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News
GAO push for lower dialysis bundle spurs controversy
By Beth Kutscher | December 17, 2012 | Basic Web Basic Web Subscription Details
Dialysis and kidney-care providers are taking issue with a GAO report released this month that found the government may be over-paying for end-stage renal disease treatment.
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News
Studies question revised mammography guidelines
By Jaimy Lee | November 27, 2012 | Basic Web Basic Web Subscription Details
The revised mammography screening guidelines issued by the U.S. Preventive Services Task Force three years ago may result in missed cancers and declines in screening, according to two studies presented at the Radiological Society of North America's annual meeting this week in Chicago.
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News
Audit finds improper DSH payments to N.J.
By Paul Barr | November 19, 2012 | Basic Web Basic Web Subscription Details
HHS' inspector general's office found during an audit that New Jersey wrongly claimed $50 million in federal Medicaid disproportionate-share hospital payments related to five hospitals during state fiscal years 2003-07.
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News
HHS finds $1.5 billion in bad billing by SNFs
By Paul Barr | November 13, 2012 | Basic Web Basic Web Subscription Details
Skilled-nursing facilities received $1.5 billion in inappropriate Medicare payments in 2009, according to HHS' inspector general's office, which found that one quarter of all SNF claims in the period were done in error. The report could lead to increased scrutiny of SNFs by Medicare administrative...
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Information
Advocate Health scales back plans for tower
By Claire Bushey, Crain's Chicago Business | October 25, 2012
Advocate Health Care is scaling back a proposed hospital tower in Oak Lawn, Ill., cutting the cost by 13%, to about $300 million, citing reduced demand for beds due to the federal overhaul of healthcare.
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News
Healthcare spending picked up in 2011: report
By Paul Barr | September 25, 2012 | Basic Web Basic Web Subscription Details
The Health Care Cost Institute, an insurer-funded not-for-profit research group, found per capita healthcare spending on those under age 65 with employer-backed insurance rose 4.6% to $4,547 in 2011.
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Information
Blue Cross parent reports weaker second-quarter results
By Andrew L. Wang, Crain's Chicago Business | August 23, 2012
Bottom-line income for the parent of Blue Cross & Blue Shield of Illinois fell sharply during the second quarter as demand for medical care surged, a sign that the economy is strengthening.
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Modern Physician
Practice Makes Perfect: Getting your team ready for the transition to ICD-10
By Robert Tennant | August 13, 2012
In June 2012, the MGMA-ACMPE released the results of a questionnaire that ranked members' most pressing practice management challenges. In this edition of “Practice Makes Perfect,” we'll tackle No. 3 on that list: preparing for the transition to ICD-10 diagnosis coding.
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News
Mail-order pharmacy program audit requested
By Joseph Conn | August 08, 2012 | Basic Web Basic Web Subscription Details
Eight House members have formally called for an audit by the Defense Department's inspector general's office of the mail-order pharmacy program run by the Tricare Management Activity, the military's health insurance arm.
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News
Auditors cite flaws in claims for diabetic supplies
By Joe Carlson | June 15, 2012 | Basic Web Basic Web Subscription Details
Medicare paid $1.2 billion for glucose-monitoring test strips and lancets for diabetic patients in 2007, and a review of those claims by HHS auditors has concluded at least $209 million of that could have been denied payment because of flaws in the paperwork.
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