The Centers for Medicare & Medicaid Services (CMS) is doling out more penalties for 769 hospitals whose patients experience a high number of hospital-acquired conditions (HACs), Kaiser Health News reported
CMS in December finalized the new mandatory bundled payment models for cardiac and orthopedic care. As part of its effort to shift Medicare payments to rewarding quality by encouraging the coordination of care between hospitals, physicians and other providers, CMS announced the following three policies:
The Department of Justice (DOJ) recovered more than $4.7 billion in settlements and judgments from civil cases involving fraud and false claims against the government in fiscal year 2016. This is the third highest annual recovery in False Claims Act history, bringing the fiscal year average to nearly $4 billion since 2009, and the total recovery during that period to $31.3 billion.