Never-Event Payment Policies - How Health Plans Are Getting Tough on Preventable Hospital Errors; Implementing 'Medical Homes' to Improve Patient Care and the Bottom Line


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Compliance Strategies

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Stories are listed in chronological order,
with the most recent appearing first.


Enforcement Agencies May Soon Look at Hospitals for Improper Financial Relationships With Device Manufacturers
Hospitalists Can Help Reduce Rate of Medically Unnecessary Admissions
New IRS Form 990 for Nonprofits Brings Heightened Scrutiny of Pay, Governance and Charitable Activity
CMS Plans to Hold Back 2% to 5% of DRG Reimbursement and Allow Hospitals to Earn It Back By Achieving Quality Goals
HHS's OIG Steps Up Enforcement of Quality of Care, Shares Quality-Related Fraud-Fighting Tools With States
OIG Officials Say Time Has Come to Scrutinize Hospital Capital Payments and CMS's Oversight of JCAHO Accreditation
CMS Opens Some Doors, Closes Others in its Third Regulatory Go-Round on the Stark Physician Self-Referral Law
OIG Drops Rule on Exclusion When Medicare Charges Exceed Those of Private Payers
Compliance Risks Grow With Electronic Medical Record Systems
CMS Unveils Severity DRGs, With 'Major CCs' for Sicker Patients
OIG Opinion: Health System Ambulance Subsidy Would Trigger Civil Monetary Penalties
Monthly Contests Help Hospital Reinforce Key Compliance Concepts
Operational Changes May Improve Income, Compliance With Post-Acute Care Transfers
New CMS Regulations Aim to Address Specialty Hospital Problems
Contract Problems Pose Risk As Feds Push Stark Enforcement
CMS to Block Payment in 2007 for 'Medically Unbelievable' Services
CMS Cracks Down on Hospital Bundling of Ambulance Charges
Strategies to Limit Your Exposure to Potential Whistle-blower Cases
With Little Guidance on Fair-Market Value Call Payments, Try Surveys, Extrapolation
CMS Reins in Radiology Spending With Stark Extension and Pay Cuts to MDs, Hospitals
Scorecards Measure Effectiveness, Motivate Managers, Employees
Medicare Watchdogs Intensify E/M Coding Scrutiny; New Audit Sources Are Available
Sheehan: Falsely Certifying Conditions of Participation May Lead to False Claims Suit

Senators Rockefeller, Hatch and Wyden, and Congressmen Stark, Waxman, Camp and Rangel to Speak at Health Reform Conference July 10-11

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