Evolution Of Healthcare Business Poses New And Ongoing Compliance Risks In 2019

While CMS has waived sure fraud and abuse laws for providers taking part in numerous demonstration tasks, those who obtain a waiver usually can’t apply it past the precise demonstration or mannequin. The lack

While CMS has waived sure fraud and abuse laws for providers taking part in numerous demonstration tasks, those who obtain a waiver usually can’t apply it past the precise demonstration or mannequin. The lack of protections extending care improvements to different Medicare sufferers or Medicaid and commercially-insured beneficiaries minimizes efficiencies and cost financial savings realized through most of these models and demonstration initiatives. An average-sized group hospital spends almost $7.6 million yearly on administrative actions to support compliance with the reviewed federal laws – that figure rises to $9 million for these hospitals with PAC beds.

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