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.
Legal & Regulatory Issues
Physicians' steady interest in hospital employment — a trend that has accelerated in recent years and is not expected to reverse — has implications for their employment contracts, particularly restrictive covenants, or non-compete clauses.
A 2.3 percent tax on medical device sales slated to go into effect Jan. 1 is under opposition from Congressional members, according to the Journal Gazette.
The American Gastroenterological Association has analyzed Medicare's 2013 physician fee schedule and determined pathology was hit with a large reduction, a concern to practices that own pathology labs, according to an AGA news item.
The Healthcare Supply Chain Association has announced it submitted its final comments to FDA regarding the proposed rule to establish a Unique Device Identification System for medical devices, according to a news release (pdf).
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Two Republicans from the House of Representatives are requesting documents about a subsidiary of UnitedHealth Group that was contracted to help provide data services for the federal health insurance exchange, noting the connection may unfairly promote UnitedHealth's insurance business, according…
The House of Representatives' Ways and Means Committee issued a subpoena to HHS yesterday, demanding more information on public relations contracts for the Patient Protection and Affordable Care Act.
A study from the HHS Office of Inspector General (pdf) found that hospitals and other Medicare providers filed 85 percent of payment appeals at the administrative law judge level, 56 percent of which went in favor of providers, and the…
Today, most healthcare employers are sensitive to issues of workplace harassment, although the focus of that sensitivity is usually upon issues involving co-worker to co-worker and supervisor to subordinate misconduct. It is important to remember that the law's protection applies…
A poll conducted after election day found 33 percent support for a repeal of the Patient Protection and Affordable Care Act — the lowest number that figure has hit since President Barack Obama penned his signature on the law in…