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. FULL STORY »
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. FULL STORY »
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. FULL STORY »
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... FULL STORY »
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. FULL STORY »
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. FULL STORY »
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. FULL STORY »
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. FULL STORY »
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. FULL STORY »
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. FULL STORY »
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