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At least 685 records · Page 38Linked to original sources
PubMed1992

The criminal prosecution of Medicare cost reports.

In this opinion piece, the authors review a Medicare fraud case that they consider to have far-reaching impact on the industry. Their article seeks to inform the industry of the possible ramifications that these verdicts could have on Medicare cost reports--verdicts that the authors deem "devastating."

Accounting↗
PubMed1992

Taking your Medicare claims to court.

Appealing denied claims involves time, energy, and a determination to preserve the Medicare rights of both the provider and patient. But the reasons for taking Medicare claims to court far outweigh any excuses for not doing so. And given the capricious and arbitrary decisions of some intermediaries, corporate survival may depend upon it.

Financial Audit↗
PubMedDate not supplied

IRS determinations present challenges to physician compensation mechanisms.

In recent months, the Internal Revenue Service (IRS) has issued several pronouncements that may affect compensation arrangements based on hospital-physician joint ventures, as well as traditional employee/independent contractor compensation arrangements. The result of the pronouncements is that not-for-profit hospitals are without certainty in developing physician compensation schemes that are competitive in the marketplace and comply with newly evolving IRS guidelines.

Financial Audit↗
PubMedDate not supplied

Development of a written investment policy.

Like many medical groups, J. Frederick Rice's had no formal method of evaluating the performance of the investment manager employed to manage the benefits plan. Rice, FACMGA, in his case study, describes how his group set formal, written goals as a means of measuring performance.

Consultants↗
PubMed1993

Medicare and Medicaid programs; revaluation of assets; correction--HCFA. Correcting amendments.

This document contains corrections to final regulations (BPD-311-F) that were published September 23, 1992 (F.R. Doc. 92-22582) (57 FR 43906). The regulations describe new limitations on the valuations of assets acquired as the result of changes in ownership occurring on or after July 18, 1984. These changes affect hospitals and skilled nursing facilities under the Medicare program, and hospitals, nursing facilities, and intermediate care facilities for the mentally retarded under the Medicaid program.

Financial Audit↗