decisionhealth Newsletters, Part B News - 2014 Issue 3 (March)
Part B News briefs
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Article Overview
This news brief summarizes several healthcare regulatory and enforcement updates relevant to Medicare and Part B stakeholders. It covers changes to hospital claim review activity under the two-midnight policy, a federal court decision involving physician-owned distributorship allegations, a report on large-scale protected health information breaches, and a Department of Justice settlement involving device-manufacturer billing advice and kickback allegations. The article is useful for coders, compliance staff, revenue cycle teams, and healthcare administrators tracking current enforcement and oversight trends.
Why This Topic Matters
The topics here affect how organizations monitor medical review activity, evaluate compliance risk, and respond to privacy and fraud-and-abuse enforcement developments. It also highlights issues that can influence billing practices, auditing exposure, and organizational policy awareness.
What You Will Learn
- Current Medicare administrative review activity related to hospital admissions
- A federal court action involving physician-owned distributorship allegations
- Recent statistics on protected health information breaches
- A settlement involving billing advice and kickback-related allegations
Who Should Read This
- Medical coders
- Compliance officers
- Revenue cycle professionals
- Healthcare administrators
- Hospital billing staff
- Physician practice managers
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