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CMS releases final rule for Medicare Shared Savings Program ACOs

The Centers for Medicare & Medicaid (CMS) earlier this month released its much- anticipated Final Rule updating the Medicare Shared ...
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Latest Medicare fraud sting should serve as wake-up call

This week's takedown by the Medicare Fraud Strike Force of 243 people nationwide should serve as a wake-up call to ...
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OIG cracking down on medical director compensation

If you are thinking of taking on medical director responsibilities, or you are a medical director, there are some things ...
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OIG adds 21 new investigative focus areas

The Office of Inspector General at the U.S. Department of Health and Human Services recently released the midyear update  of ...
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CMS unveils proposed rules for Medicaid managed care plans

On May 26, The Centers for Medicare & Medicaid Services (CMS) released its long-awaited proposed rule, updating its Medicaid managed ...
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OIG cracks down on place-of-service overpayments

Is your practice using proper place-of-service codes? If not, you’re not alone. According to a new report from the HHS ...
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OIG guidance for healthcare governing boards focuses on responsibility

You have probably heard the saying “The buck stops here.” Popularized by President Harry S. Truman, the phrase still holds ...
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ICD-10 implementation clock ticking

With the deadline for implementation of ICD-10 just five months away, a lot is being written about whether medical practices ...
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Home healthcare agencies, aides top fraud list

Home healthcare agencies and home healthcare aides topped the list of providers with the largest number of healthcare fraud convictions ...
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Updating HIPAA compliance in an age of data breaches

Recent data breaches at some of the country’s major healthcare organizations have prompted the Office of the National Coordinator for ...
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