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February 2, 2015

Recent Stories of Interest

From Report on Medicare Compliance - It’s possible that some of the 724 hospitals that lost a piece of their inpatient reimbursement because of hospital-acquired conditions (HACs) have more of a coding and documentation problem than a quality breakdown, experts say. Either way, they lost 1% of their total Medicare DRG payments — and other hospitals could take the same financial hit down the road — under the HAC Reduction Program, which was created by the Affordable Care Act. Read more

For the time being, the HHS Office of Inspector General won’t audit… Read more

Medical College of Wisconsin agreed to pay $840,000 to settle false claims… Read more

CMS says it has thrown an ambulatory surgery center out of Medicare… 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.

January 26, 2015
New Modifier 58 Update from MLN Matters

CMS gives a modifier 59 update in a new MLN Matters articles. http://tinyurl.com/q83t3xy

January 22, 2015
OIG Posts Review of Compounded Drugs in Hospitals

The OIG posted a report on Medicare's oversight of compounded drugs in hospitals. http://go.usa.gov/J7Bk

January 20, 2015
OIG Posts Medicare Review of Ochsner Medical

OIG posted a Medicare compliance review of Ochsner Medical Center. http://tinyurl.com/mjyctul

Updated Regularly

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