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April 22, 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

RACs Launch New Semi-Automated Reviews That Require Hospital Documentation
Reprinted from Report on Medicare Compliance

Recovery audit contractors (RACs) have debuted a new type of overpayment identification — “semi-automated reviews” — that require hospitals to submit documentation if they want to rebut a presumption that their claims are invalid .... Read Full Story


From the AIS Blogs

Holding BAs Accountable for Breaches

With more and more data breaches due to mistakes by or thefts from business associates, many HIPAA covered entities may be wondering when BAs will start being held accountable for their actions that lead to breaches .... Read more


Quote of the Day

“I think [Accountable Care Organizations] are a big deal. You cannot un-ring the bell at this point. I don’t care what the Republicans do or don’t do to the [reform] law. The issue of changing health care delivery through ACOs is out, and the game is being played.”

— Jim Purcell, CEO of BCBS of Rhode Island, told attendees at the recent annual World Health Care Congress in Washington, D.C.

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

70% … of 1,011 adults surveyed recently by Commonwealth Fund responded that the nation’s health care system needs to be fundamentally changed or completely rebuilt.



Today from Washington

People on the Move

The North Shore-Long Island Jewish Health System promoted Jeremy Boal, M.D., to chief medical officer for the entire system. Boal was director of Long Island Jewish Medical Center....OSF HealthCare named Robert Sawicki, M.D., senior vice president of supportive care. Sawicki was medical director of supportive care.


Today's Featured Health Business Job Opening

Martin's Point Health Care
Manager, Medicare Operations
Portland, Maine

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