Horizon fought fraud to the tune of $45.4M in savings in 2014 (njbiz.com) Horizon Blue Cross Blue Shield of New Jersey said Tuesday that its anti-fraud efforts saved $45.4 million in 2014, which includes both money that was recovered and losses that were avoided through early detection of fraud schemes. The company said this is the highest recovery/prevention total since Horizon created its Special Investigations Unit in 1983.
AHA seeks speedy Senate approval of Medicare SGR replacement legislation (ahanews.org) Senate Majority Leader Mitch McConnell, R-Ky, last week vowed quick action on bipartisan legislation to replace the Medicare physician sustainable growth rate (SGR) formula when the Senate reconvenes on April 13. The AHA and hospital leaders also are calling for speedy action.
AHA comments on MedPAC's draft policy recommendations (ahanews.org) The AHA yesterday urged the Medicare Payment Advisory Commission to consider certain changes to its draft recommendations for the Recovery Audit Contractor program. The association supports the draft recommendation for the Centers for Medicare & Medicaid Services to base each RAC’s contingency fees in part on its denial overturn rate, but does not believe the other draft recommendations for the RAC program would achieve the stated goal of relieving hospital administrative burden.
UMC of Princeton receives NAPBC accreditation (njbiz.com) University Medical Center of Princeton said it received a three-year, full accreditation from the National Accreditation Program for Breast Centers following a rigorous evaluation and on-site survey.
House Provision Offers Doctors More Protection Against Malpractice Suits (nytimes.com) A little-noticed provision of a bill passed by the House of Representatives with overwhelming bipartisan support would provide doctors new protections against medical malpractice lawsuits.