The cost of Medicaid fraud audits is five times more than the amount of overpayments they identify, according to a report from the Government Accountability Office.
Legal & Regulatory Issues
The American Hospital Association urged members of Congress to extend expiring Medicare programs that benefit rural hospitals, according to an AHA News Now report.
A county prosecutor has asked the Idaho Attorney General's Office to take over a criminal investigation of Bingham Memorial Hospital in Blackfoot, according to an Idaho State Journal report.
The American Hospital Association sponsored a policy briefing with congressional staffers on Tuesday to push for legislation that would extend lapsed or soon-to-expire Medicare provisions impacting rural patients and providers, according to an AHA News Now report.
CMS will extend the deadline for hospitals and others to apply for a pool of $43.2 million in grants to test new approaches to prenatal care for Medicaid enrollees at risk for pre-term births, according to an AHA News Now…
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Seven cardiologists who operated an OhioHealth practice in Springfield before leaving to work for competitor Ohio State University's Wexner Medical Center have been banned from practicing medicine in Clark County through October 2013, according to a Columbus Dispatch report.
A New York payor and provider have each settled separate charges of improper billing practices, and each case involved patients allegedly receiving unexpected physicians bills that should have been covered.
As Congress gears up for this year's budget negotiations, Sen. Bernie Sanders (I-Vt.) told a rally on Capital Hill yesterday that legislators must protect Medicare, Medicaid and Social Security and cannot put those programs on the chopping block anymore.
Florida Hospital in Orlando is adopting a new strategy to gain a certificate of need for a new hospital, according to an Orlando Business Journal report.
With the Supreme Court decision on the constitutionality of the Patient Protection and Affordable Care Act days away, it's unclear how the Obama Administration will react should the court overturn part or all of the healthcare law.