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April 2016 Archives

Medicare To Pay Primary Care Doctors Up Front Incentive And Monthly Management Bucks $$$.

On April 11, the Centers for Medicare & Medicaid Services (CMS) announced its largest-ever initiative to, in its words "transform and improve how primary care is delivered and paid for in America".
The effort, the Comprehensive Primary Care Plus (CPC+) model, will be implemented on January 1, 2017 in up to 20 regions. It will accommodate up to 5,000 practices, 20,000 doctors and 25 million patients.

Health care organizations ill-prepared to fight against ransomware attacks

While, thankfully, reports of kidnappings and hostage takings are extremely rare on U.S. soil, U.S. companies and governmental entities are increasingly becoming targets of extortion cyber attacks called rasomware attacks. Using encryption viruses that are often disguised as email links or attachments, would-be thieves are able to access "compromised computer files" and essentially hold them ransom. In cases where a company fails to pay a Bitcoin ransom, the thieves threaten to delete all of the affected files.

Appellate court to decide whether to allow statistical sampling in False Claims case

The complex nature of billing practices within the health care field makes it particularly vulnerable to errors and possible acts of fraud. In cases where a hospital or nursing home employee believes that an employer is engaging in dishonest financial practices aimed to defraud the federal government, a lawsuit may be filed under the False Claims Act.

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