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The June U.S. employment numbers are up – especially in the health care sector, which gained 19,800 jobs.
 
We told you about the complex review of blepharoplasty that will impact providers in all 50 states. But there are two more trans-RAC targets we wanted to tell you about.
 
On the heels of delaying portions of the Affordable Care Act (ACA) until 2015, the Obama Administration has announced it will also scale back the ACA requirements that new insurance marketplaces verify consumers’ income and health insurance status.
It looks like you’re trying to disclose suspected fraud at your organization, would you like help with that?
First, the bad news – CMS stepped around giving a specific proposed cut to the fee schedule but noted that its most recent estimates suggest you are facing a 24.4% cut to fees next year unless Congress changes the physician payment formula.
Remind your uninsured patients that they need to start looking for health insurance or they could face a penalty when the individual mandate goes into effect Jan. 1.
One way to replace the flawed sustainable growth rate (SGR) formula for setting Medicare physician rates would be an enhanced fee-for-service system that allows practitioners to opt out and participate in alternative payment models.
Short-term prescriptions may be sending the wrong message to elderly cardiac patients, say Canadian researchers at the Institute for Clinical Evaluative Sciences and Women’s College Hospital.
If you think your family gatherings are awkward, imagine what it would be like if you’d all been indicted by the feds.
HHS’ Office of Inspector General (OIG) could lose 400 staff members charged with fighting fraud and abuse, and that could mean changes to projects in the OIG’s Work Plan – including to an investigation of electronic health record (EHR) documentation practices.
 

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