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Nursing home enforcement remains an enormous issue, Centers for Medicare & Medicaid Services (CMS) Administrator Tom Scully warned health care providers earlier this month.
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The U.S. Department of Justice (DOJ) announced Oct. 17 that it settled for a total of more than $5.4 million with seven hospitals alleged to have improperly billed Medicare for medical procedures involving experimental cardiac devices, bringing to more than $40 million the total settlements collected in the nationwide cardiac devices false-claims litigation.
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Make no mistake, the False Claims Act still is the 800-pound gorilla of health care anti-fraud efforts. Judgements and settlements in health care fraud cases exceeded $1.2 billion in 2001 and amount to more than $850 million so far this year.
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Internal compliance investigations often begin with interviews. In this case, the first step may be the most difficult component of an internal investigation strategy to master, warns Steven Ortquist, chief compliance officer at Banner Health System in Phoenix.
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The old adage, knowledge is power, has been used so often its become a cliché. In the world of quality and process improvement, the phrase knowledge is excellence carries far more weight and truth.
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Researchers at the Mayo Clinic in Rochester, MN, have developed an adjuvant systemic therapy tool, or calculator, that can help physicians and their patients better determine melanoma treatment options.
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Applying knowledge management techniques to education and training can help support your organizations strategic initiatives.
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In what its president calls the next step in the evolution of accreditation, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) in Oakbrook Terrace, IL, announced significant changes to its accreditation process.
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Montefiore Medical Center, based in Bronx, NY, has achieved a rare milestone; all inpatient orders including medications, lab tests, diagnostic tests, and all other clinical care orders are being entered electronically.
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While hospitals have not exactly fallen over themselves to install computerized physician order-entry systems (CPOEs), a growing number are beginning to recognize their value, says Nick Beard, MD, MS, vice president of Health Informatics for Seattle-based IDX Systems Corp., a provider of CPOE systems.
