News & Analysis

March 27, 2019
Medicare Web

MedStar Health, a Maryland-based health system, agreed to pay $35 million to settle allegations that it paid kickbacks to a cardiology group for referrals and that it received inappropriate Medicare payments for medically unnecessary cardiac stents.

March 20, 2019
Medicare Insider

This week’s Medicare updates include several new additions to the OIG Work Plan, the April 2019 Outpatient Prospective Payment System update, corrections to the Medicare Physician Fee Schedule final rule, and more! 

March 13, 2019
Medicare Insider

This week’s Medicare updates include comment dates for a proposed rule on interoperability and patient access, changes to the quality rating system for Nursing Home Compare, a fact sheet on the DMEPOS Competitive Bidding Program for 2021, and more! 

March 6, 2019
Medicare Insider

This week’s Medicare updates include an in-depth MLN Matters article on the clinical laboratory fee schedule data collection and reporting requirements, a memorandum on skilled nursing facility late adopters, a listing of public meetings on requests for revisions to HCPCS codes, and more!

February 27, 2019
Medicare Web

Community Hospital in Munster, Indiana, is disputing an Office of Inspector General (OIG) report that found DRG assignment errors and incorrect inpatient rehabilitation facility (IRF) claims, resulting in an projected $22,051,602 in overpayments.

February 27, 2019
Medicare Insider

This week’s Medicare updates include an OIG review of skilled nursing facility services and the three-day inpatient hospital stay requirement; the release of the 2019 hospital OPPS two times run document; a transmittal about new HCPCS codes subject to and excluded from CLIA edits; and more!

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