Source: CMS proposes changes to the Comprehensive Care for Joint Replacement Model, cancellation of the mandatory Episode Payment Models and Cardiac Rehabilitation Incentive payment ... Read more »
Facing a crushing caseload of appeals to denied Medicare claims, the CMS is launching a new audit process to reduce the number of providers that have their claims challenged. Source: CMS overhauling Medicare fraud audit process – Modern Healthcare Modern ... Read more »
The United States Department of Justice (“DOJ”) reported that it obtained over $4.7 billion in civil settlements and judgments involving federal False Claims Act fraud and abuse claims against the … Source: Federal False Claims Act Recoveries Are the Third ... Read more »
For now, it’s a delay of three months, but the CMS is considering pushing back the Comprehensive Care for Joint Replacement program and its cardiac bundles until 2018. Source: CMS delays expansion of bundled payment programs – Modern ... Read more »