RAC Recoveries Increase, as Problems Persist
Oct. 12—An update of Medicare’s overpayments recoupment program isn’t giving providers much hope for change in a system they say unfairly takes and holds their money for long periods, if not for good.
CMS and OIG Seek Input on Fraud Laws
Recognizing the transition to value-based payment and care coordination, HHS is asking interested parties to identify regulatory obstacles to achievement of that goal.
The Internet of Things Presents Security Concerns
The sheer number of networked healthcare devices means larger cybersecurity attacks are easier to execute. For healthcare providers, these breaches are not only disruptive, embarrassing, and expensive, but they can lead to serious medical complications for patients.
Proposed Regulatory Relief Saves $1.1 Billion for Providers
A proposal to eliminate required outpatient medical histories and physicals could reduce costs for healthcare providers by $454 annually.
Keeping Up-To-Date on Shifting Medicaid Eligibility Laws
A government affairs expert shares strategies for keeping up with complex Medicaid rules and stay in compliance.
$1.1 Billion in Provider Regulatory Relief Proposed
Sept. 17—A large portion of the $1.1 billion in ongoing annual regulatory relief proposed this week for providers would come from lower costs for hospital outpatient departments.
Managing the 30-Day Readmissions Window
Mary Kay Thalken explains that ensuring continuity of care to reduce readmissions requires a current, comprehensive referral network. Automating the process can be helpful as well.
Hospitals Identify Needed Stark Reforms
Aug. 24—Hospitals and their advocates urged specific regulatory changes to the enforcement of federal anti-referral laws, even as some industry stakeholders raised concerns about potential changes.
ACA Medicaid Enrollment Draws Administration Scrutiny
Aug. 21—States that broadly exceeded their Medicaid expansion enrollment projections will be among those targeted in recently launched eligibility audits, a senior administration official told Congress this week.
Human Trafficking: Hidden Problem, Hidden Costs
New ICD-10 codes allow for clinicians to document treatment of human trafficking victims, but legal considerations should be taken before doing so.