The Centers for Medicare and Medicaid Services has relented on a policy that barred hospitals from getting paid on claims denied by auditors such as RACs if the rejection was based on where the care was rendered.
If your practice is unable to accommodate a wheelchair-bound patient, you're far from alone, according to a new study in the Annals of Internal Medicine. You also may be in violation of the Americans with Disabilities Act.
Underwood Memorial Hospital in New Jersey was the subject of an employee class-action lawsuit regarding the illegal docking of pay--and another case in California suggests that there is some friction between hospital management and line staff over the issue.
An unnamed HIPAA-covered entity in Southern California is suing the U.S. Internal Revenue Service, alleging that agents executing a warrant stole medical records for 10 million Americans. Those affected could include every state judge in California, as well as "prominent citizens in the world of entertainment, business and government, from all walks of life," according to the complaint.
The American Cancer Society endorses virtual colonoscopy as a screening option, and insurance companies like Cigna, UnitedHealthcare and Anthem Blue Cross Blue Shield cover it. Isn't it time for CMS to revisit the issue?
The Centers for Medicare & Medicaid Services last week issued a proposed decision memo to reverse a requirement that FDG-PET scans of patients with solid tumors be reported to the National Oncologic PET Registry (NOPR). In theory, this should make it easier for PET providers to receive reimbursements, since CMS requires them to report such data in order under its coverage with evidence development (CED) requirement.
After releasing the draft version of the application consumers will use to apply for individual policies through health insurance exchanges, the U.S. Department of Health & Human Services is facing criticism that it's too complex.
Insurers planning to sell policies in California's health insurance exchange will have to bid for the opportunity and other states are considering requiring some conditions be met before letting insurers do business through their online marketplaces, Bloomberg reported.
Medicare has once again revised its formula for calculating penalties for hospitals with excessive readmissions, reducing penalties for 1,246 hospitals.
While interoperability was one of the more dominant themes at the Healthcare Information and Management Systems Society's annual conference in New Orleans last week, it was far from the only topic of discussion.