StrategyIn Poisoned Montana Town, Warren Buffett-Owned Railroad Accuses Clinic of Medicare Fraud
BNSF Railroad is going after the local health clinic that opened to deal with the health crisis in 2000 and...
StrategyCMS to Repeal Public Disclosure of Payer-Provider Negotiated Rates
The sweeping proposed rule also calls for a 2.8% IPPS rate increase for FY22, and creates 1,000 new residency slots...
StrategyThe FDA Seeks a New Way to Review Old Drugs Without Causing Prices to Soar
The departing Trump administration unexpectedly ended the FDA program that led to a price spike for colchicine and other older...
StrategyStudy Finds Ongoing Confusion Among Medicare Beneficiaries
GoHealth CMO, Paul Hain, MD, shares misconceptions Medicare beneficiaries have about Original Medicare and Medicare Advantage.
FinanceHouse Delays Medicare 2% Sequester Cuts Through 2021
President Biden is expected to sign the bill, which has already cleared the Senate.
Revenue CycleOIG: Nevada-based Hospital Overcharged Medicare $23.6M for Rehabilitative Services
The OIG found that Sunrise Hospital & Medical Center in Winchester, Nevada complied with Medicare billing requirements for 46 of...
Revenue CycleQ&A: Calculating RHC Payment
For each calendar year, a single deductible is established for Medicare Part B services, including rural health clinic services.
StrategyBiden Seeks $400B to Buttress Long-Term Care. A Look at What's at Stake.
It comes as the coronavirus pandemic has wreaked havoc in nursing homes, assisted living facilities and group homes, killing more...
FinanceCMS Begins Recouping Accelerated Medicare Payments
Payments will be recouped at a rate of 50% for six months after the initial 11-month period.
Strategy'Substantial Increase' Found in Medicare Advance Care Planning
A Health Affairs study also found prevalence of annual wellness claims to be below 7.5% for all fee-for-service Medicare patient...
StrategyCMS Pauses Claim Payments Until Congress Passes Sequester Fix
The House is on recess but expected to pass the bill when it returns to Washington, D.C., on April 13.
Revenue CycleOIG: Mississippi-based Hospital Overcharged Medicare $67k for Polysomnography Services
To determine whether Medicare claims that North Mississippi submitted for polysomnography services complied with Medicare requirements, the OIG reviewed a...