Recovery Audit Contractors recouped more than $400 million in improper Medicare payments in fiscal year 2016 and are now urging Congress to increase their ability to review more claims. Hospitals meanwhile are seeking to further reduce the amount of claims reviewed by RACs.
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Healthcare news this week …
A federal appellate court rejected CliniComp's claim that Cerner Corp. was improperly granted the VA's $10 billion EHR contract.
As part of a pilot program to address food insecurity, MetroHealth is opening a food clinic on the system's main campus in Cleveland.
CVS may rethink its new cost-effectiveness program amid criticism, Novo Nordisk lays off 400 workers and a new research paper finds there is still a ways to go in DNA treatment.
North Carolina hospitals affected by Hurricane Florence are working to get back to normal operations, thanks in part to collaboration with the state, supply chain partners and healthcare providers in less affected areas, like Atrium Health.
Occupancy at SNFs across the United States reached a record low of 81.7% in the second quarter of 2018, down from 83.1% over the same period last year as policy changes take hold and competition ramps up.
California's insurance commissioner accused pharmaceutical giant AbbVie of illegally plying doctors with cash, gifts and services to prescribe Humira, tainting their relationship with patients and driving up insurance costs.
HHS wants to work with private companies like venture capital firms and startup incubators to discuss strategies to accelerate investment, innovation and research in healthcare.
The American Hospital Association's new initiative is meant to better inform both policymakers and the public about the 340B program and how hospitals use the savings they generate from it.
Efforts to reduce physician burnout may need to begin during residency, one of two studies published Tuesday in JAMA indicates.
After two years of gaining physicians, Hawaii lost 51 full-time doctors in 2017. The state has about 2,900 full-time doctors, approximately 800 short of the number needed across all specialties.
Nurses at the University of Michigan voted in favor of a three-day work stoppage to protest "ongoing and continuous violations of their workplace rights" after their contracts expired June 30.
The CMS warned that Aurora Chicago Lakeshore Hospital, one of the city's largest psychiatric hospitals, is not adequately protecting suicidal patients from harming themselves and could lose its Medicare billing privileges.
Cleveland Clinic, the second largest employer in Ohio, reports that it boosted Ohio's economy by $17.8 billion in 2016, according to the system's latest economic impact report, which it produces every three years.
The Senate's health committee is questioning the government's role in helping patients understand what they should pay for their healthcare—and whether Congress can change the incentives in a complex system that doesn't encourage shopping.
Ascension Health continues to grow its revenue, although its operating income was significantly stifled in its fiscal 2018 as the massive health system works to standardize its revenue cycle system-wide.
A Senate proposal would take aim at hospital balance billing—a practice that has caused sticker-shock reverberations across the country and sparked increasing public outcry.
The deal will allow TriMedx to expand its healthcare clientele and Aramark to focus on its core food, facilities and uniforms businesses, executives said.
The Senate passed its opioids legislation, laying the groundwork for a final bicameral deal. The upper chamber also cleared a stand-alone healthcare bill to target insurer gag clauses on pharmacists.
Following a multimillion-dollar operating loss in 2017, Summa Health in the first half of this year managed to achieve a $43 million turnaround of its finances and is back in the black.