Compliance & Legal
Roy Snell, CEO of the Heath Care Compliance Association and the Society of Corporate Compliance and Ethics spoke recently with Healthcare Finance News Editor René Letourneau about compliance trends in 2012.
The American Medical Association (AMA) urges HHS to put the breaks on ICD-10, while the American Health Information Management Association (AHIMA) wants to stay the course.
Hospital audits conducted through the Centers for Medicare & Medicaid Services' Recovery Audit Contractor (RAC) program are usually handled by compliance departments and are generally managed by a single full-time employee (FTE), according to a new survey from the Health Care Compliance Association (HCCA).
The U. S. Department of Health and Human Services announced Thursday that an independent review of proposed health insurance rate increases by Trustmark Life Insurance Company affecting members in five states are "unreasonable."
The Supreme Judicial Court of Massachusetts struck down a state law in effect since 2009 that barred some legal immigrants residing in the state from receiving subsidized health insurance coverage.
The United States Justice Department has joined a whistleblower case alleging that a national chain of for-profit hospices violated the False Claims Act by spending millions of taxpayer dollars to care for Medicare recipients in hospice who were not terminally ill.
Even though the Centers for Medicare & Medicaid Services has taken steps to curtail fraud and abuse from Medicare suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS), it needs to do more says a recently released report from the Office of Inspector General.
Providers offer options for the Supercommittee to cut Medicare costs by making better coverage decisions and discouraging routine unnecessary services.
The Centers for Medicare & Medicaid Services has taken its national 5010 testing days to the next level: a whole week – Aug. 22 to 26 – dedicated to testing in advance of the Jan. 1, 2012 compliance date.
Touting it as the first of its kind ACO in Northern California, Anthem Blue Cross and the Individual Practice Association Medical Group of Santa Clara County (SCCIPA) have announced a contract to provide accountable care to tens of thousands of Anthem PPO members in the Silicon Valley.