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In the Federal Register in 2000, the Office of Inspector General (OIG) Compliance Program for Individual and Small Group Physician Practices identified monitoring and auditing as one of the seven components that provide a solid basis for an effective compliance plan. And with an increase in regulatory and payer audit activity seeking to identify improper payments, it's wise for proactive physician practices to implement processes that will ensure proper compliance.
A new survey from tax audit and advisory firm KPMG shows wide ranging uncertainty among health plan, provider and pharmaceutical executives as to whether the existing business models are sustainable, despite the common belief that the broader healthcare economy is unsustainable in its current form.
Long-term care pharmacy provider, Omnicare, may have reached a settlement in a whistle-blower lawsuit brought against the company five years ago.
An ICD-10 expert discusses the new ICD-10 deadline with a focus on where healthcare organizations should be today in order to be ready on time.
A newly released report documents the successes of a private hospitals program to safely discharge homeless patients and save money for the participating hospitals.
A corner of the healthcare industry publicly asked the Department of Health and Human Services (HHS) to consider jumping directly to ICD-11. Here's a look at the reasons why this option was not selected by HHS.
Healthcare insurer Aetna has created Aetna Innovation Labs to focus on ways to improve patient outcomes by leveraging data and best practices.
Last week, the Jackson Health System, a six-hospital network based in Miami, announced it will be considering proposals for outsourcing physicians, physician assistants and advance nurse practitioners in its emergency departments.
Now that the Department of Health and Human Services has decided on the new ICD-10 deadline, one reality not to be overlooked is that October 1, 2014 is a mere two years away.
Mergers and acquisitions generally occur because organizations want to become bigger or they want to acquire capabilities that will make them more effective, but no matter what the reasons for the transactions, they aren't simple.