From the Compliance Desk - 2/8/16

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

CMS Proposes Changes to ACO Benchmarks Modern Healthcare | January 28, 2016

The CMS is proposing changes to the way it evaluates whether accountable care organizations[1] in the Medicare Shared Savings Program actually save money. Read more

Proposed CMS rule encourages analysis, sharing of medical-claims data Modern Healthcare |January 29, 2016 Some medical data miners may soon be allowed to share and sell Medicare and private-sector medical-claims data, as well as analyses of that data, under proposed regulations the CMS issued Friday. Read more

Groups Urge Supreme Court To Reject FCA Provider Liability Theory McKnight’s |January 31, 2016 Professional associations are pushing for the Supreme Court to reject a “one-size-fits-all” liability theory under the False Claims Act when the court reviews the issue this year. Read more

Providers Wary Of Pay, Care Coordination Aspects Of Chronic Care Proposal McKnight’s | February 1, 2016 A set of proposed policies for chronic care may have “unintended consequences” on payment systems and create barriers to care coordination, say provider groups. Read more

AHCA, NCAL File Brief in Supreme Court False Claims Act Case McKnight’s | February 1, 2016 The U.S. Supreme Court should reject the use of a legal theory that has been used to establish liability in some False Claims Act cases, the American Health Care Association and the National Center for Assisted Living argue in a brief filed with the court Jan. 25. Read more

Bundled Payment Challenge Executive Insight | February 8, 2016 In October, the Centers for Medicare and Medicaid (CMS) issued its final rule on bundled payments for total joint replacement, Comprehensive Care for Joint Replacement (CJR). Read more

What Providers Need to Know About Joint Bundles McKnight’s | February 8, 2016 At one time, I worked with a transitional care unit which was a preferred provider with a leading orthopedic practice in bundled payments for joint replacements. Read more

Ruling Gives Hospital Hope On RAC Appeals Backlog Modern Healthcare |February 9, 2016 Hospitals persuaded a federal appeals court to give new life to their legal fight to force HHS to work more quickly through a backlog of disputed findings by Medicare’s controversial recovery audit contractors. Read more