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News
Halifax Health to pay $1 million settlement in widely watched False Claims case
By Joe Carlson | July 14, 2014 | Basic Web Basic Web Subscription Details
One of the most widely watched False Claims Act cases filed against a hospital is quietly approaching an end—Florida's Halifax Health is preparing to pay $1 million to settle an alleged $73 million Medicare overbilling case.
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Magazine
Better rules needed to boost use of big data
By Merrill Goozner, Editor | July 12, 2014 | Print Magazine Print Magazine Subscription Details
It's easy to get swept up in the swelling enthusiasm for using the explosion in electronic health and claims records to improve every aspect of healthcare. But the era of “big data” isn't going to happen without better federal rules for stimulating its uses and preventing abuses.
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News
Dubious Medicare billing found at clinical labs
By Bob Herman | July 09, 2014 | Basic Web Basic Web Subscription Details
Medicare doled out $8.2 billion in Part B payments to clinical laboratories in 2010, but more than 20% of those payments came from claims tied to questionable billing patterns, according to a government report.
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Vital Signs
No upcoding caused by EHRs – yet, study finds
By Darius Tahir | July 08, 2014
For every technology, there's a downside—and for EHRs, one of the buzzed-about downsides was the supposed ease of upcoding: the practice of selecting the most remunerative code for a particular procedure.
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Information
Missouri governor vetoes health navigator limits
By Associated Press | July 08, 2014
Missouri Gov. Jay Nixon vetoed legislation Monday that would have limited who could work in the state as a health insurance guide and blamed a national conservative group for injecting an error into the model legislation.
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Information
Dr. Oz scolded at hearing on weight loss scams
By Associated Press | June 18, 2014
Under pressure from Congress, celebrity physician Mehmet Oz on Tuesday offered to help "drain the swamp" of unscrupulous marketers using his name to peddle so-called miracle pills and cure-alls to millions of Americans desperate to lose weight.
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Magazine
HHS inspector general puts insurance exchanges on his agenda
By Modern Healthcare | June 07, 2014 | Print Magazine Print Magazine Subscription Details
Daniel Levinson heads HHS' Office of the Inspector General and is chief watchdog for fraud and abuse in Medicare and Medicaid, overseeing 1,500 employees. He recently spoke about the agency's priorities in investigating the use of electronic health records, billing in Medicare's prescription drug...
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Podcast
HHS Inspector General Daniel Levinson on EHRs, Part D and staffing
By Modern Healthcare | June 07, 2014
HHS Inspector General Daniel Levinson, the agency's chief watchdog for fraud and abuse in Medicare and Medicaid, outlines his priorities in investigating the use of EHRs, billing in Medicare's prescription drug program and his office's changing budget for staffing.
FULL STORY »
 

News
HealthSouth ups 2014 guidance with increased stake in UMass hospital
By Bob Herman | June 03, 2014 | Basic Web Basic Web Subscription Details
HealthSouth Corp. expects to surpass its year-end profitability guidance after increasing its ownership of a hospital in Massachusetts.
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Magazine
King's Daughters Medical Center settles false-claims charges, and other news
By Beth Kutscher, Joe Carlson and Darius Tahir | May 31, 2014 | Print Magazine Print Magazine Subscription Details
King's Daughters Medical Center has finalized a settlement with the U.S. Justice Department that resolves allegations that it performed unnecessary cardiac procedures and had inappropriate financial relationships with referring physicians.
FULL STORY »
 

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