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Lester E. Cox Medical Centers, a health care system headquartered in Springfield, Mo., will pay $60 million to settle claims that it violated the False Claims Act, the anti-kickback statute and the Stark statute, according to the U.S. Department of…

Physicians will earn bonuses from Medicare for using electronic prescribing systems beginning in 2009, according to published sources.

With the advent of the updated CMS 2008 fee schedule, orthopedic surgery now becomes an even more viable option for the ASC. 183 Orthopedic CPTs were added to the list, including a uni-compartment knee replacement (CPT 27446). In addition, ASCs…

The general concept over the past several years has been that block leasing presents less regulatory risk than per-click leasing. In essence, under a per-click lease, a party buys an image or test and resells it to a payor or…

Hospital hiring of physician specialists ebbs and flows, driven by reimbursement climates. According to the American Academy of Orthopaedic Surgeons, hospital employment of orthopedic surgeons nearly doubled from 2.2 percent of surgeons in 1990 to as high as 4.3 percent…

Here is a summary of major changes to the Medicare program covered in the recently passed Medicare Improvements for Patients and Providers Act of 2008.

From 2000 through 2006 Medicare spending for imaging services more than doubled, increasing to about $14 billion, according to a Government Accountability Office report titled "Medicare Part B Imaging Services: Rapid Spending Growth and Shift to Physician Offices Indicate Need…

We would like to thank the following companies for becoming founding sponsors of the Hospital Review: Affiliated Credit Services. Affiliated Credit Services is a Colo.-based professional account receivables management firm which focuses on increasing businesses cash flow by providing superior…

Depending on your point of view, HIPAA is either a boon or a bane: It?s generated a whole new line of business for many consultants, but has probably presented a major pain for providers, or ?covered entities.? What started in…

CMS has released a report offering fresh evidence that the recovery audit contractors (RACs) pilot program is successfully identifying improper payments ? $693.6 million has been returned to the Medicare Trust funds between 2005 and March 2008, officials say.