Changes mandated by the Patient Protection and Affordable Care Act will require all Medicare fee-for-service claims to be submitted within 12 months (one calendar year) of the date of service in order to receive reimbursement, according to an MLN Matters…
Legal & Regulatory Issues
Officials from Minnesota's hospital, nurse and physicians' associations are urging state lawmakers and Governor Tim Pawlenty to cover the state's low-income residents with the state-federal Medicaid plan rather than a revamped General Assistance Medical Care plan negotiated in April, according…
A recent OIG report suggests a temporary provision that allows medical equipment suppliers to list their national provider identifier instead of the ordering physician's NPI creates a potential risk for Medicare fraud, according to a report by American Medical News.
With college graduations starting, the Obama administration will ask insurers to allow young adults to say on their parents' plans until age 26 rather than wait until this standard is required on Sept. 23, according to report by ABC News.
John D. Kristofic, MD, an internal medicine physician in Pittsburgh, has been sentenced to one year in prison followed by three years of supervised release for committing healthcare fraud, according to a news release by Acting United States Attorney for…
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Arizona has become the 19th state to reject a federal invitation to set up a high-risk pool to cover patients with pre-existing medical conditions under health reform, according to a report by the Arizona Republic.
Senator Patrick Leahy (D-Vt.) filed an amendment to the pending Wall Street reform legislation to repeal the health insurance industry's exemption from federal antitrust laws, after previously failing to get such a measure included into the healthcare reform law passed…
The Department of Veterans Affairs has begun to limit the types of surgery each of its hospitals can perform in three levels, based on an intensive review of the capabilities of each facility, according to a release from the Department…
Nearly 80 former members of the medical staff at the now-shuttered St. Vincent's Hospital in New York are asking the hospital for financial assistance with medical malpractice premiums, which can reach up to $40,000 per year, according to a report…
The Minnesota House approved $164 million in cuts for health and human service spending, but Republican Gov. Tim Pawlenty said he would veto the bill because it raises taxes and its cuts need to be far greater, according to a…