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ChristianaCare Settlement Drives New Legal Theory in False Claims Act Litigation: Hospitals Take Note When Providing Clinical Services to Their Private Physician Groups

Healthcare Law Blog

However, ChristianaCare employees – including hospitalists, residents, physician assistants, and nurse practitioners – worked in the NICU alongside Neonatology Associates, and were also providing care to these same patients.

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2018 Medicare Fee-For-Service improper payment rate is lowest since 2010

CMS.gov

These improper payments may be overpayments or underpayments and do not necessarily represent expenses that should not have occurred. billion decrease in estimated improper payments from 2015 to 2018. percent in 2015 to 17.61 Skilled nursing facility corrective actions resulted in a $1.04 percent in 2018.

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Home Health PPS Proposed Rule for CY2023: More Bad News for the Home Health Industry

Hall Render

Skilled Nursing. This latter claim is hard to fathom given the history of reimbursement updates over the last few years as well as the recent pandemic, record inflation and a significant home health staffing crisis which has driven up employee pay, especially for nurses, which have all contributed to increased costs. Discipline.