According to CMS's recovery audit contractor (RAC) evaluation report, here are the top five hospital services with overpayments from 2005 through March 27.
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This is a review of claim facts and corrective actions taken for excisional debridements (complex review, incorrect coding), one of the top five overpaid services in inpatient hospitals, as explained in CMS's recovery audit contractor evaluation report.
Citing "concerns about physicians responding to incentive payment and shared savings programs by stinting, cherry picking, steering and making quicker-sicker discharges," CMS has proposed a self-referral exception for such incentive and gain-sharing programs aimed at preventing these potential issues while…
U.S. News & World Report has published its annual list of "America's Best Hospitals."
The deal volume in the health care provider and services sectors remains high. Financial sponsors continue to make investments related to hospitals, surgery centers and dialysis facilities. Correspondingly, the deal volume in health care products, health care devices and health…
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Health Care services and device companies have become a core target for private equity investors. In recent years there has been a binge in the private equity acquisition of health care companies valued between one billion and twenty billion dollars.…
This article focuses on buyers of majority interests in ambulatory surgery centers. Currently, there are three public company buyers of majority interests in ASCs, and four private company buyers that fit in this category. These are the companies that generally…
Hospitals in New Jersey are facing a severe financial crisis due to rising numbers of uninsured people and budget cuts leading to decreased reimbursement, according to the Washington Post. The crisis has caused six hospitals to close in the past…
Baptist Health Care in Pensacola, Fla. has announced it will acquire West Florida Hospital, an HCA facility, for $245 million, according to the Pensacola News.
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