Tag: Medicare

Settlement on kyphoplasty billing

In the first settlement of a national investigation, HealthEast Care System agreed in May to pay the federal government $2.28 million to settle allegations that 3 of its hospitals overbilled Medicare for kyphoplasties. Some 100 hospitals are under investigation, according to the legal expert who represented HealthEast. The investigation is…

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By: OR Manager
July 1, 2009
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RACs: What is the OR's role in readiness?

After some delay, Medicare's program to have outside companies audit claims is getting underway. The companies, called recovery audit contractors (RACs), will be checking to see that claims filed by hospitals, physicians, and other providers follow Medicare policies and procedures. OR Manager asked Keith Siddel, MBA, an expert on health…

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By: OR Manager
July 1, 2009
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Joint Commission aligning with CoPs

After a 15-year absence, language on the RN circulator in the OR could be back in the Joint Commission hospital accreditation standards. It's one of the changes the Joint Commission is making to bring its requirements in line with the Medicare Conditions of Participation (CoPs). The changes, posted Jan 5,…

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By: OR Manager
February 1, 2009
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