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2 Min Read

CMS suspends RAC audits, sets up physician safeguards

Physicians and hospitals will get a short reprieve from Medicare's recovery audit contractors, CMS recently announced.

Medicare & Medicaid
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2 Min Read

Overriding doctor's orders-Case takes up hospital observation

A federal court case is shining light on the growing problem of inappropriately classifying hospital patients as “observation status” in an effort to cut down Medicare costs.

Judicial Advocacy
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2 Min Read

Medical associations urge HHS to address Medicare appeals backlog

Following a January notice from the U.S. Department of Health and Human Services (HHS) that Medicare appeals could be delayed for more than two years, the AMA and nearly 100 other organizations called on the Office of Medicare Hearings and Appeals (OMHA) to remedy the appeals backlog. In a letter sent...

Medicare & Medicaid
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2 Min Read

Controversial "two-midnight" rule delayed ... again

A confusing Medicare policy that creates a "two-midnight" stay benchmark to distinguish between observation care and short inpatient admissions has been partially delayed a third time.

Medicare & Medicaid