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Centers for Medicare and Medicaid Services (CMS)

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  • Tort reform doesn't alleviate doctors' fear

    Physicians' fears of being sued for malpractice are out of proportion to their actual risk of being sued, according to a recent study by a University of Iowa researcher and colleagues.
  • Hospital CEO guilty of six felony counts

    In a case that should frighten every hospital administrator who thinks he or she won't be held personally responsible for criminal fraud, the former CEO and president of Archbold Medical Center and Archbold Memorial Hospital in Thomasville, GA, is facing a potential 105 years in prison after being convicted of six felony offenses related to Medicaid fraud and obstruction of justice.
  • More than $9 billion recovered from fraud

    Since January of 2009, the Justice Department's Civil Division and the U.S. Attorneys around the nation have recovered more than $9 billion in cases alleging false claims, fraud against the government, and violations of the Food, Drug and Cosmetic Act.
  • Compliance officer hat could take you far

    If you are a risk manager who also serves as the compliance officer, that second title could be your ticket to advancement within the organization, says Roy Snell, CHC, CCEP, CEO of the Health Care Compliance Association (HCCA) in Minneapolis and a former Mayo Clinic administrator, consultant, and compliance officer.
  • Volunteers a great asset until they cost you

    Volunteers are a key component to the success of many health care organizations, but how often do you consider the risks they bring? No one wants to turn away people offering their time for free, but at the same time, risk managers must consider the potential downside.
  • Surprise! You might be a federal contractor

    Prior to the ruling in OFCCP v. Florida Hospital of Orlando, DOL OALJ, No. 2009-OFC-00002, most hospitals did not worry about being a federal contractor and all the obligations that can trigger unless they were engaged in specific business with the federal government. Now, you might be a federal contractor and not even realize it.
  • Affirmative action includes impact analyses

    If your hospital is now subject to affirmative action requirements because of a TRICARE contract or any other federal contract, what does that involve?
  • Ambulatory Care Quarterly: Culture change starts with leaders

    The dramatic improvements achieved in patient flow at Cambridge (MA) Health Alliance could not have been possible without culture change, says Assad Sayah, MD, FACEP, chief of emergency medicine for the system.
  • Ambulatory Care Quarterly: ED leaders reverse poor flow trends

    How's this for a turnaround? A few years ago, patient satisfaction levels in the three EDs of the Cambridge (MA) Health Alliance were in the lowest decile in Massachusetts, and now they are consistently in the top quartile.
  • CM redesign positions hospital as an ACO

    As part of its transition to becoming an accountable care organization, Cheyenne (WY) Regional Medical Center has redesigned its case management model and implemented a transfer center, a single point of entry for all patients whether they are transfers from smaller hospitals, direct admits from provider offices, or patients admitted by emergency department physicians.