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CMS TAKES STEPS TO CRACK DOWN ON INAPPROPRIATE HOSPITAL OUTLIER CLAIMS

The Centers for Medicare & Medicaid Services (CMS) today proposed new regulations that will prevent further gaming of the outlier system. A few hundred hospitals in recent years have obtained the lion’s share of these payments by manipulating their Medicare billing to maximize Medicare outlier revenues.
Press Release

CMS ADMINISTRATOR TOM SCULLY TO STEP DOWN DEC. 15

CMS Administrator Tom Scully announced today he will resign effective Dec. 15, following three years at the helm of the nation’s second and third-largest domestic programs, Medicare and Medicaid.
Press Release