Catholic Healthcare West has agreed to pay $9.1 million to settle allegations that seven CHW hospitals submitted false Medicare claims, according to a Sacramento Business Journal report. The allegations stem back to the 1990s, with the Department of Justice becoming…
The Latest
In its transition from “pay and chase” to fraud prevention, CMS has published its Final Rule, which governs payment suspension, screening requirements and other anti-fraud measures under the Patient Protection and Affordable Care Act, according to a report from ReedSmith.…
There has been increased attention paid toward quality measures for colonoscopy, particularly adenoma detection rates and cecal intubation rates, some of which can also serve as predictors for interval colorectal cancer.
Electronic laboratory data can be used to track disease rates of Clostridium difficile infection, according to a study published in Infection Control and Hospital Epidemiology.
Researchers found that electronic prediction rules that automate triage of patients for MRSA-related hospital admissions could be more cost-effective than traditional surveillance for MRSA colonization.
The Patient Protection and Affordable Care Act of 2010, as amended by the Health Care and Education Reconciliation Act of 2010 (collectively, the "PPACA"), contains numerous provisions related to healthcare fraud and abuse and program integrity.The PPACA went into effect…
Visual monitoring of the Tuohy needle tip under fluoroscopy can serve as an alternative approach for needle placement in spinal cord stimulator trials and implantation, according to an article published in Pain Physician.
Healthcare reform may shift pharmaceutical companies' focus from product features to patient outcomes, according to a report from PricewaterhouseCoopers.
Micah Solomon, speaker and advisor to corporations and professional firms on improving customer service and the customer experience, discusses the problem of poor customer service in the healthcare industry — and how to fix it.
False claim allegations in the healthcare arena are on the rise due to rigorous enforcement, a more generous federal budget and incentives for whistleblowers. “False claims have become a hot button issue,” says David Pivnick, JD, an attorney in the…