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Feb. 25, 2011

Today’s issue is brought to you by AIS's Report on Medicare Compliance, the nation's leading source of news and strategic information on Medicare compliance, Stark and other big-dollar issues of concern to health care compliance officers.

Today's Featured Story

Hospitals Waste Valuable Resources Fighting Unfounded Denials by RACs
Reprinted from Report on Medicare Compliance

Some compliance officers continue to fight denials from recovery audit contractors that they say defy logic, and are frustrated with the lack of feedback from RACs that hospitals could use to improve their claims submissions .... Read Full Story


Quote of the Day

“It’s a common perception that high quality and high cost go hand in hand, but that isn’t necessarily accurate. While some exceptional health systems also tend to be relatively expensive, quality care can also be found at facilities that are relatively less expensive.”

— Jay Savan, an employee benefits consultant in the St. Louis office of Towers Watson, told AIS’s Health Plan Week.

Click here to read the HEALTH PLAN WEEK article in which this quote appeared. (Free for HPW subscribers; $17 for non-subscribers).


Today's Datapoint

$26 million...will be paid to the federal and Ohio governments by Medicaid health plan operator CareSource and two affiliates to resolve allegations that they knowingly caused Medicaid to pay for patient “assessments and case management they failed to provide to children and adults.”



Today from Washington

People on the Move

Siemens named J. Marc Overhage, M.D., chief medical informatics officer of the health services business unit. Overhage was president and CEO of the Indiana Health Information Exchange....Genesis Biopharma, Inc. appointed L. Stephen Coles, M.D., to its board of directors. Coles is a lecturer in the department of chemistry and biochemistry at the University of California Los Angeles, and at the UCLA Molecular Biology Institute.


Today's Featured Health Business Job Opening

Health Alliance Medical Plans
Director of Contracting and Provider Services
Urbana, Ill.

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