CMS to Launch Online Meaningful Use Attestation Service

The meaningful use online attestation service opens on April 18 for eligible professionals, hospitals and critical-access hospitals to attest that they have met their respective meaningful use criteria and are eligible to receive Medicare incentive payments for the installation and use of electronic health-record systems under the American Recovery and Reinvestment Act of 2009. Through […]

read more

Administration Appeals Ruling Against Healthcare Law

      The Justice Department is appealing a federal judge’s ruling that struck down the entire healthcare reform law on the theory that the individual insurance mandate found in the law was unconstitutional and was not severable.  The government motion defends the requirement that nearly everyone buy health insurance, arguing that Congress has the power to […]

read more

Obama’s Budget Proposal Includes Two-Year Medicare “Doc Fix”

Contained in President’s budget proposal on February 14th was a two-year Medicare Doc Fix. The President’s Proposal would shift more than $50 billion in Medicare and Medicaid payments to doctors away from states, insurers and drug makers for Medicare physician reimbursement. Overall, Obama would cut federal health spending by $62 billion in the next decade, […]

read more

CMS Regulations Expand Enrollment Screening Procedures and Authority to Suspend Payments

On January 24, 2011, the Centers for Medicare & Medicaid Services (CMS) announced a final rule (Rule) adopting three levels of screening standards for Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) providers based on the level of risk for fraud. The Rule further establishes procedures for the imposition of moratoria on the enrollment of […]

read more

Healthcare Fraud Strike Force Arrests Over 100 for Medicare Fraud

On February 17th, more than 100 people in various states were arrested and charged in the one of the biggest Medicare fraud cases in history. The federal government arrested suspects in nine U.S. cities. More than 100 doctors, nurses, healthcare executives and others were charged with filing a quarter billion dollars in fraudulent claims. These […]

read more

The U.S. Government Seeks Clarification on Healthcare Reform Ruling

On February, 17th, U.S. government officials requested the U.S. District Court for the Northern District of Florida to clarify the effect of a ruling issued by Judge Vinson that declared the Patient Protection and Affordable Care Act (PPACA) unconstitutional.  Judge Vinson held that PPACA’s individual insurance mandate was unconstitutional and, that the remainder of the […]

read more

North Carolina’s Medicaid Fraud and Abuse Program Expanding

North Carolina’s Medicaid fraud investigators recovered more than $53 million in cases of fraud and abuse in 2010. During 2010, the North Carolina Medicaid Investigations Unit (MIU) prosecuted 22 criminal convictions and 18 civil settlements. Several of those cases started with referrals to the North Carolina Attorney General’s Office by the Department of Health and […]

read more

Participation in EHR Incentive Programs Now Available

On January 3, 2011, CMS opened registration for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. Both the Medicare and Medicaid EHR Incentive Programs will provide incentive payments to eligible professionals, eligible hospitals, and critical access hospitals that can demonstrate meaningful use of certified EHR technology. CMS has previously issue a final rule […]

read more

CMS Proposes Rule on Hospital Value-Based Purchasing Program

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule establishing the inpatient hospital value-based purchasing program. Under the program, CMS will reward hospitals that perform well on quality measures relating to both clinical process of care and patient experience of healthcare. These increased payments would apply beginning in fiscal year 2013 to […]

read more

New Repayment and Reporting Requirements for Overpayments

The Patient Protection and Affordable Care Act (PPACA) creates new requirements for providers and suppliers regarding the return of overpayments, effective January 1, 2011. The Act requires a provider that has received an overpayment to report and return the overpayment to the Secretary of the U.S. Department of Health & Human Services (DHHS), the State, […]

read more