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Medicare Improper Payments Fall to Lowest Level in Eight Years

The Centers for Medicare & Medicaid Services (CMS) announced last week that its efforts to reduce improper payments is working. ...
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Opioid Law Includes New Kickback Penalties for Drug Treatment Facilities/Labs

Last month, President Trump signed into law a bill designed to address matters relating to opioid use and abuse. Dubbed ...
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CMS 2019 Medicare Fee Schedule Designed to Reduce Administrative Burdens

The Centers for Medicare & Medicaid Services (CMS) has released its 2019 Physician Fee Schedule (PFS) and the Quality Payment ...
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CMS to Draft Rule Requiring Prior Authorization for Chiropractors

Look for a proposed rule later this year that could make it harder for some chiropractors to submit Medicare claims. ...
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CMS Proposes Changes Designed to Speed up Medicare Appeals Process

It’s been a while since we last updated you on the latest about the Medicare appeals backlog, which although it ...
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Healthcare exec pleads guilty to multimillion-dollar opioid scheme

A Michigan healthcare CEOrecently pleaded guilty to taking part in a $300 million healthcare fraud scheme that, in the words ...
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OIG Unveils Fraud Risk Indicator

The Health and Human Services Office of Inspector General has launched a new initiative designed to draw attention to those ...
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Tis the Season: Gifts to Medicare Patients Nice Gesture or a Crime?

As we approach the holidays, now may be an appropriate time to point out the rules relating to gifts that ...
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Obstructing Medicare Audit Can Get You Jail Time

A 73-year-old Port Charlotte, Florida endocrinologist was recently sentenced to five months in prison, to be followed by three years ...
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How an Innocent Social Media Post Can Turn Into a HIPAA Violation

A Texas nurse recently learned that you don’t have to identify a patient by name to violate Health Insurance Portability ...
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