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From the Compliance Desk - 11/10/15

Our compliance expert scours the news to send you the best links of the week:

Spending Bill Could Mean More Health Funding, But Showdown Is Still Possible Modern Healthcare | November 10, 2015

If they cannot get an omnibus passed, there could be another continuing resolution agreement to keep funding for a period of time. Otherwise, the government will shut down. Read more


CMS Starts Racking Up Proposals For New Audit Contractors Modern Healthcare | November 10, 2015

The CMS is kicking off its search for new contractors for Medicare’s controversial recovery audit program. Read more


Provider Agreements: A Measure of Devotion Provider Nation | November 11, 2015

Washington, D.C.—Good morning, ProviderNation. It’s Veterans’ Day. You can be stoic about it, if you like, or even mournfully hostile to the day’s enterprise, but let us agree that the duty laid upon us by the mighty and humane 16th president—“to bind up the nation’s wounds, to care for him who shall have borne the battle and for his widow and his orphan”—is one (subject to the occasional, and ambivalent, toggling between masculine and feminine pronouns) that each generation knows it can neither shirk nor ever discharge fully. Read more


Medicaid Final Rule Aims To Improve Access, Transparency McKnight’s | November 11, 2015

The Centers for Medicare & Medicaid Services has released its final rule on Medicaid, which will include state requirements to review access plans for beneficiaries. Read More

The Best Defense Is A Good Offense When Mitigating False Claims Act Liability McKnight’s | November 13, 2015

Our previous articles have reviewed the liability traps that the False Claims Act creates for long-term care providers. Read more

Medicare Keeps Test Of Joint-Replacement Bundles Mandatory Modern Healthcare |November 16, 2015

The procedures are among the most common that Medicare beneficiaries receive, and the price varies significantly. The average Medicare payment for surgery, hospitalization and recovery ranges from $16,500 to $33,000, the CMS said in a news release announcing the initiative, which would be administered by the CMS Innovation Center. Read more