Hospitals fire back at GAO study faulting 340B program

http://www.healthcaredive.com/news/hospitals-fire-back-at-gao-study-faulting-340b-program/402011/

Hospitals and the HHS are questioning GAO findings that hospitals serving high numbers of low- income patients abuse a federal drug discount via the 340B Drug Pricing Program by overprescribing medications.

CMS proposes paying for end-of-life planning in new draft rule

http://www.healthcaredive.com/news/cms-proposes-paying-for-end-of-life-planning-in-new-draft-rule/402023/

The Centers for Medicare and Medicaid Services on Wednesday released a draft of Medicare’s first physician payment rule that would reimburse physicians for providing end-of-life counseling.

Meaningful Use Program: Why it failed and how to save it

http://www.brookings.edu/blogs/techtank/posts/2015/07/06-meaningful-use-program?utm_source=Sailthru&utm_medium=email&utm_term=Healthcare%20Dive&utm_campaign=Issue%3A%202015-07-07%20Healthcare%20Dive

Big-data

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

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

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

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

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

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

Meaningful-Use-Audit

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

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.