Post-AcuteAARP Files Class Action Lawsuit Against Nursing Home Provider for Neglecting Residents
The Alden Group, a healthcare provider for older adults, is being accused of intentionally understaffing their facilities.
PayerOIG: States' Improper Medicaid Capitation Payments Up 60% in 2020
Auditors say the increase coincided with an overall increase in Medicaid enrollment during the first year of the pandemic.
Revenue CycleClawback: Feds say NYC Improperly Billed Medicaid for $84.3M
OIG auditors were unable to determine if an additional $112 million in non-emergency medical transportation claims complied with state and...
PayerAudit Shows CMS Slow to Collect $498M in Medicare Overpayments
HHS OIG says CMS has not properly documented more than half of overpayment collections it claims to have made.
Revenue CycleMedicare Advantage Plans Need to be Held Accountable AHA Says
The American Hospital Association (AHA) urged Congress to streamline Medicare Advantage plans' prior authorization requirements in lengthy letter.
PayerHow to Avoid Surprise Bills — And the Pitfalls in the New Law
The law's protections against the infuriating, expensive scourge of surprise medical bills may be only as good as a patient's...
StrategyMissouri's War on Public Health Shows Extent of National Rift
The heartland state's kerfuffle is one more example of political pushback to public health leadership.
Revenue Cycle2022 Will Be Year of Accounting for Pandemic Relief Spending
The Biden Administration wants to know how and where hospitals and healthcare systems spent the COVID-19 monies they received. CFOs...
Human ResourcesEmployee Healthcare Worker Morale, Safety Concerns Rise Without OSHA ETS Protections
OSHA withdrew a majority of provisions in its Healthcare Emergency Temporary Standard in December 2021.
StrategyHealthcare Stakeholders React to SCOTUS Vaccine Ruling
The court 'halted one of the most effective tools' in gaining control of the virus, the American Medical Association says.
PayerHHS OIG Updates Healthcare Fraud Self-Disclosure Protocol
The revision unveiled this week incorporates legal changes made since the last revision to the SDP in 2013.
PayerGeisinger to Pay $18.5M For Hospice Care Billing Violations
After the violations were discovered, Geisinger Community Health Services told the United States Attorney's Office.