A recent OIG report states that in 2012 hospices inappropriately billed almost one-third of Medicare general inpatient care (GIP) stays
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Physicians Breaking the Law or Meeting Compliance Rules
The majority of physicians try to work ethically, deliver top-quality medical care to patients, and submit correct claims for imbursement.
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3 Tips for Optimum Cybersecurity in Healthcare
The health care industry has become an easy target for greedy hackers, resentful employees, and ruthless competitors, leaving an aftermath
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6 Takeaways from 2016 OIG Mid-Year Work Plan
The U.S. Department of Health and Human Services Office of Inspector General (OIG) released an updated Mid-Year Work Plan for
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CMS Proposes Changes to Payment Error Rate Measurement (PERM) and Medicaid Eligibility Quality Control (MEQC) Programs
The Centers for Medicare and Medicaid Services (CMS) is calling on healthcare stakeholders to comment on a proposed rule that
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A Look at 2016 Non-Monetary Compensation and Medical Staff Incidental Benefits Exception
Stark Law violations can result in significant reputational damage along with financial penalties for hospitals, which is why it is
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CMS Adds Six New Quality Measures to Nursing Home Compare
Recently, skilled nursing home providers have been focusing a lot on keeping their Five Star rating high on the nursing
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MACRA – 3 Important Medicare Payment Changes Infographic
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the much awaited change in healthcare—which totally revamps Medicare (Part
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Will MACRA Help Providers Increase Medicare Payments in the Future?
MACRA was enacted after several years of short-term “fixes” to prevent payment cuts under the previous sustainable growth rate (SGR)
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CMS Needs to Expand its Scope of MACRA Interoperability Measures—Healthcare Experts
The American Hospital Association (AHA) and the American Medical Association (AMA), Healthcare Information and Management System Society (HIMSS), the Personal
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