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June 27, 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

Documentation, Patient Safety Rules Raise Stakes for Compliance Monitoring in OR
Reprinted from Report on Medicare Compliance

The operating room has its share of compliance landmines around Medicare documentation and quality of care. Medicare is very specific in its requirements for updating a patient’s history of present illness, for example, and for overlapping surgeries. As compliance officers shed light for surgeons, they may find it more effective to use the prism of patient safety, experts say .... Read Full Story


From the AIS Blogs

At AHIP, Pawlenty Doesn’t Offer Pa-lenty of Ideas

Based on the mile-long line for signed copies of his book, AHIP members appear to have mad love for Republican presidential candidate and former Minnesota Governor, Tim Pawlenty. Or else they just really like to read .... Read more


Quote of the Day

“Many people see 2014 as the date [exchanges must be completed]. But this all needs to be done by 2013….Enrollment begins October 2013. Time is not our friend.”

— Bruce Goldberg, M.D., Director of the Oregon Health Authority, speaking at AHIP’s recent Exchange Conference Series in San Francisco.

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

44% … is the collective rise in 2011 stock prices for the 12 publicly traded health plans tracked by Health Plan Week.



Today from Washington

People on the Move

The American Academy of Physician Assistants appointed Robert Wooten president. Wooten is the physician assistant director at the Forsyth Medical Center emergency department in Winston-Salem, N.C....Beckie Thompson has joined Blue Cross Blue Shield of Michigan as director, executive communications and press secretary for President and CEO Daniel Loepp. Thompson was director at Lambert, Edwards & Associates.


Today's Featured Health Business Job Opening

SXC Health Solutions
Medicare Part D Compliance Officer
Lisle, Ill.

Place Your Ad Here

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Commercial ACO Results and Strategies: A Case Study in Three-Way Risk Sharing
Thursday, June 30, 2011

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Accounting for HIPAA Disclosures in EHRs: How to Comply with Onerous New HHS Rules
Thursday, July 7, 2011

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Health Plans vs. Drug Coupons: Tactics to Combat Brand-Name Drug Promotions
Wednesday, July 13, 2011

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Payer Strategies to Manage High-Cost Specialty Drugs That Will Hit the Market Soon
Thursday, July 14, 2011

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Managing Oncology Drugs: New Challenges and Payer Solutions
Tuesday, August 23, 2011

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Report on Medicare Compliance
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