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Navigating the Intersection of Payment Integrity and Provider Relations in Healthcare

Innovaare Compliance

According to the National Health Care Anti-Fraud Association, the financial losses due to healthcare fraud are estimated to be in the billions of dollars annually. The Centers for Medicare & Medicaid Services (CMS) reported that in the fiscal year 2020, they recovered $3.1 billion in healthcare fraud judgments and settlements.

Fraud 52
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2024 New York Budget Proposes Wide-Ranging Transaction Approval Requirement That Targets Private Investment in Physician Practices and MSOs, and Permits DOH to Extract Concessions

Health Care Law Brief

The bill states that “physician practices are subject to far less oversight than [other facilities]” but that they “remain unregulated by the state outside of the licensure of the individual practitioners who practice at these sites and Medicaid enrollment.” at PHL § 4554.

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Health Provider News – November 4, 2022

Hall Render

Feds approve program for rural Arkansas health care but it will cost local taxpayers more. Governor Hutchinson Announces Expansion To Rural Health Services With ARHOME Medicaid Program. Feds OK Arkansas’ Life360 model incentivizing health outcomes. New vice president named at Baptist Health Lexington.

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Health Provider News

Hall Render

helped shape Galen College of Nursing’s culture Kentucky Association of Health Plans names 2024 officers, expands reach to improve health of all Kentucky’s registered nurse median salary ranks 38th in U.S.

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Health Provider News

Hall Render

Dunleavy adds $9M to budget to address food stamp, Medicaid backlog New study provides snapshot of increase in maternal deaths in Alaska Mental Health Trust Grants $1.6M Can Hospitals Change in Time to Keep Them?

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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 Care and the Democratic Debates – Round 2 – Battle Royale for M4All vs Medicare for All Who Want It – What It Means for Industry

Health Populi

” Buttigieg would call it “Medicare for All Who Want It,” made available on health insurance exchanges. and Canada have some private insurance. Biden, too, told his personal story of family health trauma and financial coverage with health insurance. Even countries like the U.K.