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A cardiologist will have to pay $17 million for double billing nuclear stress tests to Medicare, Medicaid and TRICARE.

The administration seeks to blunt the impact of a New York Times report that promised caps on out-of-pocket medical costs won’t be available in until 2015 -- a year later than stated in the ACA.

The results are in from the DecisionHealth 2013 National Physician Practice ICD-10 Readiness Survey – the largest-ever survey of the independent physician practice industry’s state of readiness to adopt the ICD-10-CM diagnosis code set. View this video update at our new DecisionHealth Daily Channel for details.

A Maryland hospital agreed to pay $750,000 to settle claims that it was taking single cardiac perfusion scans and then billing for multiple procedures.
CMS says it started collecting data from drug and device manufacturers and group purchasing organizations (GPOs) on their payments to physicians Aug. 1 under the Sunshine Act, an Affordable Care Act provision.
 
Authors conclude that without payment models, electronic communications unlikely to be widely adopted by physician practices.
 
Under a proposed Office of Personnel Management (OPM) rule, members of Congress and their aides who are required to get coverage from health insurance exchanges under the Affordable Care Act no longer would be eligible for Federal Employees Health Benefit Program (FEHBP) coverage when they retire.
Too many people trying to enroll in Oregon’s health insurance exchange could flood the call center and overwhelm the 50 full-time employees hired to help people find insurance.

Two cardiology groups say doctors should be talking to their heart patients about sex.

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