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Last week, during an Oval Office event with President Trump and Vice President Vance, the Trump Administration announced the creation of a new $25 million whistleblower reward program for tips about fraud leading to successful criminal charges.
The program, which is alternatively known as the Fraud Whistleblower Incentive Program (WHIP) and the Criminal Tip Rewards ...
Let me start with an update on my project to get a way to indicate on a hospital claim that a patient has discharged to a less-than-optimal location. As you may recall, that started with a push to use the “against medical advice” designation for such patients. But the stigma behind that term led me to adopt the suggestion of Valerie Rinkle, a nationally known revenue integrit...
One challenge of practicing in a highly regulated field is that you can get so focused on identifying new rules and regulations that you forget about the longstanding requirements.
We all know that you want to make new friends and keep the old. And while it is less catchy than the whole silver/gold thing, when it comes to regulations, and there is no precious-metals...
This week, I want to focus on the recently finalized changes to the federal Transparency in Coverage (TiC) regulations.
While hospital price transparency requirements have received significant attention, there is a parallel set of requirements that applies to health plans and health insurance issuers, or more simply, the payer side of healthcare.
The Depar...
For hospitals, the most consequential result of the November 2026 election may be a change in who can stop federal healthcare legislation, negotiate its terms, and investigate its implementation. If Democrats win the House, the Senate, or both, they would not automatically gain the ability to reverse existing law.
House Democrats have identified restoring enhanced P...