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CMS unveils new Medicare payment proposal

On April 27, The Centers for Medicare and Medicaid (CMS) released, for public comment, proposed changes to how Medicare will ...
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SCOTUS Hears Arguments on Implied Certification Theory

Last month, the United States Supreme Court took up the issue of whether False Claims Act (FCA) cases may be ...
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States’ failure to implement NCCI edits cost Medicaid program billions annually

Improper payments to healthcare providers cost the Medicaid program approximately $17.5 billion in fiscal year 2014, according to a new ...
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A doctor holding up a dollar sign with his stethoscope.

CMS announces new payment model for primary care physicians

The Centers for Medicare and Medicaid Services (CMS) last week announced a new risk-based primary care initiative designed to “transform ...
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