accountability
publication date
Post-Acute
AARP Files Class Action Lawsuit Against Nursing Home Provider for Neglecting ResidentsThe Alden Group, a healthcare provider for older adults, is being accused of intentionally understaffing their facilities.
Payer
OIG: States' Improper Medicaid Capitation Payments Up 60% in 2020Auditors say the increase coincided with an overall increase in Medicaid enrollment during the first year of the pandemic.
Revenue Cycle
Clawback: Feds say NYC Improperly Billed Medicaid for $84.3MOIG auditors were unable to determine if an additional $112 million in non-emergency medical transportation claims complied with state and...
Payer
Audit Shows CMS Slow to Collect $498M in Medicare OverpaymentsHHS OIG says CMS has not properly documented more than half of overpayment collections it claims to have made.
Revenue Cycle
Medicare Advantage Plans Need to be Held Accountable AHA SaysThe American Hospital Association (AHA) urged Congress to streamline Medicare Advantage plans' prior authorization requirements in lengthy letter.
Payer
How to Avoid Surprise Bills — And the Pitfalls in the New LawThe law's protections against the infuriating, expensive scourge of surprise medical bills may be only as good as a patient's...
Strategy
Missouri's War on Public Health Shows Extent of National RiftThe heartland state's kerfuffle is one more example of political pushback to public health leadership.
Revenue Cycle
2022 Will Be Year of Accounting for Pandemic Relief SpendingThe Biden Administration wants to know how and where hospitals and healthcare systems spent the COVID-19 monies they received. CFOs...
Human Resources
Employee Healthcare Worker Morale, Safety Concerns Rise Without OSHA ETS ProtectionsOSHA withdrew a majority of provisions in its Healthcare Emergency Temporary Standard in December 2021.
Strategy
Healthcare Stakeholders React to SCOTUS Vaccine RulingThe court 'halted one of the most effective tools' in gaining control of the virus, the American Medical Association says.
Payer
HHS OIG Updates Healthcare Fraud Self-Disclosure ProtocolThe revision unveiled this week incorporates legal changes made since the last revision to the SDP in 2013.
Payer
Geisinger to Pay $18.5M For Hospice Care Billing ViolationsAfter the violations were discovered, Geisinger Community Health Services told the United States Attorney's Office.