The past three years in the U.S. healthcare system have been shrouded in political uncertainty and sweeping changes under the Patient Protection and Affordable Care Act. As the hospital sector moves into a key year of reform, its main advocacy…
Legal & Regulatory Issues
CMS' final rule of the "Sunshine Act" included in the federal health law didn't exactly roll out according to schedule.
CMS will implement claims edits to enforce a 2010 requirement that certain Medicare claims for home health, Part B laboratory and imaging services, and durable medical equipment identify the ordering or referring physician, according to an AHA News Now report.…
Thirty-seven percent of compliance professionals in the healthcare provider industry ranked Medicare Recovery Auditors, or RACs, as their top priority for compliance programs in 2013, according to a survey from SAI Global and Compliance 360.
On Tuesday, CMS will hold a conference call on the State Innovation Models initiative and healthcare providers' participation in the program, according to an AHA News Now report.
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Sen. Tom Harkin (D-Iowa) said HHS Secretary Kathleen Sebelius told him that Gov. Terry Branstad's plan to expand Medicaid would not meet eligibility requirements for increased federal funding, according to a report by the Des Moines Register.
During a March 6 webinar titled "Seven Emerging Issues in Stark, Kickback and False Claims Cases," four attorneys from McGuireWoods' Chicago office discussed trends in healthcare compliance, investigations, lawsuit and settlements, particularly those related to Stark Law, the federal anti-kickback…
Miners' Colfax Medical Center in Raton, N.M., has reportedly terminated its medical director after an internal investigation, according to a Raton Range report.
Four of Birmingham, Ala.-based HealthSouth's rehabilitation hospitals have received subpoenas from HHS for information about compliance with Medicare claim regulations, according to a Birmingham Business Journal report.
Two physician groups affiliated with Driscoll Children's Hospital in Corpus Christi, Texas, have agreed to pay $2.3 million to settle federal allegations of double-billing federal health programs, according to a local NBC News report.