche/n Mitarbeiter/in (65%) in LMU

Posting Date: Wed, 25 Sep 2019 11:43:21 GMT
City:München
State: BY
Country: Germany
Anleitung und Koordination der studentischen/wissenschaftlichen Hilfskräfte/Study Nurse. Wissenschaftliche/n Mitarbeiter/in TV-L E13 65%.

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Study Nurse, Dokumentar, Dokumentationsassistent (m/w/d) für unsere Klinik für Kinder- und … Jugendmedizin in HELIOS Kliniken GmbH

Posting Date: Fri, 27 Sep 2019 17:54:52 GMT
City:Erfurt
State: TH
Country: Germany
Die Zusatzqualifikation/Ausbildung zur Studienassistenz (Study Nurse) bzw. Die Helios Klinikum Erfurt GmbH ist ein Krankenhaus der Maximalversorgung und…

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Advanced Nurse Practioner (m/w/d) in Universitätsklinikum Bonn

Posting Date: Mon, 16 Sep 2019 09:17:40 GMT
City:Bonn
State: NW
Country: Germany
Eine*n Gesundheits- und Krankenpfleger*in als Advanced Nurse Practicioner. Gestalten Sie mit uns die Zukunft der Medizin! Für alle, die mehr wollen.

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Study Nurse/ Studienassistent/ Medizinische Fachangestellte, Dokumentationsassistenten (m/w/d) in Universitätsklinikum Würzburg

Posting Date: Mon, 23 Sep 2019 11:27:05 GMT
City:Würzburg
State: BY
Country: Germany
Study Nurse/ Studienassistent/ Medizinische Fachangestellte, Dokumentationsassistenten (m/w/d). Study Nurse/ Studienassistent/ Medizinische Fachangestellte,…

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Clinical Specialist - EMEA in AtriCure, Inc.

Posting Date: Fri, 20 Sep 2019 19:32:38 GMT
City:
State:
Country: Germany
Nurse, scrub nurse with experience in Cardiac Surgery or EP Lab. Provides innovative technologies for the treatment of Atrial Fibrillation (Afib) and related…

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Coding Specialist I

Posted on:  Wed, 25 Sep 2019 06:10:47 GMT
Location: Tyler, TX 75701
Thorough understanding of ICD-10-CM/PCS Official Coding Guidelines for Coding and Reporting and AHA Coding Clinic. Understanding of coding resources and tools. More 



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Mitarbeiter (m/w/d) im Belegungsmanagement der Geriatrie - Geri-Nurse in HELIOS Kliniken GmbH

Posting Date: Wed, 18 Sep 2019 17:55:28 GMT
City:Duisburg
State: NW
Country: Germany
Helios ist Europas führender privater Krankenhausbetreiber mit insgesamt rund 100.000 Mitarbeitern. Zum Unternehmen gehören unter dem Dach der Holding Helios…

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Coding Specialist I

Posted on:  Tue, 07 May 2019 08:58:43 GMT
Location: New Orleans, LA
Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program. More 



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Coding Specialist I

Posted on:  Wed, 24 Jul 2019 20:56:01 GMT
Location: New Orleans, LA
Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program. More 



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Study Nurse (m/w/d), Medizinische Dokumentationsassistentin (m/w/d) oder Medizinische Fachangestellte (m/w/d) in Universitätsklinikum Heidelberg

Posting Date: Tue, 17 Sep 2019 01:26:18 GMT
City:Heidelberg
State: BW
Country: Germany
Zum nächstmöglichen Zeitpunkt im Nationalen Centrum für Tumorerkrankungen (NCT) für die Medizinische Onkologie gesucht. Freude an der Arbeit im Team.

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Coding Specialist I

Posted on:  Mon, 22 Jul 2019 08:04:32 GMT
Location: Township of Brick, NJ
CCS and ICD 10 certified Previous experience coding inpatient medical records in an acute care setting. Codes data from records utilizing computerized coding… More 



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Coder

Posted on:  Fri, 20 Sep 2019 00:27:35 GMT
Location: Remote
Our medical coders are an important part of the medical record team. Thorough knowledge of coding guidelines, medical terminology, anatomy/physiology,… More 



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Coding Specialist I

Posted on:  Mon, 08 Jul 2019 17:03:35 GMT
Location: North Platte, NE 69101
Demonstrates competency in ICD-9/10-CM and CPT coding by coding pursuant to coding rules of said coding systems. Bend, stoop, and crouch occasionally. More 



