Collection agency allegedly usurped charitable hospital's management control *

USA - May 10 2012
Accretive Health, Inc. (Accretive), according to the Minnesota attorney general's six volume report , entered into Revenue Cycle and Cost Management Agreements (Agreements) with Fairview Health Services (Fairview).

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More hospitals face expulsion from Medicare following unannounced complaint investigations *

USA - April 12 2012
A Pennsylvania hospital faces termination from the Medicare program following an unannounced complaint investigation by state health authorities in late March that found "there was a significant threat to the well-being of the patients at the facility."

Co-authors: Ameena N. Ashfaq.

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Supreme Court hears arguments on the constitutional challenge to the Patient Protection and Affordable Care Act *

USA - April 12 2012
From March 26 to 28, the U.S. Supreme Court heard oral arguments on the 26-state challenge to the Patient Protection and Affordable Care Act (PPACA or Act).

Co-authors: Susan Feigin Harris, Larry J. Obhof, Jr., Christopher J. Swift.

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TRICARE participation no longer makes a provider a federal subcontractor, but... *

USA - April 12 2012
Section 715 of the recently enacted National Defense Authorization Act (NDAA) provides that a federal subcontractor relationship will not be created merely because of a provider's participation in a TRICARE provider agreement.

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Medicare reassignment: physicians are responsible for failing to monitor assignee billings *

USA - March 1 2012
As part of the Office of the Inspector General's (OIG) efforts to hold physicians more accountable, the OIG recently warned physicians that they may be liable for false claims submitted by entities to which they reassign their right to bill Medicare and receive Medicare payments.

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