Cultivate a Culture of Compliance Hear from the Office of Inspector General and other government experts as they educate local health care providers, compliance officers, and their legal counsel about the realities of Medicare fraud and the importance of implementing an effective compliance program. Get the Facts. Understand the law and the consequences of violating […]

From the CMS Fact Sheet: Created by the Affordable Care Act, the new Federal Coordinated Health Care Office (the Medicare-Medicaid Coordination Office) works to improve coordination between the Federal government and States for Medicare-Medicaid enrollees in order to ensure full access to covered services in both programs and high quality care.  The Office is moving […]

From the CMS Press Release: Attestation for the Medicare EHR Incentive Program began earlier this week. This means that eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) can attest through the CMS web-based attestation system and be on their way to receiving Medicare EHR incentive payments. Several new CMS resources can help you […]

New Partnership Between Administration, The Private Sector, Hospitals And Doctors To Make Care Safer, Potentially Save Up To $50 Billion This week, Health and Human Services Secretary Kathleen Sebelius, joined by leaders of major hospitals, employers, health plans, physicians, nurses, and patient advocates, announced the Partnership for Patients, a new national partnership that will help […]

From the CMS Fact Sheet: Fifteen states across the country have been selected to design new ways to meet the often complex and costly medical needs of the nation’s lowest-income and chronically ill citizens, the Centers for Medicare & Medicaid Services (CMS) has announced. To address some of these issues, CMS is looking to these […]

From the CMS Fact Sheet: On Apr. 19, 2011, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would revise policies and payment rates for general acute care hospitals that are paid for inpatient services under the Inpatient Prospective Payment System (IPPS), effective for discharges in fiscal (FY) 2012 – that […]

CMS Launches Site for New Approach to Healthcare This week, the Center for Medicare and Medicaid Innovation (“Innovation Center”) re-launched Innovations.cms.gov. Along with providing information about the Innovation Center’s mission and values, the website provides ways for the Innovation Center to gather new ideas to improve our health care system. The Innovations website also encourages […]

From the Report Introduction: The Medicare Payment Advisory Commission (MedPAC) is an independent congressional agency established by the Balanced Budget Act of 1997 (P.L. 105–33) to advise the U.S. Congress on issues affecting the Medicare program. Two reports—issued in March and June each year—are the primary outlets for Commission recommendations. This report contains 13 chapters: […]

Double-billing Alleged Jersey City, N.J., physiatrist Monica Mehta, M.D., paid $2.25 million in a civil settlement agreement with the New Jersey U.S. Attorney’s Office to resolve allegations that she double-billed federal health care programs, U.S. Attorney Paul J. Fishman announced. The government is represented by Assistant U.S. Attorney Alex Kriegsman of the U.S. Attorney’s Office […]