California health insurer PacifiCare is facing up to $9.9 billion in fines from regulators that claim the insurer repeatedly mismanaged medical claims and failed to pay physicians what they were owed, according to a Los Angeles Times report.
Leadership & Management
A recent study published in Health Affairs found that the cost of medical malpractice in United States totals $55.6 billion annually, or 2.4 percent of annual healthcare spending, and includes $45.6 billion in costs related to defensive medicine, according to…
The oversight and scrutiny of physician hospital and physician provider transactions and relationships has increased tremendously over the last few years. Scott Becker, JD, CPA, partner at McGuireWoods, discusses two legal trends affecting the relationship between surgery centers and physicians…
The AHA is complaining to federal regulators about overzealous enforcement of the False Claims Act in cases involving admissions for a spinal procedure, according to a report by AHA News Now.
Here are 10 cases of healthcare fraud which made headlines in August.
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A pediatric emergency physician from Denver has been indicted by a federal grand jury for allegedly obtaining controlled substances by fraud and conspiracy, according to a Drug Enforcement Agency news release.
The University of Missouri Women's and Children's Hospital is scheduled to open today in Columbia, Mo., and it is being billed as the first women's and children's hospital in the state, according to a Missourian report.
New York's North Shore-Long Island Jewish Health System has agreed to pay $2.95 million to settle an investigation following a civil claim alleging the hospital submitted fraudulent bills to Medicare, according to a Wall Street Journal report.
Rocky Mountain Hospital for Children in Denver has opened and begun treating patients, eight months after it was originally scheduled to open, according to a Denver Business Journal news report.
Community hospitals face growing financial challenges that are pushing them toward joining healthcare systems, but many of them are finding new ways to stay independent, according to a report by Kaiser Health News.