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Compliance & Legal

By Carl Natale | 11:52 am | December 04, 2014
We keep telling physicians that they may have to survive without reimbursement revenue for six months after the ICD-10 transition in Oct. 1, 2015. But it doesn't have to go down that way if organizations take practical steps.
By Bernie Monegain | 04:45 pm | December 03, 2014
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.
By Michelle Andrews, Kaiser Health News | 11:28 am | December 03, 2014
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.
By Henry Powderly | 10:58 am | December 02, 2014
Viral hashtag campaigns aren't new, but it's not often you see groundswell campaigns about healthcare management topics.
By Lisa Gillespie | 11:05 am | December 01, 2014
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.
By Carl Natale | 10:31 am | November 26, 2014
Opponents of the transition to ICD-10 coding were successful in attaching a delay to "must-pass" Congressional legislation earlier this year. If ICD-10 proponents are not vigilant, such tactics could work again.
By Jay Hancock, Kaiser Health News | 11:07 am | November 25, 2014
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.
By Kaiser Health News | 11:15 am | November 24, 2014
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.
By Erin McCann | 12:32 pm | November 17, 2014
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.
By Phil Galewitz, Kaiser Health News | 11:31 am | November 13, 2014
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.