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Health Information Coder I

Posted on:  Sat, 27 Jul 2019 11:39:55 GMT
Location: San Bernardino County, CA
Abstracting and coding patient charts utilizing ICD-10 and CPT coding classifications; One (1) year of full-time equivalent experience within the past five (5)… More 



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Hospital Coding Specialist, Level I

Posted on:  Mon, 15 Jul 2019 21:48:36 GMT
Location: Eugene, OR
Up to three years ICD-10 coding or CPT facility coding and abstracting preferred. Completion of classes in medical terminology, anatomy and physiology, ICD-10… More 



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Friday 27 September 2019

INCA announces stellar shortlist ahead of annual awards

Manchester event will mark tenth anniversary of INCA while honouring those making the biggest impact on the UK’s independent broadband sector

London, UK, 27 September 2019 – As all eyes turn towards the next chapter in the UK’s quest to meet ambitious full fibre targets ahead of 2025, the Independent Networks Co-operative Association (INCA) has revealed its 2019 INCA Golds awards shortlist.


The organisations shortlisted include 5GRIT, Airband, Blu Wireless, B4YS, Cameron Barney, Connecting Cambridgeshire, EMS, Herefordshire & Gloucestershire – Fastershire, ITS Technology Group, Gaist, MLL Telecom, Truespeed, Stirling Council and the Welsh Government. Andrew Ferguson of Thinkbroadband, Dana Tobak of Hyperoptic and Tom Rigg of B4RN, have also been shortlisted for individual awards.


Recognising a number of joint initiatives to improve connectivity across the UK, Stormontfield Community Association has also been shortlisted for an award for its project with Broadway Partners and Perth and Kinross Council to connect the community of Stormontfield. Superfast Dorset and Wessex Internet have also been nominated for two awards for their collaborative work.


Launched in 2018 to celebrate the inroads being made in the UK independent broadband market, the INCA Golds awards winners will contend for a prestigious INCA Gold at the INCA Conference and Awards 2019, which will be held in Manchester, on October 16.


“We are delighted to have had such a high volume of entries for the second year running,” said Malcolm Corbett, CEO at INCA. “What has been especially interesting is the variety of entries we have received. There has been a real shift towards a wider participation than before, with entries coming not only from those providing crucial services to rural and underserved communities through fibre, but also from those now providing networks via some fascinating and innovative new means.


“What’s also striking, is that despite so much change taking place right now within the industry and a certain level of uncertainty still present with Brexit and political unknowns, there still seems to be a great deal of activity in terms of new and emerging networks coming into the arena,” added Corbett.


The 2019 awards follow INCA’s introduction of its Gold Standard Quality Mark. The INCA Gold Standard Quality Mark not only highlights best practices in performance and design and operations, it also provides assurance to consumers, helping them to buy with confidence when choosing internet packages.


Now in its tenth year, INCA has recently welcomed 34 new members, bringing its total membership to more than 130. The 2019 Awards Dinner will firmly acknowledge the increasing role that the UK’s independent broadband networks are playing.


The winners will be revealed at the climax of day one of the tenth INCA Conference which will host key speakers including James Heath, Director, Digital Infrastructure, Department of Digital, Culture, Media and Sport (DCMS); Kees De Ward, President of FTTH Council Europe, Jonathan Oxley, Competition Director at Ofcom, Wenbing Yao, Director of Strategy and Marketing at Huawei, Chi Onwurah, MP, plus local authorities, investors and leaders from the altnet sector.


The INCA Conference will take place at the Mercure Manchester Piccadilly Hotel, Manchester on October 16 and 17.


To find out more about the Annual INCA Awards Dinner, please visit: https://www.inca.coop/civicrm/event/info?reset=1&id=138. To find out more about the Annual INCA Conference, please visit: https://www.inca.coop/civicrm/event/info?reset=1&id=135.


To register to attend and to book a table, please visit: https://www.inca.coop/civicrm/event/register?id=135&reset=1.


- ENDS -


Notes to editors


About INCA
The Independent Networks Co-operative Association (INCA), was established in 2010 as a co-operative trade association for next generation broadband services. INCA brings together the most innovative thinkers in the independent alternative network sector, creating new digital infrastructure in the UK and Ireland.


PR contact
Jayne Brooks
Proactive PR
jayne.brooks@proactive-pr.com
+44 (0)1636 704 888


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Thursday 26 September 2019

ZTE showcases 5G use cases in partnership with Ooredoo Myanmar

26 September 2019, Shenzhen, China - ZTE Corporation (0763.HK / 000063.SZ), a major international provider of telecommunications, enterprise and consumer technology solutions for the Mobile Internet, has today announced its partnerships with Ooredoo Myanmar to demonstrate multiple real-life 5G experiences for the first time in Myanmar at Myanmar Plaza Yangon.

