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House Ways and Means Health Subcommittee to hold hearing on Medicare issues

USA - May 19 2014 On May 13, 2014, House Ways and Means Health Subcommittee Chairman Kevin Brady (R-TX) announced that the Subcommittee will hold a hearing on hospital…

CMS releases rate announcement and final call letter for Medicare Advantage and Part D programs

USA - April 14 2014 On April 7, 2014, CMS issued the 2015 rate announcement and Final Call Letter for the Medicare Advantage and Part D programs. Notably, CMS reversed…

CMS releases fiscal year 2012 Recovery Auditing report

USA - March 31 2014 In a recent report on the Recovery Audit program for fiscal year (FY) 2012, CMS reports that Recovery Auditors identified $2.4 billion dollars in…

CMS requests re-review of two-midnight Probe & Educate denials and releases additional guidance

USA - March 3 2014 On February 24, 2014, CMS released additional guidance addressing implementation of the revised inpatient hospital admission standards adopted in the…

Justice Department announces $3.8 billion in False Claims Act recoveries in FY 2013

USA - December 23 2013 On December 20, 2013, the Justice Department announced a total of $3.8 billion dollars in settlements and judgments from civil cases involving the…