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September 22, 2014

Recent Stories of Interest

From Report on Medicare Compliance - After looking at it from all sides, WellSpan Health of York, Pa., is inclined to accept CMS’s offer to pay 68% of the value of all denied claims for inpatient admissions if appeals are dropped for good. “Looks like we will probably take the settlement,” says Wendy Trout, director of corporate compliance, although she’s not exactly turning cartwheels. Because appeals take years and there’s a risk of losing Part A reimbursement or receiving much less Part B reimbursement, she says the scales are tipping in favor of the “administrative agreement” announced by CMS on Aug. 29 (RMC 9/8/14, p. 1). Read more

A year and a half after the HHS Office of Inspector General… Read more

It wasn’t that Brookdale Senior Living didn’t screen its employees for exclusion… Read more

In an unusual quid pro quo, CMS is offering hospitals partial payment… Read more

From the Editor

Welcome to your Report on Medicare Compliance subscriber-only Web page

Be sure to visit often, for PDFs of issues, archives of articles, links to government documents and more!

Please e-mail me with your comments on the last issue of Report on Medicare Compliance, story ideas for future issues, or any other suggestions you have that can make the newsletter more useful for you.

September 15, 2014
Episcopal Ministries to the Aging Inc., Which Owns SNFs, Agreed to Pay $1.3 Million to Settle False Claims Allegations

Episcopal Ministries to the Aging Inc., which owns SNFs, agreed to pay $1.3 million to settle false claims allegations. www.justice.gov

September 10, 2014
OIG Posts New Medicare Compliance Reviews of Cox Medical Center and Genesis Medical Center

OIG posts new Medicare compliance reviews, of Cox Medical Center (http://go.usa.gov/V5Y5) and Genesis Medical Center (http://go.usa.gov/V5YV).

September 9, 2014
CMS Posted Answers to Questions on Its Offer to Pay Hospitals 68% of Denied Claims if They Drop Appeals

CMS posted answers to questions on its offer to pay hospitals 68% of denied claims if they drop appeals. http://tinyurl.com/psv8wkq

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