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Medical records archive with color-coded patient charts representing record retention requirements

Medical Records

3 Essential Medical Record Retention Requirements Effective medical record retention is essential for healthcare providers to meet regulatory standards, safeguard patient information, and minimize legal ...
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Medical claim forms beside a gavel representing False Claims Act violations in healthcare

3 Common False Claims Act Violations in Healthcare

The False Claims Act (FCA) is a federal law aimed at preventing fraud in government-funded programs like Medicare and Medicaid. In healthcare, violating the FCA ...
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Gavel, scales of justice and leather portfolio representing a landmark 145 million dollar skilled nursing facility settlement

The Health Law Offices of Anthony C. Vitale Scores Major Win Against Life Care Centers of America

$145M landmark settlement largest in DOJ history involving skilled nursing facility. Oct. 26, 2016 (MIAMI, FLA.) It was a case that was eight years in ...
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Bundled blocks, stethoscope and coins representing mini-DRG bundled outpatient payments for physicians

Will mini-DRGs be boon or bust for physicians?

CMS has a grand plan to sync up its payment systems by using bundled outpatient codes that many doctors are calling ”mini-DRGs,” after the familiar ...
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Long table piled with case folders and a gavel representing hospitals suing HHS over the RAC appeals backlog

Some suing HHS over RAC appeals backlogs

The American Hospital Association (AHA) and 11 hospitals are suing HHS for the backlog of appeals on Recovery Audit Contractor (RAC) claims, saying the government’s ...
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Practice office desk with invoices and a calculator representing how to assess revenue cycle management vendors

Medical Economics – 10 tips to assess Revenue Cycle Management vendors

Running a financially successful practice depends on efficient revenue cycle management (RCM). RCM describes all of the steps involved in managing claims processing, payment, and ...
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Case file, scales of justice and an umbrella representing prevention in healthcare fraud defense investigations

Western Pennsylvania Heathcare News – Defense Investigations –An Ounce of Prevention Just Might Keep You Out of Jail

Just about every day there’s at least one story published in a newspaper somewhere in the U.S. about healthcare fraud. It might be about an ...
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Compliance binder, checklist and stethoscope representing compliance as the first step to surviving a health care fraud investigation

Compliance: The First Step to Surviving Health Care Fraud

In mid-May, law enforcement authorities announced the arrest of 90 people, including 16 physicians, who allegedly took part in Medicare fraud schemes across the country ...
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Application form, pen and coins representing meaningful use hardship exception forms and Medicare payment penalties

Do meaningful use hardship exception forms right or lose 1% of payments

Increase your chance of earning a meaningful use exception by submitting proper documentation, picking the right categories and providing a smart “narrative” with the CMS ...
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