243 healthcare professionals accused in $712 million ‘biggest ever’ fraud takedown Posted on June 18, 2015 by henrykotula • Posted in Uncategorized • Tagged Fraud and Abuse, Health System, Healthcare, Hospital, Medicare, Medicare Fraud, Medicare Strike Force, Rev Cycle • Leave a comment http://www.healthcarefinancenews.com/news/243-healthcare-professionals-accused-712-million-biggest-ever-fraud-takedown?mkt_tok=3RkMMJWWfF9wsRogs6zNZKXonjHpfsX57u4rUa6zlMI%2F0ER3fOvrPUfGjI4GT8JlI%2BSLDwEYGJlv6SgFQ7LHMbpszbgPUhM%3D The Medicare Fraud Strike Force targeted fraud in 17 districts in the states of Florida, Texas, California, Louisiana, New York and Michigan. Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Share on LinkedIn (Opens in new window) LinkedIn Like Loading...
Slow Going on ACO Risk Posted on June 18, 2015 by henrykotula • Posted in Uncategorized • Tagged ACO, Health System, Healthcare, Hospital, Medicare, Medicare Shared Saving Program, Pioneer ACO • Leave a comment http://www.healthleadersmedia.com/content/HEP-317609/Slow-Going-on-ACO-Risk 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. Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Share on LinkedIn (Opens in new window) LinkedIn Like Loading...
Fifty Years In, Medicare Has Transformed Health Care. What’s In Store For The Next Fifty? Posted on June 17, 2015 by henrykotula • Posted in Uncategorized • Tagged Health System, Healthcare, Hospital, Medicare, Medicare History, Reform • Leave a comment http://healthaffairs.org/blog/2015/06/17/fifty-years-in-medicare-has-transformed-health-care-whats-in-store-for-the-next-fifty/ Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Share on LinkedIn (Opens in new window) LinkedIn Like Loading...
Some cost shifting claims Posted on June 17, 2015 by henrykotula • Posted in Uncategorized • Tagged ACA, Cost Shifting, Health System, Healthcare, Hospital, Medicaid, Medicare, Reform • Leave a comment Some cost shifting claims Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Share on LinkedIn (Opens in new window) LinkedIn Like Loading...
D.C. hospital pays $12.9 million to settle false claims case Posted on June 16, 2015 by henrykotula • Posted in Uncategorized • Tagged Dept of Justice, False Claims, Hospital, Medicaid, Medicare, Medicare Cost Report, Whistle Blower • Leave a comment http://www.bizjournals.com/washington/blog/2015/06/d-c-hospital-pays-12-9-million-to-settle-false.html?ana=e_du_pap&s=article_du&ed=2015-06-15&u=FAuoHGaGEPdmk4X6khnaiw045b16af&t=1434471604 Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Share on LinkedIn (Opens in new window) LinkedIn Like Loading...
To Increase Value in Medicare, Expand Coverage To Long-Term Care Posted on June 12, 2015 by henrykotula • Posted in Uncategorized • Tagged Healthcare, Healthcare Policy, Long Term Care, Medicare • Leave a comment http://healthaffairs.org/blog/2015/06/12/to-increase-value-in-medicare-expand-coverage-to-long-term-care/ Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Share on LinkedIn (Opens in new window) LinkedIn Like Loading...
Strengthening Medicare for 2030 Posted on June 10, 2015 by henrykotula • Posted in Uncategorized • Tagged Healthcare, Healthcare Policy, Medicare, Medicare Beneficiaries, Medicare Spending, Reform • Leave a comment http://www.brookings.edu/~/media/Research/Files/Papers/2015/06/04-medicare-2030-paper-series/Chartbook2030_Final.pdf?la=en Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Share on LinkedIn (Opens in new window) LinkedIn Like Loading...
Deadly Infections Drive Billions in Hospital Bills to Medicare Posted on June 4, 2015 by henrykotula • Posted in Uncategorized • Tagged Deadly Infections, Health System, Healthcare, Hospital, Medicare, Sepsis • Leave a comment http://www.bloomberg.com/news/articles/2015-06-03/deadly-infections-drive-billions-in-hospital-bills-to-medicare?utm_source=Sailthru&utm_medium=email&utm_term=Healthcare%20Dive&utm_campaign=Issue%3A%202015-06-04%20Healthcare%20Dive Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Share on LinkedIn (Opens in new window) LinkedIn Like Loading...
Complex observation-status rules complicate patient care Posted on May 1, 2015 by henrykotula • Posted in Uncategorized • Tagged Health System, Hospital, Medicare, Observation, Reform, Skilled Nursing Facility • Leave a comment http://www.fiercehealthfinance.com/story/complex-observation-status-rules-complicate-patient-care/2015-04-21 Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Share on LinkedIn (Opens in new window) LinkedIn Like Loading...
Interpreting the latest ACO study Posted on April 17, 2015 by henrykotula • Posted in Uncategorized • Tagged ACA, ACO, Healthcare, Medicare, Reform • Leave a comment Interpreting the latest ACO study Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Share on LinkedIn (Opens in new window) LinkedIn Like Loading...
HENRY KOTULA 