Hospital
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CMS Offers New Settlement for Billing Denials
CMS is offering a new settlement deal for disputed billing denials, offering 66 cents on the dollar in exchange for hospitals dropping their appeals.
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Caution: Fake HHS HIPAA Email Is Phishing Scam
The Office for Civil Rights has issued an alert warning healthcare providers about a phishing scam disguised as an official communication from the Department of Health and Human Services.
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UMass Settles HIPAA Violations After Malware Infection
A malware infection cost the University of Massachusetts Amherst $650,000 for potential HIPAA violations, and the school must comply with a corrective action plan.
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Radiology Practice Settles FCA Claims for $8 million
A radiology group in New York has agreed to pay $8 million to settle claims that it knowingly submitted false claims to Medicare and Medicaid.
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Understand Discovery Rule, How to Avoid its Effects
The discovery rule can determine whether a potentially costly malpractice case will proceed, so understanding how it works is important for risk managers.
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Report Overpayments to CMS Carefully to Avoid More Trouble
CMS expects hospitals and healthcare systems to report overpayments within 60 days of discovery to avoid false claims allegations, but knowing when and how to report is not always easy.
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Freestanding EDs Growing in Popularity
Hospitals are opening freestanding EDs (FSEDs) at a rapid rate and mostly in states that allow them without meeting “determination of need” requirements.
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Freestanding EDs Can Have Special Compliance, Liability Concerns
As hospitals increasingly look to freestanding EDs as a way to serve patients better while potentially increasing profits, legal and compliance experts caution risk managers that they may bring risks beyond the familiar concerns of a hospital-based ED.
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VRE and MRSA: Should We Stop Routine Contact Precautions?
SYNOPSIS: The value of routine contact precautions for VRE and MRSA is strongly challenged.
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Reach out to the Addicted Before Outbreaks
Focused on their high calling to protect patients from cross-transmission and full-blown outbreaks, infection preventionists may find it difficult to muster compassion for those who willfully endanger their frail charges by stealing the very medicine needed to comfort them.