Healthcare CFO pleads guilty to fraud; CMS creates new modifiers to refine '59';

News From Around the Web

> Daniel K. Lane, Jr., vice president and chief financial officer for Compass Healthcare, Inc., pleaded guilty to conspiracy to commit healthcare fraud for filing fraudulent claims with government and private insurers, according to the Department of Justice. Announcement

> The Centers for Medicare & Medicaid Services is creating four new Healthcare Common Procedure Coding System modifiers to refine commonly-used modifier 59, the American Academy of Family Physicians reported. Blog post

> The Office of Inspector General launched "a full blown investigation" of potential fraud in Maryland's health exchange, according to The Washington Post. Article

> The Council for Affordable Quality Healthcare found that greater use of information technologies to adjudicate claims could save health insurers and providers $8 billion next year, Bloomberg BNA reported.  Article

Health Insurance News

> It's happening across America, and it's taking hold: Insurance and retail. The most recent player in this game is Blue Cross and Blue Shield of Minnesota, which announced yesterday that it will join the ranks of other retail-store insurers by making shopping for health insurance "even more personalized." Article

> As insurers move forward with bundled payment initiatives, they would benefit from learning from the experiences of programs that haven't succeeded, say two policy analysts in new Health Affairs blog. Article

And finally… Texan drives $1M car into Gulf to defraud insurer. Article

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