Hall Render

MARCH 4, 2025

Although liability under the AKS depends in part on a partys intent, it is incumbent on nursing facilities to identify arrangements with referral sources and referral recipients that present a potential for fraud and abuse under the AKS. Hall Render blog posts and articles are intended for informational purposes only.

Compliance 52

Compliance Nursing Homes Nurses Medicare 52

Healthcare IT Today

JUNE 5, 2024

The following is a guest article by Chuck Suitor, Strategic Advisor – Healthcare at ColorTokens , and former Chief Technology Officer at MD Anderson Cancer Center Earlier this year, Change Healthcare, a division of UnitedHealth Group, fell victim to a cyber-attack executed by BlackCat/ALPHV, a widely known cybercrime threat actor group.

Payment Systems 80

Payment Systems Healthcare information Technology Fraud Hospitals 80

Hall Render

APRIL 4, 2024

The Requestor’s services further include offering physician practices training related to the Medicare Merit-Based Incentive Payment System (“MIPS”), which could result in higher Medicare reimbursement to the Requestor’s clients. Hall Render blog posts and articles are intended for informational purposes only.

Payment Systems 40

Payment Systems Medicare Medicare Fraud 40

Hall Render

FEBRUARY 14, 2025

This regulation, authorized under Section 1866(j)(3)(A) of the Social Security Act (Act), is designed to strengthen Medicare program integrity and minimize fraud, waste and abuse. See our previous article here. Hall Render blog posts and articles are intended for informational purposes only. CMS finalized new 42 CFR Sec.

Medicare 52

Medicare Medicare Compliance Payment Systems 52

AIHC

NOVEMBER 29, 2023

We recommend reading Leadership in a Value-Based Care (VBC) Environment in addition to this article. In 1983 Medicare shifted to the inpatient Prospective Payment System (PPS) and DRGs (Diagnostic Related Groups) and only paying a limited number of days to the hospital regardless of the actual length of stay.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

Healthcare IT Today

JUNE 29, 2023

The following is a guest article by Isaac Smith, Billing, Coding, and Reimbursement Specialist at Medcare MSO ASCs are types of medical facilities that are subject to stringent regulations. Medicare Payment Resources CMS implemented an Ambulatory Payment Classification-based payment methodology in 2008.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

AIHC

NOVEMBER 29, 2023

We recommend reading Leadership in a Value-Based Care (VBC) Environment in addition to this article. In 1983 Medicare shifted to the inpatient Prospective Payment System (PPS) and DRGs (Diagnostic Related Groups) and only paying a limited number of days to the hospital regardless of the actual length of stay.

Medicare 52

Medicare Medicare Medicaid Medicaid 52