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By Susan Morse | 01:00 pm | December 27, 2016
CMS is increasing oversight and number of audits, expert says.
By Kaiser Health News | 10:21 am | December 15, 2016
Studies show testing is needed even if there are no signs of illness, also underscore need for monitoring how disease develops, access to treatment.
By Kaiser Health News | 10:18 am | October 07, 2016
80 percent of infected people don't show symptoms, so a test is the only way to know if they have contracted Zika.
By Kaiser Health News | 03:00 pm | September 06, 2016
As the Zika virus spreads both at home and abroad, new information is bringing to light how children, even those who at birth do not show obvious signs of impairment, are likely at a greater risk than previously believed.
By Kaiser Health News | 10:37 am | August 23, 2016
In total, 2,022 hospitals shared in the government payout, which settled 346,000 claims for reimbursement for treating Medicare patients admitted on or before Oct. 1, 2013.
By Beth Jones Sanborn | 12:01 pm | May 06, 2016
The implementation of MACRA and the introduction of the Quality Payment Program is "flexible common-sense approach" for paying physicians, acting Centers for Medicare and Medicaid Services chief Andy Slavitt said at the American Hospital Association's annual membership meeting this week, though the government is actively seeking feedback on the new program.
By Dawn Crump | 10:51 am | September 17, 2015
When organizations fail to include recovery audit contractors and other governmental auditor denials within their overall denial rate, an important piece of the revenue puzzle remains missing.
By Henry Powderly | 09:48 am | July 02, 2015
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.
By Dawn Crump | 11:32 am | June 09, 2015
These tips can help systems prevent audit denials now, and save dollars later.
By Susan Morse | 11:43 pm | April 14, 2015
The bill ends years of "doc fixes" to stop mandatory physician pay cuts from taking effect under a SGR formula for controlling costs, a measure most agreed never worked.