fraud
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18 Hospitals That Closed In 2013
Throughout 2013, 18 acute-care hospitals closed their doors, and there are many others — such as Interfaith Medical Center in Brooklyn, N.Y., Vidant Pungo Hospital in Belhaven, N.C., Lake Shore Health Care Center in Irving, N.Y., and Williamson (W.Va.) Memorial Hospital, to name a few — that could follow suit this year. Read More »
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2013: The Tipping Point In Health Care
In the health care industry, 2013 will be a huge year: the perfect storm of the Affordable Care Act (ACA), the fiscal cliff and long-term deficit reduction, consumer dissatisfaction, and higher costs mean it’s a year when results matter.
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3 HHS Oversight Programs Threatened By Sequestration
The Department of Health and Human Services’ Office of the Inspector General is reducing staff by about 400 this year, as it implements a 20 percent budget reduction from Congress’ continuing federal funding resolution, sequestration. Read More »
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4 Strategies to Combat Healthcare Fraud
The healthcare industry continues to face fraud, and much of it goes unexamined every year. The GAO estimates that in 2010 more than $70 billion in improper payments were made by the federal government within the Medicare and Medicaid programs alone. Read More »
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5 Nagging Questions About Meaningful Use Stage 2
New technology, we generally assume, is supposed to make us more comfortable by instituting convenience into our lives. Yet new technology that comes with deadlines attached can have exactly the opposite effect. Read More »
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5 Not-So-Merry Tales Of Healthcare Fraud Dark Side
It’s December, the time of holiday cheer, but for victims of healthcare fraud and medical identity theft, the season is not a happy one. The news is full of dishonest people making patients sicker and healthcare costlier. Read More »
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AMA Says EHRs Create 'Appalling Catch-22' For Docs
As the healthcare industry moves to EHRs, the medical record has essentially been reduced to a tool for billing, compliance, and litigation that also has a sustained negative impact on doctors' productivity, according to Steven J. Stack, MD, chair of the American Medical Association’s board of trustees. Read More »
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AMA Says EHRs Create 'Appalling Catch-22' For Docs - And Just How Many Experts Does It Take To Screw In A Light Bulb, Anyway?
At some point, so-called EHR "experts" and pundits need to stop being accommodated for their having ignored years of warnings, complaints, "anecdotes" -a particularly egregious term that comes from those who don't understand risk management, especially academics of the echo chamber-egghead subspecies (link) - and other signs that health IT is not a beneficent, omniscient gift from the Lords of Kobol. Read More »
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Commentary: Will Health IT Increase Fraud And Abuse?
A September 15 article in the Washington Post examines an area of increasing focus in healthcare -- fraudulent and abusive Medicare billing practices. Read More »
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Critics Say Sting On Open-Access Journals Misses Larger Point
Perhaps months from now, when the dust settles and academics really look back at it, they’ll find some hard lessons in the elaborate Science magazine exposé this week by the journalist John Bohannon. Read More »
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Daylight Saving Time Is America's Greatest Shame
Daylight Saving Time is the greatest continuing fraud ever perpetuated on American people. And this weekend, the effects of this cruel monster will rear its ugly head again. On Sunday morning, Americans across the country will have to set their clocks back one hour, and next week, the sun will begin its ambling lurch to eventually setting at 4:30 in the afternoon. Read More »
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Demystifying The Government's Fraud And Abuse Tools For Healthcare
The U.S. Government increasingly uses statistical analysis and data mining to identify fraud and abuse in the healthcare market. A key tool in the government’s arsenal is RAT-STATS software, used to sample and quantify improper claims, which then become the basis for damages and monetary penalties... Read More »
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Doctors & Other Professionals Billing Medicare At Higher Rates
Thousands of doctors and other medical professionals have billed Medicare for increasingly complicated and costly treatments over the past decade, adding $11 billion or more to their fees — and signaling a possible rise in medical billing abuse, according to an investigation by the Center for Public Integrity. Read More »
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Doctors' Dubious Excuses For Taking Pharmaceutical Companies' Money
Pro Publica has updated their database of payments by pharmaceutical payments to physicians and organizations. It now has data from 15 companies totaling more than $2 billion from 2009 to 2012. To accompany Pro Publica's report, a number of news outlets wrote about payments given to local or regional doctors... Read More »
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Don't Overlook Fraud In EHRs, OIG Cautions CMS
The Centers for Medicare & Medicaid Services has eagerly pushed EHRs onto healthcare providers without adequately addressing the risk of fraud, suggests a report from the Office of Inspector General. Read More »
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