Risk Adjustment & Payment
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CJR-X Is the Future of Value-Based Care
January 1, 2028, is an important milestone, but CJR-X readiness is only part of it. Hospitals that take advantage of the time ahead to improve coordination across the continuum will be better position...
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Durable Medical Equipment: Protecting Medicare and Medicaid from Fraud, Waste, and Abuse  Office of Inspector General (.gov)
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United States and State of Illinois File Complaint in Intervention in False Claims Act Lawsuit Against Chicago-Area Medical Practice and Billing Company for Allegedly Submitting Fraudulent Medicare and Medicaid Claims - oig.hhs.gov
United States and State of Illinois File Complaint in Intervention in False Claims Act Lawsuit Against Chicago-Area Medical Practice and Billing Company for Allegedly Submitting Fraudulent Medicare an...
Four Members of the “War Room” Charged in Connection with $12M Medicaid Fraud Scheme - Department of Justice (.gov)
Four Members of the “War Room” Charged in Connection with $12M Medicaid Fraud Scheme  Department of Justice (.gov)
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U.S. Attorney’s Office Files Civil Complaint against Texas Corporation and North Carolina Man for Allegedly Defrauding Medicare  Office of Inspector General (.gov)
Feds sue North Carolina man for falsely billing for surgical implants
Feds sue North Carolina man for falsely billing for surgical implants  Becker's ASC
Denial problems start before the patient arrives - Becker's Hospital Review | Healthcare News & Analysis
Denial problems start before the patient arrives - Becker's Hospital Review | Healthcare News & Analysis  Becker's ASC
Four Members Of The “War Room” Charged In Connection With $12 Million Medicaid Fraud Scheme - Department of Justice (.gov)
Four Members Of The “War Room” Charged In Connection With $12 Million Medicaid Fraud Scheme  Department of Justice (.gov)
Chicago physician practice faces $5.2M false claims allegations
Chicago physician practice faces $5.2M false claims allegations  Becker's ASC