Healthcare-related identity theft is on the rise, accounting for 43 percent of all identity thefts reported nationally in 2013, according to a report by the Identity Theft Resource Center, Kaiser Health News reported. Medical identity theft spikes are a bad omen for program integrity, because when criminals get their hands on other people's health insurance identification numbers, it's just a matter of time before insurers receive false claims.
The Centers for Medicare & Medicaid Services provided some clarifying information regarding its controversial two-midnight rule after delaying its implementation several times.
The Centers for Medicare & Medicaid Services has put off implementation of the controversial two-midnight rule for six months, Greater New York Hospital Association (GNYHA) President Kenneth Raske t old Capital New York.
Experts say the sustainable growth rate (SGR) Medicare payment formula was "almost certain to fail," according to MedPageToday.
Medicare fraud costs the federal government about $68 billion a year, and to combat the problem, the agency is recruiting new people to fight such crime on the front lines--Medicare enrollees themselves.
A North Carolina hospital operated by Health Management Associates, already under fire for allegedly overbilling the Medicare program, recently charged a patient $89,000 for an emergency room visit to treat a snakebite, the C harlotte Observer reported.
In December, Medicare released data on the best and worst hospitals for hip and knee replacements. Providers are now debating the deeper meaning of that data, according to the Philadelphia Inquirer.
The clinical utility of amyloid-beta PET imaging for diagnostically evaluating Alzheimer's remains uncertain, according to an article published this month in the January issue of JAMA Internal Medicine.
The American Hospital Association and a variety of its members have begun the first steps in taking legal action against the Centers for Medicare & Medicaid Services' two-midnight rule regarding patient admissions, as well as cuts to the Inpatient Prospective Payment System, AHA News Now reported.
One Florida health system faces a challenge, albeit a positive one considering the financial strain many other hospitals are feeling around the nation--how to deal with a growth spurt.