With the recovery audit contractor (RAC) demonstration program ending this past March, CMS expects to name the new, permanent RACs by May, announced Kimberly L. Brandt, CMS program integrity director, at the Health Care Compliance Association’s Compliance Institute held in…
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A New Orleans Hospital, Touro Infirmary, will pay $1.75 million to settle allegations that it submitted false Medicare claims, according to the Department of Justice (DOJ). The DOJ alleges Touro made unlawful payments of almost $150,000 annually, from 2000 to…
In just eight years, BayCare Clinic has become an extremely profitable, high-quality, physicianowned organization serving the Green Bay, Wis., community. The chief medical officer for BayCare is Paul Summerside, MD, FAAEM, who also serves as the president of the board…
This short article briefly outlines several methods by which hospitals attempt to align interests with physicians. Certain of these options may be useful for different types of projects. Further, depending on whether pursing an imaging venture, an ASC venture, a…
1. Jack Bovender Jr. — Jack Bovender Jr. is the chairman and CEO of Hospital Corporation of America (HCA). He assumed this role in January 2002. Prior to this position, Jack served as HCA's executive vice president and COO for…
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In order to fund the billions of dollars worth of uncompensated care they provide annually, hospitals are using Web sites to sell off millions in collectible debt to the highest bidder, reports the Wall Street Journal.
CMS is revisiting the Stark “stand in the shoes” provision as a component of its 2009 Hospital Inpatient Prospective Payment System (IPPS) proposed rule. This provision, which was included in the Phase III final rule, is aimed at determining whether…
This has been a fascinating first quarter of 2008. Four of the developments that we find to be really interesting are as follows: 1. The acceleration of high-deductible plans and consumer-driven healthcare Commentators speak in abstract terms about “consumer-driven healthcare.”…
In this issue: 6 Considerations for Successful Outpatient Knee Replacement; Reimbursement, Profit and Patient-Selection Issues -- Spine and Orthopedic Cases; Physician/Hospital Joint-Ventures -- Incentives and Ownership for Hospital-Employed Physicians and for Primary Care Physicians; Regional Anesthesia: Benefits and Implementation in…
Submit a question by e-mailing rob@beckersasc.com. August 14, 2008 How important are relations between your surgeons, the surgery center and primary care physicians to the success of your center? Does the strategy of hospitals employing primary care physicians make sense?…