GE contracts with four centers of excellence

GE contracts with four centers of excellence

Tuesday, September 15, 2015

Did you know that GE, one of the nation's largest employers, has contracted with four hospitals in different parts of the country to provide hip and knee replacement surgeries to employees? These "centers-of-excellence" are created with medical providers rated highly for quality and experience in a given specialty. The agreements typically involve a bundled payment, and the companies tell workers that they can undergo the procedure with no or minimal out-of-pocket costs at the designated cen...

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Error Rates in Healthcare Are Staggering

Error Rates in Healthcare Are Staggering

Friday, August 28, 2015

Imagine if your controller told you that based on a statistically valid sample of your company’s paid invoices that the “improper payment rate” was 12.7%. This is exactly what the finding is for the Center for Medicare & Medicaid Services (CMS) for payments made for healthcare claims during their 2014 fiscal year, based on approximately 40,000 paid Medicare claims. “Improper payment rate” designate those paid healthcare claims that were not paid properly under Medicare coverage, codi...

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