In the largest settlement with a skilled nursing facility chain in Department of Justice history, federal prosecutors say Life Care Centers of America billed Medicare and TRICARE for unnecessary rehab therapy.Read More »
The American Hospital Association (AHA) asked a federal judge to require the Department of Health and Human Services (HHS) to implement three “practicable solutions” to the Medicare claims appeals backlog, according to a motion filed on October 14.Read More »
On October 14, the Department of Health and Human Services (HHS) finalized its policy implementing the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (APM) incentive payment provisions in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA),...Read More »
The new retrospective mandatory episode payment model for acute myocardial infarction (AMI) included in the August 2 issue of the Federal Register, includes measures for coronary artery bypass graft (CABG) admissions for 98 yet-to-be-named geographic areas beginning in July 2017.Read More »
Editor’s Note: Over the coming weeks leading up to the conference, we’ll take some time to introduce members to a few of this year’s speakers. ...Read More »
Nearly 5,000 member hospitals, health systems, and other healthcare organizations say they are on board for CMS’ Cardiac and Comprehensive Care for Joint Replacement (CJR) Bundled Payment Model proposed rule. Read More »
Hospitals continue to appeal Recovery Audit Contractor (RAC) claim denials, according to the latest report from the American Hospital Association’s quarterly RACTrac survey.Read More »