Compliance & Legal
More than half of all Medicare claims denial appeals are overturned by administrative law judges according to a recent report by the Office of Inspector General.
Litigation or threatened litigation in the senior care space is an ever-present facet of running a senior care business. An online panel discussion on Nov. 8 addressed ways in which boards of senior care businesses can avoid, or at least manage, legal trouble.
Short-term, contract nurses could be the key to alleviating the projected nationwide nursing shortage, according to a study published in the November issue of Health Affairs. Despite the promising study results, not all industry experts agree that contract nurses are the answer.
At the same time the government is encouraging healthcare providers, doctors and insurance companies to digitize healthcare information, the landscape for attacking that info is increasing dramatically. One industry insider provides seven tips for how to prevent a data breach.
Hospital Corporation of America (HCA) Inc., the parent company of Parkridge Medical Center in Chattanooga, Tenn., and Nashville, Tenn.-based HCA Physician Services, has agreed to pay the U.S. Department of Justice $16.5 million to settle claims that it violated the False Claims Act and the Stark Statute in 2007.
Patient-centered medical home models have proven that they reduce hospital admission and emergency room use in recent pilots.
With HHS issuing a final rule that establishes Oct. 1, 2014 as the ICD-10 compliance deadline, physicians and medical personnel are girding themselves for what many officials perceive to be a complex labyrinth of documentation.
The one-year proposed delay of the ICD-10 compliance deadline has been finalized announced the the Department of Health and Human Services on Friday. The final rule delays the compliance deadline from Oct. 1, 2013, to Oct. 1, 2014.
A new survey conducted by the Health Care Compliance Association (HCCA) shows that non-profit providers undergo a higher percentage of government audits than their for-profit peers.
As the acquisition of physician practices has once again become a hot topic, hospitals may be considering payment for certain intangible assets. For regulatory purposes, these transactions must remain consistent with the fair market value (FMV) standard under the Stark Law and Anti-Kickback Statute.