CMS Issues Q&As on ICD-10 Claims Flexibility.
The Centers for Medicare & Medicaid Services (CMS) recently issued questions and answers (Q&As) on International Classification of Diseases, Tenth…
CMS Issues Medicare Physician Fee Schedule Proposed Rule.
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule updating payment rates, policies, and quality provisions under…
HIPAA Settlement Emphasizes Risks of Internet-Based Applications.
The Department of Health and Human Services (HHS) announced that St. Elizabeth’s Medical Center (SEMC) in Brighton, Massachusetts, has agreed…
U.S. Court of Appeals for the Fourth Circuit Issues Tuomey Decision.
The United States Court of Appeals for the Fourth Circuit recently issued its judgment in the Tuomey case. In the…
DaVita to Pay $450 Million in Settlement Regarding Reimbursement for Unnecessary Drug Wastage.
DaVita Healthcare Partners, Inc., the largest dialysis services provider in the United States, has agreed to pay the government $450…
National Medicare Fraud Takedown Uncovers $712 Million in False Billing.
A recent Medicare Fraud Strike Force takedown in 17 districts resulted in Medicare fraud charges against 243 individuals, including 46…
OIG Issues Fraud Alert Regarding Physician Compensation Arrangements.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently released a fraud alert urging physicians…
CMS Proposes Update to Medicaid Managed Care Regulations.
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule updating Medicaid managed care regulations to align…
OIG Issues Mid-Year Update to FY 2015 Work Plan.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued the fiscal year (FY) 2015 Work…
OIG Releases Report on Home Health Agency Use of Background Checks.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a report assessing home health agency…
OIG Reports on Incorrect Place of Service Coding Overpayments.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently reported that Medicare potentially overpaid physicians…
CMS Issues IPPS and LTCH PPS Proposed Rule for Fiscal Year 2016.
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule updating the fiscal year (FY) 2016 Hospital Inpatient…