The demonstration showcases a range of 5G use cases, including 5G speed, immersive Virtual Reality (VR) experience, as well as an innovative drone-based monitoring system, thereby setting a new benchmark in Myanmar’s telecommunications industry.


The live speed test reached up to 1.75 Gbps on Ooredoo Myanmar’s 5G network. This ultra-fast speed will support multi-gigabit mobile connectivity, AR and VR experiences, high-definition voice, ultra-high-definition live broadcast, 3D videos, emergency services, automated driving, critical infrastructure monitoring and so on.


The VR demonstration under Ooredoo Myanmar’s 5G network allows viewers to experience ultra-realistic views of every single camera angle without any buffering. By virtue of 5G network, virtual reality will bring an unparalleled viewing experience, which can be applied to various sectors, including retail, education, tourism, gaming and security.


Moreover, in partnership with ZTE, Ooredoo Myanmar demonstrates a drone-based monitoring system around Inya Lake. Operated on Ooredoo Myanmar’s 5G network, the drone can take images and record videos while flying. Empowered by HD cameras and streaming capabilities, the intelligent drone supports automatic delivery of images and remote inspection.


The drone-based monitoring system can also be applied to various scenarios, such as pollution control and temperature measurement.


“The demonstration embodies our readiness to lead the digital transformation across the society, the industry and day-to-day life in Myanmar. We are excited to provide our customers with new experiences in partnership with ZTE Corporation,” said Mr. Rajeev Sethi, CEO of Ooredoo Myanmar. “Leveraging 3.5GHz and 2.6GHz spectrum, Ooredoo Myanmar will deploy its 5G network by virtue of ZTE’s technologies.”


Mr. Mei Zhonghua, SVP of ZTE Corporation said, “ZTE is focused on leading 5G innovations, which will definitely empower Myanmar people in the future. In the development of the digital economy, this new-generation network infrastructure will play an important role. 5G applications are accelerating the modernization of our entire society, promoting the penetration of information and communication technologies into all the industries, and transforming our future into the digital era. ZTE is willing to work and cooperate with Ooredoo Myanmar to innovate together for a 5G world of intelligence and digitalization in Myanmar.”


ZTE is a provider of advanced telecommunications systems, mobile devices, and enterprise technology solutions to consumers, carriers, companies and public sector customers. As part of ZTE’s strategy, the company is committed to providing customers with integrated end-to-end innovations to deliver excellence and value as the telecommunications and information technology sectors converge. Listed in the stock exchanges of Hong Kong and Shenzhen (H share stock code: 0763.HK / A share stock code: 000063.SZ), ZTE sells its products and services in more than 160 countries. To date, ZTE has obtained 25 commercial 5G contracts in major 5G markets such as Europe, Asia Pacific, MEA, etc. ZTE commits 10 per cent of its annual revenue to research and development and has leadership roles in international standard-setting organizations. ZTE is committed to corporate social responsibility and is a member of the UN Global Compact.


END


Media Inquiries:
Ooredoo Communication Team
Phone: +959973333322
Email: mhan1@ooredoo.com.mm


ZTE Myanmar Communications
Phone: +959400788823
Email: shangni.sunny@zte.com.cn


About Ooredoo Myanmar
Ooredoo Myanmar was awarded a licence to operate in Myanmar in June 2013. Ooredoo is now a leading provider of telecommunication services in Myanmar with the objective of “Enriching people’s digital lives”. Ooredoo Myanmar today has a range of life enriching services for consumers to enterprise, government and SME customers. These services provide a platform for human growth and empowerment and are designed to help people achieve their full potential and businesses run more efficiently. Ooredoo Myanmar is committed to enrich the lives of Myanmar people through its products, services and CSR initiatives.


