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Top Stories
- Small healthcare entities need Red Flags the most
The House of Representatives unanimously passed a bill October 22 that would exempt a healthcare practice with 20 or fewer employees from the FTC's identity theft Red Flags Rule requirement. The Senate is now considering the bill.
- Texas Hospital group pays U.S. $27.5 million in false claims settlement
A Texas hospital group will pay the United States $27.5 million to resolve allegations that it violated the False Claims Act, the Anti-Kickback Statute, and the Physician Self-Referral Law (Stark Law) between 1999 and 2006, according to a Department of Justice (DOJ) press release.
- Accepting applications for program coordinator award
Nominate a coordinator colleague or yourself for our new award celebrating the professionalism of residency and fellowship coordinators.
- Note: CMS issues 2010 final rule for ambulatory surgery centers and most hospital outpatient departments
CMS has released a display copy of the outpatient prospective payment system (OPPS) final rule for 2010, which also includes the 2010 changes to the rules for ambulatory surgery centers (ASCs). This final rule will be published in the Federal Register on November 20. In terms of reimbursement, OPPS hospitals that meet quality indicator reporting requirements for 2010 are entitled to the “full update,” which will result in a 2.1% increase in their payments for 2010. Those OPPS hospitals that do not meet their quality indicator reporting requirements will be subject to a reduced update of 0.1% in 2010. ASCs, on the other hand, will receive a 1.2% inflation update beginning January 1, 2010.
- Region B and D RACs post new issues, all states now approved for audits
CGI, the RAC for Region B, has posted three new issues for review in Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin. This means CMS has now approved issues for RAC auditing in all states.
- Three pharmacies and their employees indicted on Medicaid fraud charges
New Jersey Attorney General Anne Milgram announced the indictments of four pharmacists, three pharmacy technicians, and three pharmacies on charges to conspiracy to defraud Medicaid of over $2.3 million, according to an Attorney General’s Office press release.
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