Ranked #1
Anatomy of an Alleged False Claims Act Violation: The Providence Health & Services Lawsuit
Anatomy of an Alleged False Claims Act Violation: The Providence Health & Services Lawsuit
A False Claims Act lawsuit has been filed by Integra Med Analytics against Providence St. Joseph Health, seeking $188.... Read more
27 Aug 2018
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30mins
Ranked #2
2019 Medicare Physician Fee Schedule and the Outpatient Prospective Payment System: Analyzing the Impacts on Providers
2019 Medicare Physician Fee Schedule and the Outpatient Prospective Payment System: Analyzing the Impacts on Providers
The Medicare Physician Fee Schedule/resource-based relative value scale (MPFS/RBRVS) regulations were formally publishe... Read more
6 Aug 2018
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30mins
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Ranked #3
Case Management in the ED: Getting Patient Status Right the First Time
Case Management in the ED: Getting Patient Status Right the First Time
Case managers being situated in the emergency department (ED) appears to be a trend that is gaining traction nationwid... Read more
16 Jul 2018
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31mins
Ranked #4
CMS, Are You Listening? Podiatrists React Negatively to Proposed E&M Changes
CMS, Are You Listening? Podiatrists React Negatively to Proposed E&M Changes
“Podiatrists should not be discriminated against any further. E&M (evaluation and management) requirements are the ... Read more
20 Aug 2018
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30mins
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Removing the Surprise from ED Billing
Removing the Surprise from ED Billing
Pick up any healthcare news feed or relevant state or federal initiative, and no doubt you will see the "surprise billin... Read more
11 Mar 2019
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30mins
Ranked #6
Home Health and Hospice: State of the Union
Home Health and Hospice: State of the Union
It’s been a rough year for home health and hospice providers, especially in light of the fact that the Centers for Medic... Read more
9 Dec 2019
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31mins
Ranked #7
TKA 2.0: CMS Updates Total Knee Arthroplasty, Again
TKA 2.0: CMS Updates Total Knee Arthroplasty, Again
Seeking to clarify its original MLN Matters guidance on total knee arthroplasty (TKA) issued earlier this month, the Cen... Read more
28 Jan 2019
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30mins
Ranked #8
Hospital Price Transparency: Clearing Up the Compliance Confusion
Hospital Price Transparency: Clearing Up the Compliance Confusion
Contentious and confusing, the Centers for Medicare & Medicaid Services (CMS) Hospital Price Transparency Rule will ... Read more
2 Mar 2020
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31mins
Ranked #9
Changes in the Works for Home Care Providers
Changes in the Works for Home Care Providers
The Center for Medicare Advocacy (CMA) is reporting news about a new payment structure for home care, noting that such a... Read more
5 Aug 2019
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30mins
Ranked #10
Discharge Planning Conditions of Participation: The IMPACT and Consequences
Discharge Planning Conditions of Participation: The IMPACT and Consequences
Many hospitals are likely in the throes of preparing to implement the Centers for Medicare & Medicaid Services (CMS)... Read more
26 Nov 2019
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30mins
Ranked #11
2019: Look Out, Look Ahead
2019: Look Out, Look Ahead
2019 is shaping up to be another tumultuous year in healthcare. Decisions being made in Washington will impact every pra... Read more
14 Jan 2019
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58mins
Ranked #12
2020: Look Out, Look Ahead
2020: Look Out, Look Ahead
2020 ushers in a formidable decade of healthcare regulations and a perilous audit landscape, populated with aggressive a... Read more
13 Jan 2020
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58mins
Ranked #13
Exclusive: The Plight of Rural Health, Part II
Exclusive: The Plight of Rural Health, Part II
Like a destructive earthquake, recent news from The Chartis Center for Rural, documenting the accelerated rate of closur... Read more
24 Feb 2020
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27mins
Ranked #14
The Dilemma of Sepsis Reporting
The Dilemma of Sepsis Reporting
Controversy swirls and denials of claims continue when it comes to reporting sepsis. Exacerbating this compliance issue ... Read more
10 Dec 2018
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31mins
Ranked #15
Beware: Emerging New Payer Denial for COPD
Beware: Emerging New Payer Denial for COPD
There’s a new and disturbing payer denial—a situation that has caught the attention of the Brundage Group. An insurance... Read more
30 Jul 2018
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29mins
Ranked #16
Court Orders HHS to Clear Medicare Appeals Backlog
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U.S. District Court Judge James E. Boasberg ruled last week that the U.S. Department of Health and Human Services (HHS) ... Read more
12 Nov 2018
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30mins
Ranked #17
Medicare Advantage Claim Denials: More Egregious, or More Awareness?
Medicare Advantage Claim Denials: More Egregious, or More Awareness?
Are recent denials by Medicare Advantage plans egregious examples of the insurance companies’ overreach? Or is there sim... Read more
26 Nov 2018
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30mins
Ranked #18
CMS Proposes to Implement Home Health Pre-Claim Review Demonstration
CMS Proposes to Implement Home Health Pre-Claim Review Demonstration
Home health providers are now on alert following an announcement on Wednesday that the Centers for Medicare and Medicai... Read more
1 Oct 2018
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32mins
Ranked #19
Known by the Company You Keep: Disclosures of Affiliations
Known by the Company You Keep: Disclosures of Affiliations
Direct or indirect past affiliation with an individual the Centers for Medicare & Medicaid Services (CMS) deems to b... Read more
11 Nov 2019
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30mins
Ranked #20
The Seema Verma Blog Post That’s Making Providers Anxious
The Seema Verma Blog Post That’s Making Providers Anxious
Seema Verma, the Centers for Medicare & Medicaid Services (CMS) administrator, has raised the anxiety levels of heal... Read more
8 Jul 2019
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30mins