Instagram: @ooredoomyanmar
Facebook: www.facebook.com/OoredooMyanmar
LinkedIn: www.linkedin.com/company/ooredoomyanmar


About ZTE Corporation
ZTE is a provider of advanced telecommunications systems, mobile devices, and enterprise technology solutions to consumers, carriers, companies and public sector customers. As part of ZTE’s strategy, the company is committed to providing customers with integrated end-to-end innovations to deliver excellence and value as the telecommunications and information technology sectors converge. Listed in the stock exchanges of Hong Kong and Shenzhen (H share stock code: 0763.HK / A share stock code: 000063.SZ), ZTE sells its products and services in more than 160 countries. To date, ZTE has obtained 25 commercial 5G contracts in major 5G markets such as Europe, Asia Pacific, MEA, etc. ZTE commits 10 per cent of its annual revenue to research and development and has leadership roles in international standard-setting organizations. ZTE is committed to corporate social responsibility and is a member of the UN Global Compact.


Twitter: https://twitter.com/ZTEPress
Facebook: www.facebook.com/ZTECorp/


About ZTE Myanmar
ZTE established the first office in Yangon in 1999. Now ZTE Myanmar has about 400+ employees. ZTE has been dedicated to the network construction in Myanmar in the past two decades. And in the future, ZTE will keep on helping Myanmar develop her telecommunication industry.


Facebook: https://facebook.com/ZTE-Myanmar-314619332534150/


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Tuesday 24 September 2019

CMS Increases Scrutiny of Owners through Medicare Provider Enrollment Process

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The Centers for Medicare & Medicaid Services (CMS) issued a final rule on September 5, 2019, intended to address program integrity and vulnerability issues. The Office of the Inspector General (OIG) testified before Congress in 2011 that fraud schemes relied on the use of networks of affiliations among fraudulent owners, allowing bad actors to disguise their true ownership by use of nominee owners to bill Medicare fraudulently, close down, take over another company, and repeat the process in another location. Currently providers and suppliers can be denied, revoked, or terminated from participating in Medicare, Medicaid, or the Children’s Health Insurance Program (CHIP), but absent a felony conviction, exclusion, or debarment, the owners of these provider entities will often remain as direct or indirect participants in these programs. The new rule is intended prevent bad actors from circumventing Medicare requirements by using elaborate, inter-provider relationships, or through name and identity changes. Additionally, CMS will have authority to deny or revoke a provider’s or supplier’s Medicare enrollment in certain specified circumstances. These new enforcement authorities will work hand-in-hand with current change of ownership requirements to give CMS greater authority to deny or revoke enrollment.


The major provisions of the rule include the following:


Affiliation Disclosure


The new rule will require that Medicare, Medicaid, and CHIP providers and suppliers disclose any current or previous direct or indirect affiliation with a provider or supplier that:



  • Has uncollected debt;

  • Has been or is subject to a payment suspension under a federal health care program;

  • Has been or is excluded by the Office of Inspector General (OIG) from Medicare, Medicaid, or CHIP; or

  • Has had its Medicare, Medicaid, or CHIP billing privileges denied or revoked.

These disclosable events will allow CMS to deny enrollment if the affiliation poses an undue risk of fraud, waste, or abuse.


Revocation Authority


CMS will have the authority to deny or revoke a provider or supplier’s Medicare enrollment if it is determined that the provider or supplier’s enrollment is currently revoked under a different name, numerical identifier, or business identity, and the reenrollment bar period has not expired. Of particular note, revocation may apply to all of a provider or supplier’s practice locations, regardless of whether they are part of the same enrollment, if the provider or supplier knowingly billed for services performed at or furnished items from a location that it knew or reasonably should have known did not comply with Medicare enrollment requirements.


Physicians or eligible professionals may also face revocation of Medicare enrollment if they have shown an abusive pattern or practice of ordering, certifying, referring, or prescribing Medicare Part A or B services, items, or drugs, or otherwise fail to meet Medicare requirements.


A provider or supplier’s enrollment may also be revoked if the provider or supplier has an existing debt that CMS has referred to the United States Department of the Treasury, including Medicare, Medicaid, or CHIP overpayments for which CMS or the state has sent notice of the debt to the affiliated provider or supplier, civil money penalties, and assessments.


Finally, a provider’s or supplier’s enrollment application may be denied if (1) the provider or supplier is currently terminated, suspended, or otherwise barred from participation in a state Medicaid program or any other federal healthcare program, or (2) the provider or supplier’s license is currently revoked or suspended in any state.


Increase in the Enrollment Bar


Previously the maximum enrollment bar was 3 years. The new rule increases that bar to 10 years, with some exceptions. Also, a provider or supplier may be prohibited from enrolling in the Medicare program for up to 3 years if its application is denied due to submission of false or misleading information, or omission of information from its application for enrollment. A provider or supplier whose participation is revoked from Medicare for a second time may now be barred from reentering the program for up to 20 years.


