CMS has approved medical necessity review audits by recovery audit contractors, according to a report by AHA News Now.
Leadership & Management
Boca Raton (Fla.) Community Hospital has announced a $500,000 profit for the 2009-2010 fiscal year, making 2009-2010 the hospital's first profitable year since 2006, according to a Palm Beach Post report.
Miami-based Jackson Health System expects to receive up to $50 million in federal assistance for Jackson Memorial Hospital in Miami, according to a Miami Herald report.
In the past two years, the federal government has greatly increased its efforts to combat Medicare and Medicaid false claims and fraud by healthcare providers. In May of 2009 Attorney General Eric Holder and Health and Human Services Secretary Kathleen…
The CEOs of four of the five largest for-profit health insurers received pay increases last year despite tighter margins and eminent rate increases for members, according to a Los Angeles Times report.
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Moody's Investor Service has maintained its negative outlook for the non-profit hospital industry, citing the recent 0.4 percent net decrease for inpatient reimbursements by CMS, according to a report by the Healthcare Financial Management Association.
Sushil Sheth, MD, a former Chicago-area cardiologist, has been sentenced to five years in prison and ordered to pay $13 million in restitution for defrauding public and private health insurers, according to Chicago Tribune report.
Anne Rose, vice president for revenue cycle at Lee Memorial Health System, a five-hospital public system in Fort Myers, Fla., explains how Lee Memorial is trying to make billing more patient-friendly.
President Tim Lavender and Executive Vice President Daryn Eudaly of Rainier Medical Investments discuss four trends in real estate investment trusts.
Tampa, Fla.-based health insurer WellCare announced it will pay $137.5 million to the federal government to settle ongoing investigations and $200 million to settle a class action suit related to alleged Florida Medicaid fraud, according to a Wall Street Journal…