Susan Morse
The new proposal will repeal the current Sustainable Growth Rate and institute a 0.5 percent payment update each year for five years.
This year alone, prevention and enforcement efforts recovered $3.3 billion from individuals and companies that attempted to defraud federal health programs serving seniors, persons with disabilities or those with low incomes.
Anecdotal evidence suggests the coding shift might chase physicians into retirement.
However, the 2016 presidential election and potential legislative changes could shift the regulatory landscape and affect certain sectors of healthcare, a trend that could throw off M&A.
The audit, for years 2011 and 2012, covered $48 million in Medicare payments to the hospital for 7,506 claims potentially at risk for billing errors.
Premera hack puts renewed focus on securing sensitive healthcare info.
The acquisition gives Constellation a foothold in New York, New Jersey and Florida.
Clinics allegedly sought reimbursement for injection treatments, physical therapy treatments and other medical items and services not ordered by doctors.
Collect financial information upfront, fight insurance denials, and send a combined bill from hospital and physician among advice for hospital finance staff.
Owners are also charged with wire fraud for allegedly filing fraudulent applications for relief relating to the explosion and fire which occurred on the Deepwater Horizon oil rig in April 2010.