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Medicare & Medicaid

Judge orders AHA to submit proposals to clear up Medicare claims backlog
Mar 30 | Susan Morse
AHA and three of its member hospitals had sued HHS due to the long delay in…
Early Alzheimer’s diagnosis could save $8 trillion
Mar 30 | Jeff Lagasse
Diagnosing patients during the mild cognitive impairment stage could both save money and make the condition more manageable…
AHIP asks CMS to change Medicare Advantage payment formula
Mar 29 | Susan Morse
The Centers for Medicare and Medicaid Services should update its county benchmark calculation in the 2019 final notice being…
Neonatal abstinence syndrome cost over $2B in excess.
Mar 29 | Jeff Lagasse
The problem has only gotten worse, and increasingly expensive, in recent years as more and…
Genesis Medical Center to pay $1.88M related to Medicare overpayments
Mar 28 | Beth Jones Sanborn
Hospital legal spokesman blamed complex interpretation billing classification rules, said hospital…
OIG: Medicare overpaid $367 million for physical therapy
Mar 26 | Beth Jones Sanborn
Government watchdog estimated that during a 6-month audit period, Medicare paid hundreds…
Rush boosts star ratings with proprietary predictive analytics
Mar 23 | Jeff Lagasse
Hospital was able to better grasp what it was was already doing well, and what it…
CMS proposes rule to alleviate Medicaid reporting burden
Mar 22 | Susan Morse
States qualify by having at least 85 percent of their Medicaid population in managed care or by reducing provider…
Trump opioid crisis
Mar 19 | Susan Morse
An electronic prescription drug monitoring program network would track…
CMS approves Next Generation Sequencing for cancer patients
Mar 16 | Susan Morse
The FoundationOne CDx test is the first breakthrough-designated in vitro diagnostic test and can detect genetic mutations in 324…

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