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Compliance & Legal

By Henry Powderly | 11:11 am | December 23, 2014
The number of accountable care organizations in Medicare's Shared Savings Program will grow by 89 in January 2015, the Centers for Medicare and Medicaid said this week, boosting the total participants to 405. Medicare ACOs will now serve more than 7.2 million patients.
By Keith Borglum | 12:51 pm | December 22, 2014
Healthcare provider reimbursement continues to decline and costs continue to increase, eating away at net income. Here are some ways to increase the net income of your practice during the next year.
By Jordan Rau, Kaiser Health News | 10:07 am | December 22, 2014
Medicare is penalizing 721 hospitals with high rates of potentially avoidable mistakes that can harm patients, known as "hospital-acquired conditions." Penalized hospitals will have their Medicare payments reduced by 1 percent over the fiscal year that runs from October 2014 through September 2015.
By Stephen Jencks | 10:57 am | December 18, 2014
There are two ways of thinking about, and therefore measuring, the rate of hospital readmissions, and they often lead to quite different results and quite different decisions on Medicare penalties.
By Henry Powderly | 10:36 am | December 18, 2014
Here's a look at some more recent headlines in the world of healthcare finance.
By Carl Natale | 11:47 am | December 17, 2014
The ICD-10 transition could affect every department at a healthcare system. That means success will depend on organized project management and planning.
By Bailey Grattelo | 11:10 am | December 17, 2014
As CMS moves to encourage more participation in its flagship ACO program, those who generated savings and met quality standards in Year 1 scored multimillion-dollar payments.
By Kaiser Health News | 12:11 pm | December 16, 2014
Independent Bill Walker, who won election last month in a governor's race so tight the results weren't known a week after the voting was over, campaigned on the promise that he'd expand Medicaid as one of his first orders of business.
By Debra A. McCurdy | 12:26 pm | December 15, 2014
Earlier this month, CMS published a final rule that expands the circumstances under which it may deny or revoke the Medicare enrollment of entities and individuals on program integrity grounds. Here are the details.
By Henry Powderly | 10:40 am | December 12, 2014
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.