Compliance & Legal

In late December, President Obama signed into law the Bipartisan Budget Act of 2013, which includes the Pathway for SGR Reform Act of 2013. While SGR drew most of the media attention, the Act includes a number of other provisions impacting the Medicare and Medicaid programs.

A new actuarial analysis of general and professional liability claim costs for long-term care facilities suggests that the years of flat claims frequency are over.

The California Department of Managed Health Care is trying to end the practice of emergency care "balance billing," just as thousands of new HMO members are being created.

Abbott Laboratories has agreed to pay the United States $5.475 million to resolve allegations that the company violated the False Claims Act by paying improper kickbacks to induce doctors to use some of its products.

While the past year was relatively tame regarding ICD-10, at least in regard to the mad scramble some expect leading up to October 1, 2014, there were some significant developments.

The Centers for Medicare & Medicaid Services and the HHS Inspector General finalized the Stark law exemption on Friday, which allows hospitals to fund up to 85 percent of EHR costs for physicians.

In 2013, $2.6 billion of the $3.8 billion the DOJ recovered under the False Claims Act were related to healthcare fraud.

I don't mean to pick on healthcare IT vendors, but they're going to be in for some tough criticism in 2014, according to the results of a Workgroup for Electronic Data Interchange ICD-10 survey.

Planning for ICD-10 is overwhelming, but attempting the transition without a well-organized plan could be catastrophic for your organization. Here are five steps to help make your ICD-10 plan more manageable.

The suit alleges that IPC submitted false claims to the federal healthcare programs by upcoding medical services.