Most Recent Articles by James M. Berklan
If there's anything that's become clear about this ACO business lately, it's that it's not going to be as simple as A-B-C.
In apparent acknowledgement that HIPAA violation enforcement has been less than aggressive so far, a government adviser said that HIPAA audits would soon produce swift results — and penalties, when appropriate.
The fallout from a recent spike in rehabilitation charges to government payers continued to make headlines in September. This time, a nursing home company was blamed for insufficient oversight of its contract therapy provider.
If outgoing MedPAC Chairman Glenn Hackbarth had his way, Medicare would pay for skilled nursing services without requiring a three-day hospital stay first.
In an unprecedented ruling, a federal judge has declared that officials may use just a statistical sampling of Medicare claims to help prove nursing home company overbilling charges.