Category Archives: Academy Blog

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Medical errors are now the 3rd leading cause of death in the US, study finds

Medical errors are now the 3rd leading cause of death in the US, study finds According to a worrying new report, your doctor’s more likely to kill you than chronic respiratory disease. In fact, medical errors – whether that’s a surgical … Continue reading

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Medical Error Now the Third Leading Cause of Death in US

Researchers say medical errors cause 250,000 deaths per year, or the number three killer, behind number two, cancer, and number one with a bullet, heart disease. Patient safety researchers from Johns Hopkins published a report in the medical journal “The … Continue reading

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CMS’s Proposed IPPS and LTCH FY 2017 Rule: Key Takeaways

CMS’s Proposed IPPS and LTCH FY 2017 Rule: Key Takeaways | Ober|Kaler – Health Law Group On April 18, 2016, CMS released its proposed rule [PDF] addressing new payment rates and policies under both the Inpatient Prospective Payment System (IPPS) … Continue reading

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CMS Releases Proposed IPPS/LTCH Rules for 2017

CMS Releases Proposed IPPS/LTCH Rules for 2017 The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update fiscal year (FY) 2017 Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS) and the Long-Term … Continue reading

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Does Your Hospital Compliance Plan Need Review?

How Medicare Reporting and Returning of Overpayments Final Rule Changes the Landscape CMS published a long awaited Final Rule for self-reporting and returning Medicare overpayments for Part A, Part B and durable medical equipment on 2/12/2016, almost four years to … Continue reading

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CMS proposes dropping the -0.2% offset from CMS-1599F

No changes in the Two-Midnight Rule Cause of confusion in C-Suites The Centers for Medicare & Medicaid Services (CMS) issued CMS-1655P, the FY2017 Inpatient Prospective Payment System (IPPS) Proposed Rule on April 18, 2016. CMS also published the proposed rule … Continue reading

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BREAKING NEWS: CMS awards $91 million contract for fraud detection

CMS awarded defense contractor Northrop Grumman a $91 million contract to develop and implement a second generation advanced analytics system, called the Fraud Prevention System2 (PFS2), to help identify so-called “high-risk” claims in Medicaid and Medicare. Continue reading

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Can Denials Be Predicted Before Filing Claims?

And If So, What’s that Worth? No one has the ability to capture and analyze data from the future. However, there is a way to predict the future using data from the past. With the evolution of big data in … Continue reading

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CMS Finalizes Two Midnight Rule Changes

Some Details Still Missing The Centers for Medicare & Medicaid Services (CMS) released the 2016 Outpatient Prospective Payment System Final Rule (2016 OPPS Final Rule), finalizing proposed changes to the Two Midnight Rule first proposed this past July. Beginning January … Continue reading

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CMS Cuts RAC Reviews 75%

Drastic Cut in Hospital ADR Limits The Centers for Medicare & Medicaid Services (CMS) is cutting the Recovery Audit Contractors’ (RACs) universe of hospital claims to review, and the number of records they may request from a hospital, by 75% … Continue reading

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