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Seven acute-care hospitals and health systems have received credit downgrades in the past 30 days compared with only two credit upgrades, according to a report by HFA Partners.

Here are 13 issues dealing with Medicare or Medicaid that occurred in the past week, starting with the most recent.

CMS' Fraud Prevention System — a tool designed to proactively identify fraudulent billing patterns before payments are made — has been delayed and will not be utilized before 2013, according to a report from the U.S. Government Accountability Office.

In an effort to eliminate efficiencies and streamline processes, many hospitals have turned to Lean, a process improvement framework adapted from the manufacturing-based Toyota Production System. Using Lean strategies, hospitals map out current processes, identify non-value-added steps and redesign the…

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