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Whether Naughty or Nice, Recovery Audit Contractors Are Coming to Medicare Advantage

During the holiday season lull, the Centers for Medicare and Medicaid Services (CMS) issued a weighty document. The agency put out a draft statement of work to procure Recovery Audit Contractors (RACs) for the Medicare...more

OIG Speaks to HCCA Compliance Institute

Daniel Levinson, the Inspector General for the U.S. Department of Health and Human Services, kicked off the annual Health Care Compliance Association (HCCA) Compliance Institute in Orlando Florida this morning. ...more

IRS Publishes Final Regulations for Charitable Hospitals

General Background - The ACA added new Internal Revenue Code (Code) section 501(r), which describes criteria hospital organizations must meet to be recognized as exempt from federal income tax under Code section...more

Critical Access Hospital Soothsayers and the 96-Hour Physician Certification Requirement

This year critical access hospitals (CAH) have struggled to implement procedures to comply with both the "two-midnight" rule and the 96-hour physician certification requirement. The combination of both puts physicians in a...more

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