Tag Archives: Medicare

Lawyer: Fraud crackdown on physicians ramping up, so be prepared

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http://www.healthcarefinancenews.com/news/lawyer-fraud-crackdown-physicians-ramping-so-be-prepared?mkt_tok=3RkMMJWWfF9wsRohu67OZKXonjHpfsX57u4rUa6zlMI%2F0ER3fOvrPUfGjI4GSctjI%2BSLDwEYGJlv6SgFQ7LHMbpszbgPUhM%3D

The healthcare industry is now getting the scrutiny that financial institutions and other publicly traded companies have experienced, said Phil Bezanson, a partner at Bracewell & Giuliani in Houston.

The healthcare industry is now getting the scrutiny that financial institutions and other publicly traded companies have experienced.

CMS to soften two-midnight rule, allow for exceptions

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http://www.healthcarefinancenews.com/news/cms-soften-two-midnight-rule-allow-exceptions?mkt_tok=3RkMMJWWfF9wsRohu67OZKXonjHpfsX57u4rUa6zlMI%2F0ER3fOvrPUfGjI4GSctjI%2BSLDwEYGJlv6SgFQ7LHMbpszbgPUhM%3D

CMS is proposing that physicians be able to make case-by-case exceptions to the rule, classifying certain short stays as inpatient so that they would be paid under Medicare Part A.

CMS is proposing that physicians be able to make case-by-case exceptions to the rule, classifying certain short stays as inpatient so that they would be paid under Medicare Part A.

Distinct enforcement trends emerge following the largest fraud takedown in history

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http://www.fiercehealthpayer.com/antifraud/story/distinct-enforcement-trends-emerge-following-largest-fraud-takedown-history/2015-06-30?utm_medium=nl&utm_source=internal

HighRiskMagnifyingGlass

Following $450 million settlement, DaVita subpoenaed for Medicare Advantage coding

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http://www.fiercehealthpayer.com/antifraud/story/following-450-million-settlement-davita-subpoenaed-medicare-advantage-codin/2015-06-29?utm_medium=nl&utm_source=internal

Recruitment Process

Subpoena part of a larger focus on Medicare Advantage plans

Ex-CFO sentenced for Meaningful Use fraud, but money may be gone

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Ex-CFO sentenced for Meaningful Use fraud, but money may be gone

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243 healthcare professionals accused in $712 million ‘biggest ever’ fraud takedown

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http://www.healthcarefinancenews.com/news/243-healthcare-professionals-accused-712-million-biggest-ever-fraud-takedown?mkt_tok=3RkMMJWWfF9wsRogs6zNZKXonjHpfsX57u4rUa6zlMI%2F0ER3fOvrPUfGjI4GT8JlI%2BSLDwEYGJlv6SgFQ7LHMbpszbgPUhM%3D

Medicine and Dollars

The Medicare Fraud Strike Force targeted fraud in 17 districts in the states of Florida, Texas, California, Louisiana, New York and Michigan.

Slow Going on ACO Risk

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http://www.healthleadersmedia.com/content/HEP-317609/Slow-Going-on-ACO-Risk

HighRiskMagnifyingGlass

Even as participation in ACOs grows, providers are hesitant to advance to models with more risk. CMS has now extended the least risky ACO track for three more years.

Fifty Years In, Medicare Has Transformed Health Care. What’s In Store For The Next Fifty?

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http://healthaffairs.org/blog/2015/06/17/fifty-years-in-medicare-has-transformed-health-care-whats-in-store-for-the-next-fifty/

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