Susan Morse
The Centers for Medicare & Medicaid Services on Monday said it will not deny claims under the Part B physician fee schedule based on ICD-10 coding errors, a decision supported by bitter ICD-10 opponent the American Medical Association.
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.
For the 2014 benefit year, over $7.9 billion in reinsurance payments will be made to 437 issuers nationwide.
The dedicated litigation team will focus on the smaller entities such as individual physicians and executives in civil penalties and exclusion cases.
The move expands Prospect's reach into New England -- it owns and operates 13 hospitals and 40 clinics in California, Texas and Rhode Island.
Hospital gains a 50-bed hospital and 152-bed nursing and rehabilitation center.
This is the second acquisition by Bolder Healthcare Solutions this month.
Renowned New Jersey system says changing healthcare market forced the decision.
The King v. Burwell ruling means more than six million residents in the 34 states with federal exchanges can keep their tax subsidies for healthcare insurance under the Affordable Care Act.
Yale created a process that linked financial and clinical data, giving physicians access to information they didn't have before.