HealthLeadersMedia | The Centers for Medicare & Medicaid Services' "inconsistent payment guidance" erroneously allowed about $38 million for improperly documented imaging claims in hospital outpatient emergency departments in 2008, a Department of Health and Human Services Office of Inspector General audit has determined. A breakdown of the erroneous...
Boston.com | Concierge medicine is expanding as more doctors — and patients — tire of assembly-line primary care, opting for something more personal, and pricey. The numbers are still very small — a survey commissioned by a congressional agency last year identified 756 concierge medical doctors...
Diagnostic Imaging | High utilizers of advanced medical imaging beware: the Medicare Payment Advisory Commission (MedPAC) just voted 15-1 this month to recommend to Congress that the top tier of referrers of advanced medical imaging should get prior authorization first. The imaging studies include MRI, CT,...
HealthLeadersMedia | Two senators have introduced legislation to overturn a 1979 court injunction that bars the government from revealing what individual physicians earn from Medicare. That information is stored in the Medicare-claims database, widely considered one of the best tools for finding fraud and abuse in...
ImagingBiz | The U.S. Department of Health and Human Services (HHS) yesterday released proposed new rules to aid physicians, hospitals, and other health care providers in better coordinating care for Medicare patients through Accountable Care Organizations (ACOs). Under the proposal, on which HHS will be seeking...