Compliance & Legal
More than 50 accountable care organizations across the United States took in millions in incentive payments in 2014 after exceeding savings benchmarks set by the Centers for Medicare and Medicaid Services.
The Centers for Medicare & Medicaid Services intends to ramp up oversight of providers and to save taxpayers money, according to CMS Administrator Marilyn Tavenner, who announced new anti-fraud measures Wednesday.
Do it or else. Increasingly, that's the approach taken by employers who are offering financial incentives for workers to take part in wellness programs that incorporate screenings that measure blood pressure, cholesterol and body mass index, among other things.
Viral hashtag campaigns aren't new, but it's not often you see groundswell campaigns about healthcare management topics.
Seniors living in three states will now need prior approval from Medicare before they can get an ambulance to take them to cancer or dialysis treatments. The change is part of a three-year pilot to combat extraordinarily high rates of fraudulent billing by ambulance companies.
The Obama administration took another step to close what many see as a health-law loophole that allows large employers to offer medical plans without hospital coverage and bars their workers from subsidies to buy their own insurance.
Dr. Oliver Korshin, a 71-year-old ophthalmologist in Anchorage, is not happy about the federal government's plan to have all physicians use electronic medical records or face a Medicare penalty.
The former chief financial officer of a now-closed Texas hospital is one step closer to a potential five years in federal prison after pleading guilty to wrongly claiming EHR incentive money.
Millions of low-income children are failing to get the free preventive exams and screenings guaranteed by Medicaid and the Obama administration is not doing enough to fix the problem, according to the HHS Office of Inspector General.
Although CMS paused the RAC audit program in March, hospitals must remain vigilant. The agency has promised a new round of recovery auditor contracts will be awarded before the end of 2014.