CMS Program Integrity Medicare and Medicaid News: CMS Announces Enhanced Program Integrity Efforts for the Exchange The Federal Rule seeks to add provisions to ensure effective oversight and accuracy as it relates to eligibility to determine premium subsidies. “The…
White House Comments on House Drug Pricing Bill he Trump Administration said they are committed to lowering prescription drug prices while encouraging medical innovation to help patients access new lifesaving drugs. H.R. 3, the Lower Drug…
HIPAA Privacy, Security, and Breach Notification OCR Audit Program Background on the OCR Pilot Privacy, Security, and Breach Notification Audit Program: The use of health information technology continues to expand in health care. Although these new…
Medicaid Fraud: Fraud and abuse in Medicaid cost states billions of dollars every year, diverting funds that could otherwise be used for legitimate health care services. Not only do fraudulent and abusive practices increase the cost…
Eligible professionals (EPs) participating in the Medicare EHR Incentive Program may be subject to payment adjustments beginning on January 1, 2015. CMS will determine the payment adjustment based on meaningful use data submitted prior to…