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Compliance & Legal

By Jordan Rau, Kaiser Health News | 11:51 am | December 09, 2013
During the first eight months of this year, fewer than 18 percent of Medicare patients ended up back in the hospital within a month of discharge, the lowest rate in years, the federal government reported Friday.
By Stephanie Bouchard | 10:02 am | December 02, 2013
As the government continues to crack down on fraud, healthcare providers are likely to soon become familiar -- if they aren't already -- with civil investigative demands. A former federal prosecutor offers tips to providers on how they can potentially narrow the scope of CIDs.
By Carl Natale | 11:17 am | November 20, 2013
"This is only a test" is one of those phrases meant to put people at ease. But when it comes to ICD-10 testing, maybe healthcare providers shouldn't be at ease.
By Carl Natale | 10:56 pm | November 06, 2013
If hospitals and health systems do not get buy-in from their physicians, the ICD-10 transition may be hazardous to the health of the organization. Here are five tactics that will help.
By Stephanie Bouchard | 11:13 am | November 05, 2013
The settlement is one of the largest in the history of healthcare fraud in the U.S., including criminal fines and forfeiture totaling $485 million and civil settlements with the federal government and 45 states totaling $1.72 billion.
By Kevin Fuller | 11:40 am | October 31, 2013
For Halloween, compliance expert Sheridan Johnson shares compliance tales of terror that will send shivers down the spines of CFOs everywhere.
By Mary Mosquera | 11:55 am | October 29, 2013
Medical device maker Stryker Corp. will pay $13.3 million to the Securities and Exchange Commission to settle civil charges that the company bribed physicians, healthcare professionals and government officials to obtain or keep business in five countries.
By Anthony Brino | 04:24 pm | October 21, 2013
Making healthcare quality reporting more patient-centered should be a natural part of making healthcare itself more patient-centered, say two authors of a recent New England Journal of Medicine article.
By Paul Cerrato | 11:52 am | October 15, 2013
A growing number of hospitals and practices are incorporating compliance into a carefully crafted strategic plan that not only reduces the risk of large penalties, but may even provide revenue opportunities.
By Carl Natale | 06:21 pm | October 14, 2013
For the most part, the largest U.S. healthcare providers have been very organized and prepared for ICD-10 implementation. Is there anything we can learn from their experience?