Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

AHA panel warns of threats to CAHs, rural providers

A panel of healthcare experts discussed threats to rural hospitals as part of a broader discussion about the state of rural healthcare at the American Hospital Association's (AHA) Annual Membership Meeting on Sunday.

CT lung screening debate not over yet

The Medicare Evidence Development & Coverage Advisory Committee's low confidence vote last week on low-dose CT (LDCT) lung cancer screening has added some confusion to this health policy issue. While MEDCAC's decision not to support full Medicare coverage for LDCT screening for at-risk individuals is not binding, it certainly increases the likelihood that the Centers for Medicare & Medicaid Services will follow the committee's findings and decline to provide Medicare coverage.

CMS rejects financing for privatizing Louisiana's safety net hospitals

The Centers for Medicare & Medicaid Services rejected Louisiana Gov. Bobby Jindal's (R) plan to finance the privatization of its public hospital system, claiming it does not follow federal regulations.

Provider groups stress more testing in reaction to ICD-10 deadline

A day after including language in its proposed Inpatient Prospective Payment Systems rule that hinted at a new ICD-10 deadline, the Centers for Medicare & Medicaid Services confirmed that it expects to release an interim rule soon officially setting a compliance date of Oct. 1, 2015.

Doctors who lost licenses get millions from Medicare

Medicare records released last month show the agency paid at least eight doctors with suspended or revoked medical licenses collectively more than $7 million a year, including doctors disciplined for gross malpractice, battery and violating prescription drug laws, according to a  Bloomberg Businessweek  article.

Mystery remains over how many enrollees paid their premiums

The dispute over how many exchange consumers have paid their premiums continues. A House Committee report said 67 percent of enrollees had paid their first month's premiums as of April 15, reports Insurance Networking News. Yet the Centers for Medicare & Medicaid Services claimed 80 percent to 90 percent of enrollees have paid.

Hospital shootings: What to do when disaster strikes

With more than 150 shootings at hospitals across the United States from 2000 to 2011--30 percent of those in emergency departments--the threat to patients and staff safety is real. An April symposium at Johns Hopkins examined ways to prepare for an active shooter situation, according to MedPage Today.

CT code bundling rocks radiologist reimbursements

The bundling of reimbursement codes for CT of the abdomen and pelvis in 2011 hit medical imaging hard, resulting in a 29 percent decrease in reimbursements for the exams in 2011, according to a study published in the May issue of the  American Journal of Roentgenology.

Hold ICD-10 vendors accountable for their services, WEDI summit attendees say

Provider representatives attending the Workgroup for Electronic Data Interchange's ICD-10 Summit in Reston, Virginia, on Wednesday discussed the need for more vendor engagement and accountability within the ICD-10 transition process.

Industry leader disappointed IPPS proposed rule doesn't address two-midnight rule

An industry leader expressed disappointment that the Centers for Medicare & Medicaid Services' proposed Inpatient Prospective Payment System (IPPS) rule for 2015 provides no changes to the controversial two-midnight rule.