There has been much talk about providing ICD-10 "training" to your practices and teams. What does that actually mean, though?
Legal & Regulatory Issues
The American Hospital Association has submitted comments to the Medicare Payment Advisory Commission regarding a draft recommendation that would increase payment rates for the acute-care hospital inpatient and outpatient prospective payment systems by 3.2 percent.
A dispute between Pittsburgh-based UPMC and health insurer Highmark Health could end up being resolved through legal means if the Pennsylvania Department of Health decides to refer it to mediation, according to a Pittsburgh Business Times report.
A contentious bill returned to the New Jersey state Assembly yesterday, in an effort to ensure managed care networks have enough physicians for patients to choose from, according to NJ Spotlight.
The U.S. Supreme Court has declined to hear a challenge to the Patient Protection and Affordable Care Act's individual mandate, according to The New York Times.
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California's Insurance Commissioner Dave Jones has issued emergency regulations in response to consumer complaints regarding narrow networks, such as having difficulty obtaining appointments with physicians, according to a National Law Review report.
Daiichi Sankyo, a global pharmaceutical company with its U.S. headquarters in Parsippany, N.J., has agreed to pay $39 million to the federal government and state Medicaid programs to settle allegations it paid kickbacks to physicians to prescribe its drugs, according…
Milwaukee-based Medical College of Wisconsin has agreed to pay the federal government $840,000 to settle allegations it violated the False Claims Act by improperly billing federal healthcare programs for procedures involving residents that did not receive proper supervision, according to…
A recently introduced bill would prohibit health and medical malpractice insurance issuers from engaging in anticompetitive activities and make them subject to antitrust laws.
CMS announced it will extend the deadline to Jan. 21 to participate in the second sample group for ICD-10 end-to-end Medicare Administrative Contractors and the Common Electronic Data Interchange contractor.