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Medicare Patients Win the Right to Appeal Gap in Nursing Home Coverage

Kaiser Health News

A three-judge federal appeals court panel in Connecticut has likely ended an 11-year fight against a frustrating and confusing rule that left hundreds of thousands of Medicare beneficiaries without coverage for nursing home care, and no way to challenge a denial. But it can have serious repercussions.

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What's ahead for health IT policy and legislation in 2023 

Healthcare IT News - Telehealth

We spoke with the HIMSS government relations team for their thoughts on those priorities and more in 2023 and beyond. Budget leaders have asked, "How do you really know what the impact on the Medicare population and the Medicare Trust Fund will be? Creating standards synergy for 'Interoperability 3.0'

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The History of Healthcare Compliance

MedTrainer

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation. What is Healthcare Compliance?

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Medicare Audit Claims University of Miami Hospital Owes Government $3.7 Million

The Health Law Firm

Board Certified by The Florida Bar in Health Law The University of Miami Hospital allegedly owes Medicare $3.7 This is according to an audit report of the hospital’s billing practices that found the hospital allegedly overbilled the health care program in 2009 and 2010. Indest III, J.D.,

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False Claims Act Settlements Exceed $5.6 Billion in Fiscal Year 2021

Healthcare Compliance Blog

In 2009 and 2010, further improvements were made to the False Claims Act and its whistleblower provisions. Congress strengthened the False Claims Act by increasing incentives for whistleblowers to file lawsuits alleging false claims on behalf of the government. billion recovered under the qui tam provisions of the False Claims Act.

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DOJ’s FY 2022 False Claims Act Recoveries: A Mixed Bag

Health Law Advisor

The total recoveries in fraud cases brought with respect to the health care and life sciences industries fell to the lowest level since 2009. billion was recovered in qui tam cases in which the government declined to intervene. By contrast, $777 million was recovered in cases where the government intervened or otherwise pursued.

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Why Is Healthcare Compliance Important?

MedTrainer

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. Exclusion from Government Programs: Entities found non-compliant may be barred from participating in government healthcare programs like Medicare and Medicaid. What Is Healthcare Compliance?