Article Archive for September 2016
New Ruling Has Many Concerned
The Centers for Medicare & Medicaid Services’ (CMS) proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA) and the new Merit-Based Incentive Payment System (MIPS) has raised some concerns. Fierce Healthcare brought this interesting …
Limiting Access to Data
Securing data of any type is not a new challenge or new priority. However, recent ransomware attacks at healthcare facilities have highlighted the vulnerability of medical records. ICD-10 Monitor brought this interesting information to our attention …
Another Type of Fraud
Medicare fraud isn’t always about overbilling for a procedure or prescribing unneeded durable medical equipment. Sometimes it is prescribing custom “compounded” drugs that retail pharmacists have to make and this has potential fraud ramifications. The Washington Post …
Big Brother is Watching
A whistleblower, i.e. former employee, has reported that Lincare knowingly defrauded the government of millions of dollars by allegedly billing false claims to Medicare. HME News brought this interesting information to us in their article, “Whistleblower …
Fraud Found by Whistleblower
One of the largest nonprofit home health care agencies in the country is being sued by their former vice president of operations improvement and integration. The whistleblower is accusing the organization of systematically extracting hundreds of …
Fighting the Data Breach
The Department of Health and Human Services (HHS) recently announced the formation of the Health Care Industry Cybersecurity Task Force. This group has been charged with evaluating best practices on data security. Healthcare Informatics brought this …
New Research Policies
The government recently unveiled new policies designed to make findings from clinical trials of therapies and devices more widely available. The Washington Post brought this news to us in their article, “Medical researchers will have to …
Working Together to Improve EHRs
The use of electronic health records (EHRs), mandated by the 2009 Health Information Technology for Economic and Clinical Health (HITECH) Act, has presented a number of challenges. Crain’s Cleveland Business brought this news to us in …
Fighting Fraud for the Long Haul
Since its inception in March 2007, the Medicare Fraud Strike Force has charged over 2,300 defendants who collectively have billed the Medicare program for over $7 billion.
The Centers for Medicare & Medicaid Services (CMS) continue …
MACRA Ruling May Be Easier Than Expected
The Centers for Medicare & Medicaid Services (CMS) recently issued its draft rule for carrying out the Medicare Access and CHIP Reauthorization Act (MACRA). They immediately received strong feedback in the form of nearly 4,000 comment …
Recent Comments