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Legal & Regulatory Issues

The Centers for Medicare and Medicaid Services will potentially include epidural and transforaminal injection coverage in its annual National Coverage Decision topics, according to the American Society of Anesthesiologists.

Maryland's Office of Legislative Audits found a commission charged with investigating hospital overbilling left out key information from its annual hospital reviews, such as determining how long overcharges had been occurring and identifying which patients or payors were overcharged, according…

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Following a recent report that Medicare Advantage plans were overpaid an estimated $598 million in 2007, the HHS Office of Inspector General released a report today that found the private company charged with scouring certain Medicare claims for possible fraud…

In 2008, Condell Medical Center in Libertyville, Ill., paid the federal government and Illinois $36 million after disclosing it received improper Medicare and Medicaid payments. The hospital, now part of Oak Brook, Ill.-based Advocate Health Care, reported possible violations with…

A federal investigation is underway at the public system Broward Health, based in Fort Lauderdale, Fla., for alleged false claims to Medicare and Medicaid, according to a Broward Bulldog report.

Congressional Republicans last Thursday quietly lowered the defenses of legislation surrounding the healthcare law's Independent Payment Advisory Board, a linchpin to the health overhaul's cost-cutting intentions, according to a report by the Washington Post.

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