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Navigating the Intersection of Payment Integrity and Provider Relations in Healthcare

Innovaare Compliance

The Importance of Payment Integrity Payment integrity is crucial for health plans to control costs, reduce fraud, waste, and abuse (FWA), and ensure the accuracy of healthcare payments. The Centers for Medicare & Medicaid Services (CMS) reported that in the fiscal year 2020, they recovered $3.1

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Health Provider News

Hall Render

Trinity: How the 3 largest nonprofit systems’ finances compare BAMF, Corewell Health partner on clinical trial for advanced cancer treatment Doctor files whistleblower lawsuit against DMC after patient becomes quadriplegic Lakeshore outpatient surgery center completes $9.3M

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Health Provider News

Hall Render

Banner Health to expand clinical AI to 33 hospitals, 6 states Banner reports $282.8M family sues hospital over life-altering injuries Calif.

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Health Provider News

Hall Render

California physician convicted of healthcare fraud, kickbacks California’s healthcare minimum wage boost to cost $4B City Council upholds approval of Hollywood Presbyterian medical offices at 1321 N. Will it survive the next few years? Pritzker, IDPH announced $3.5M Where does Indiana stand?

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Health Provider News – August 26, 2022

Hall Render

Amazon competes with CVS Health, others in bid for Signify Health. Amazon to shutter virtual health care service Amazon Care. CMS bulletin presses states on Medicaid nursing home spending. CMS informational bulletin urges steps for improving health outcomes in nursing homes. Compliance with Oct.