The Affordable Care Act (ACA) requires Medicare providers to return overpayments within 60 days of the date they are identified in order to avoid liability under the False Claims Act.
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Health Care Reform
New Medicare Dashboard Highlights Drug Spending
By Todd Rodriguez on
Earlier this month, the Centers for Medicare and Medicaid Services released a new tool designed to give providers and consumers insight into Medicare drug spending. The Medicare Drug Spending Dashboard, …
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CMS Publishes Draft Plan for Quality Measurement in Support of Payment Reform
By Todd Rodriguez on
The Centers for Medicare & Medicaid Services (CMS) has stated its intention to move at least 50% of Medicare payments from fee for service to alternative payment systems based on …
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Centers for Medicare and Medicaid Services Published New FAQs on EHR Incentive Programs and Final Rule on Stage 3 Participation
By Todd Rodriguez on
This past month, CMS published several new Frequently Asked Questions (FAQs) on its website addressing questions about the EHR incentive programs, and in particular how to attest to certain measures…
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New Study Suggests Defensive Medicine May Be Effective in Reducing Malpractice Liability
By Edward J. Cyran on
A new study in the BMJ suggests that the more services a physician provides to his or her patients, the less likely the physician is to be sued for malpractice. …
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The Switch to ICD-10
By Edward J. Cyran on
The long-anticipated implementation of ICD-10 coding finally began this past Thursday, October 1, 2015. As of that date, government and commercial payors ceased to accept claims under the old coding…
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Are the Days of Private Medical Practice Over?
By Todd Rodriguez on
According to a recent study published by Accenture, only 1 in 3 physicians will be in independent private medical practice by 2016. What’s killing the private medical office? No surprise…
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Practice Planning in Uncertain Times
By Todd Rodriguez on
These are uncertain times for physicians. The future of healthcare is uncertain for everyone involved, from payors to providers to consumers. In fact, there may be only one universal certainty…
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CMS Releases Physician Value Modifier Payment Data
By Todd Rodriguez on
Many physicians are aware of the push by the Medicare program to move away from a fee for service physician payment model to one which recognizes higher quality and lower…
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Physicians Go On Strike
By Todd Rodriguez on
According to various news outlets, physicians at the University of California student health centers (as many as 150 physicians in all) went on strike this week in protest of…
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