HHS’ Office of Inspector General recently released a report detailing vulnerabilities in CMS’ oversight of billing at provider-based facilities. The report investigated a random sample of 333 ...
Provider-based billing was introduced in 2000 to improve access to care for patients on Medicaid and charity care. At the time, some physician practices limited or refused appointments for these ...
Bolstered by the Supreme Court's landmark decision in National Federation of Independent Business v. Sebelius, 132 S.Ct. 2566 (June 28, 2012), the movement toward affiliation as a means of improving ...
The Bipartisan Budget Act of 2015 (the Act), enacted November 2, 2015, will materially reduce reimbursement for new, off campus hospital outpatient departments (OPD), such as hospital-based clinics.
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