The government has brought numerous criminal cases against case managers for violating the Anti-Kickback Statute. Find out the details of these cases and how your organization can avoid violations.
As the COVID-19 pandemic churns on, many hospitals have found themselves struggling with workforce issues from staff burnout to retention and training challenges.
CMS’ Anti-Kickback Statute prohibits gifts in exchange for referrals. But in some cases, what qualifies as a gift might not be clear. In fact, some things that qualify might not be actual gifts at all.
June Stark, RN, BSN, MEd, writes about how hospitals can increase staff performance and effectiveness as they face challenging financial situations coming out of the public health emergency.
A policy that UnitedHealthcare was poised to roll out that would have allowed it to retroactively deny ED claims isn’t moving forward yet. But that doesn’t mean case managers shouldn’t prepare for the payer, or others, to implement such policies.
CMS announced another round of changes to its Bundled Payments for Care Improvement program recently and said that while participation thus far has been voluntary, it may become mandatory starting as early as 2024.
