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Case reveals Practice Fusion’s kickback scheme. Healthcare providers often talk about the importance of behavioral “nudges” to their patients – gentle pushes to encourage healthy and positive choices. However, news broke about a settlement in which healthcare providers were the ones being nudged – in this case, to prescribe highly…
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Outreach to providers on the topic continues. From the same folks who brought you the Electronic Submission of Medical Documentation (esMD), there is a new initiative from the Centers for Medicare & Medicaid Services (CMS) known as the Medicare Fee-for-Service (FFS) Documentation Requirement Lookup Service (DRLS) pilot. Melanie Combs-Dyer, who…
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CHS and Medhost have categorically denied all of the allegations in the complaint. As the use of electronic health records (EHRs) has expanded at a rapid pace, so too has the fraud associated with these systems. An EHR is a digital version, or database, of a patient’s paper charts. The…
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2019 IPPS removes requirement for authentication of admission orders prior to discharge. EDITOR’S NOTE: This is the second and final installment of a two-part series. By Ronald Hirsch, MD, FACP, CHCQM Last week I tackled the easy part, interpreting the new Centers for Medicare & Medicaid Services (CMS) regulations on…
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2019 IPPS removes requirement for authentication of admission orders prior to discharge. EDITOR’S NOTE: This is the first installment of a two-part series. When the Centers for Medicare & Medicaid Services (CMS) finalized the 2019 Inpatient Prospective Payment System (IPPS) Final Rule, hospitals across the country breathed a deep sigh…
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A False Claims Act case pits a prominent health system against its EHR software provider. Over the last many years, healthcare providers have been financially incentivized to purchase electronic health records (EHR) software. These programs can cost upwards of $25,000 to $50,000, and, sometimes are renewable every year. In other…
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The ransomware crisis continues to impact hospitals and health systems with little sign of slowing down. In 2017, IT security in healthcare was in the media spotlight. In May, the WannaCry ransomware hit thousands of information systems. It was followed by NotPetya, which took down Merck and Nuance. In June,…
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Last week I was reading the Burlington (Vermont) Free Press (as I often do), and there, between a story about the Vermont City Marathon and an ad for the sale on Glen’s Maple Syrup was a headline that read “U.S. Attorney's Office of Vermont nabs its largest settlement.” That certainly…