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National Media Reports on Never Events as Medicare Reimbursement Change Approaches |
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Written by Rob Kurtz
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Thursday, 13 March 2008 |
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For years hospital errors were corrected and billed as part of a patient’s treatment; in just a few months, Medicare will change that practice, and now, national media are starting to pay attention.
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OIG Work Plan for 2008 -- Several Areas of Interest |
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Written by Stephanie Wasek
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Wednesday, 12 March 2008 |
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In 2008, the OIG plans to review several areas of interest to ASC Review readers: |
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Fraud and Abuse Judgments and Settlements Recoup $1.5 Billion for Medicare |
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Written by Rob Kurtz
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Thursday, 21 February 2008 |
The Health Care Fraud and Abuse Control Program (HCFAC) recovered approximately $1.5 billion in 2006 as a result of fraud and abuse judgments and settlements, according to a report from the Department of Health and Human Services and the Department of Justice.
The efforts of the program also yielded $177.1 million in Medicaid money. HCFAC has returned more than $10.4 billion to Medicare since the program's inception in 1997.
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Physician-Owned Hospitals: 10 Concepts to Consider |
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Written by Scott Becker
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Friday, 18 January 2008 |
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1. There are now nearly 200 hospitals in the country with physician-ownership of one kind or another.
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Physician Owned Hospitals The Best of Times the Worse of Times |
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Written by Scott Becker
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Friday, 18 January 2008 |
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For physican owned hospitals in the United States, this is truly the best of times and the worst of times. Here's why . . .
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Hospitals and Health Systems |
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Written by Scott Becker and Elissa Koch
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Thursday, 17 January 2008 |
Hospitals and health systems, whether general acute care hospitals or specialty-driven hospitals, are attempting to prosper in a unique time. This year, hospitals throughout the country will see increased reimbursement for hospital inpatient services, rather than decresed reimbursement.
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Structuring Joint Ventures Involving Tax-Exempt Entites |
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Written by Scott Becker, Esq., Mark G. Kalifa, Esq.
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Thursday, 17 January 2008 |
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When tax-exempt entites invest in joint ventures, they generally desire to treat income derived from such ventures as exempt from income tax. Over the last few years, healthcare lawyers have been provided with a great deal of guidance relative to this issue. Unfortunately, the guidance, which has been provided through case law and issuances by the Internal Revenue Service (Service), only clarifies specific fact patterns that are either clearly "favorable" or, on the other side of th spectrum, clearly "unfavorable."
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Hospital-Physician Integration Models |
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Written by Scott Becker, Bart Walker and Sarah Abraham
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Thursday, 17 January 2008 |
Many hospital systems, over the last several years, have tended to avoid the large scale employment of physicians or the acquisition of practices. This history resulted from many of the financial problems hospitals encountered from acquisitions and expansion in the 1990s. During that period, many systems literally bankrupted themselves due to practice acquisition and employment costs. Hospitals, for many reasons, including the need to assure coverage and the need to provide a wide range of services, are again acquiring practices and employing physicians.
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Written by Amber McGraw Walsh and Scott Becker
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Monday, 14 January 2008 |
 For many healthcare companies, when it is time to sell or refinance
their business, finding an investment bank that fits the needs,
philosophies and goals of the seller can be an important component for
success during the sale/refinance process.
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Business Issues
