Compliance & Legal
As Medicare spending on hospice care for nursing facility residents continues to grow, the Centers for Medicare & Medicaid Services should more closely scrutinize hospices, concludes a report from the Department of Health and Human Services' Office of Inspector General.
A proposed revision of the "advice" exemption of the Labor-Management Reporting and Disclosure Act (LMRDA) of 1959 will restrict access to legal counsel and forwards an organized labor agenda, opponents say.
With six months to go before the HIPAA 5010 electronic claims submissions compliance date, the Centers for Medicare and Medicaid Services have announced two 5010 national testing days.
Aetna and P4 Healthcare, a division of Cardinal Health, have announced an expansion of its evidence-based program to improve care by identifying and promoting best practices in the treatment of certain types of cancer.
In what Wall Street analysts are calling one of most contentious hostile takeover bids in recent memory, Tenet Healthcare filed a lawsuit in early April against Community Health Systems, charging CHS with admissions procedures that overbill Medicare.
EMD Serono, an affiliate of German drug maker Merck, has agreed to pay $44.3 million to settle a lawsuit alleging false claims submissions to Medicare and Medicaid for the multiple sclerosis drug Rebif.
The Department of Health and Human Services has launched a new initiative that will reward hospitals for the quality of care they provide to Medicare beneficiaries. HHS officials said the program would also help reduce healthcare costs.
The Engineering Services Network, an Arlington, Va.-based developer of engineering and technology solutions, has won a $4.2 million VistA Financial Annual Enhancements contract to improve the way in which the U.S. department of Veterans Affairs tracks costs and manages claims and billing for its health system.
Community Health Systems officials say a lawsuit filed by Tenet Healthcare that claims CHS overbilled Medicare by $280 billion from 2006-2009 is 'baseless' and shows Tenet is engaged in a 'scorched earth' defense of CHS' hostile takeover bid launched in early December.
MedAssets, based in Atlanta, has announced that The Nebraska Medical Center in Omaha will deploy the company's strategic sourcing and group purchasing, medical device and clinical consulting services for physician preference items, as well as the company's pharmacy consulting services.