CMS expects to reap substantial savings due to these new enforcement authorities. New revocation authorities are expected to result in a 10-years savings of $4.16 billion, and new reenrollment and reapplication bar provisions are expected to result in a 10-years savings of $1.79 billion. Providers and suppliers may expect to assume some cost for compliance with the new rule, mainly associated with information collection.


The final rule with comment period is effective on November 4, 2019, and is available here.


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Photo courtesy of: CMS


Originally Published On: JD Supra


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Identifying & Addressing Common Medical Billing Errors Pre- & Post-Payment

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It is estimated that as high as 80 percent of medical bills contain errors.1 As healthcare costs continue to rise, so too is the need for healthcare payers to reduce overspending resulting from avoidable billing errors and improper claims reimbursement. 


Given the sheer volume of claims submitted each day, capturing and reconciling discrepancies based off of claims data alone isn’t just ineffective — it’s flat-out unviable. Payment integrity systems that review claims data against medical records are helping payers identify potential waste and abuse with greater accuracy than ever before, uncovering immediate and long-term cost savings opportunities. 


Here are five common coding and billing errors that could be costing your organization money — and that could be addressed through a comprehensive claims and medical record review. 


1. Discrepancies in Medical Drug Dosage Administered vs. Units Billed



Accurate medication coding is a critical component of the Healthcare Common Procedure Coding System (HCPCS). When a provider submits a drug administration claim, the units billed must match the dosage indicated in the HCPCS long descriptor as well as the volume administered to the patient, including any properly-discarded wastage. 


This would be impossible to determine through claims data alone; by examining questionable claims alongside the actual medical records, payers can better identify and recover overpayments made as a result of errors and omissions in the billing or coding process.  


2. DRG Coding Errors


Diagnosis-related groups (DRGs) categorize inpatient hospital stays into clinically-similar patient groups, allowing hospitals and providers to optimize the delivery of care and better manage resources. 


DRG coding errors are common and run the gamut from clerical oversight to fraudulent practices such as upcoding — that is, attempting to increase reimbursement through improper coding. Whether intentional or unintentional, DRG coding errors can have a substantial impact on the revenue cycle. A thorough review will not only ensure claims have been billed in accordance with all applicable guidelines, but that the medical record reflects the services and diagnoses written in the claim — and that costs are recovered accordingly. 


3. Billing Inaccuracies Around the Place of Service


Because inpatient care is generally more expensive than outpatient care and therefore yields higher reimbursement rates, payers are vulnerable to erroneous claim payments for outpatient services purportedly rendered in an inpatient environment. 


There are, however, ways to determine if the level of care reported was actually provided. Targeting only suspect claims, clinical reviewers can verify whether the details of the claim support an inpatient setting or should have been billed as outpatient or observational care. With this information, payers can recover the cost of the incorrect payment and rebill at the appropriate rate.


4. Overbilling for Post-Hospital SNF Care


Skilled nursing facilities (SNFs) have been in the spotlight recently for fraudulent billing practices, with HHS and DOJ reporting an approximate $47 million in skilled nursing recoveries in fiscal year 2018.2


While not always fraudulent, the fact that SNF reimbursements are based partially on the number of visits utilized provides some incentive to bill for more visits than medically necessary. Based on experience, HMS projects that up to 25 percent of SNF claims will be overpaid by nearly 15 percent of the net paid amount. For this reason, retrospective SNF claim reviews are becoming increasingly essential to maximize cost recovery for payers. 


5. IRF-PAI Coding Errors & Overpayments


Inpatient rehabilitation facilities (IRFs) are designated as such based on the intensity of the therapy provided. According to Medicare.gov, IRFs are designed for those with medical conditions requiring intensive rehabilitation, ongoing medical supervision and a coordinated care approach.3


IRF-level care must meet an extensive list of requirements in order to be deemed reasonable and necessary for coverage by Medicare. A review of targeted IRF claims can inform payers whether these criteria were met and facilitate a full or partial take back as applicable. 


Pre- & Post-Pay Solutions


Payment integrity programs are helping payers identify, recover and even prevent improper medical claim payments, reducing administrative burden and maximizing cost savings opportunities. Clinical Claim Review from HMS is a pre- and post-pay solution supporting all markets and payer types with expert, high-quality reviews of claims against medical records and an accuracy rate that exceeds CMS requirements. To learn how HMS may be able to recover costs for your organization, visit www.hms.com.


——————————————————


Photo courtesy of: Modern Healthcare


Originally Published On: Modern Healthcare


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