Healthcare Law Today

JANUARY 2, 2023

In the 2016 Final Rule , CMS agreed “the 60-day time period begins when either the reasonable diligence is completed or on the day the person received credible information of a potential overpayment if the person failed to conduct reasonable diligence and the person in fact received an overpayment. § 401.305(a)(2).

Overpayments 52

Overpayments Overpayment ACA Medicare 52

Health Populi

APRIL 24, 2018

” The brief answer is that the country experienced a huge fraud incident discovered in 2017 , involving 18 networks of corruption leading to at least 42 criminal cases. The resulting monetary loss was calculated to be at least $160 mm of fraud in 2017 alone. health ecosystem stakeholders.

Health Insurance 74

Health Insurance Fraud Hospitals Nurses 74

Verisys

MARCH 24, 2022

Healthcare facilities receive billions of dollars in federal and state funding through the Affordable Care Act (ACA), Medicare, Medicaid, CHIP, and other programs. In 2016, Alcon Laboratories was slapped with a $7.6 When it comes to healthcare, knowing who you’re doing business with matters.

ACA 52

ACA Compliance Governance Medicaid 52

Hall Render

MARCH 29, 2024

million to resolve visa fraud investigation P&G, Cincinnati Children’s among the nation’s most innovative companies, according to Fortune St. million to resolve visa fraud investigation P&G, Cincinnati Children’s among the nation’s most innovative companies, according to Fortune St. Here’s how S.C.

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses Hospitals 40

Hall Render

NOVEMBER 3, 2023

s largest community health center move to unionize DELAWARE Delaware gets top rating for hospital maternity care Delaware system hits funding goal, raises objective ACA enrollment begins, most plan options offered in Delaware marketplace history Nemours Children’s Health Names Delaware Valley Regional President FLORIDA Ascension St.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

CMS.gov

NOVEMBER 2, 2018

Medicare has a plethora of misaligned financial incentives that work to increase costs for taxpayers and beneficiaries, and create challenges related to fraud and abuse. percent from 2011-2016, from $17.6 It is certainly not because the ACA has worked. After the ACA took effect, premiums skyrocketed and choice dwindled.

Governance 55

Governance Medicare Medicare ACA 55