The Minnesota Department of Human Services has issued a request for proposal for an independent audit to determine whether state Medicaid payments to third-party managed care companies were higher than amounts allowable under state and federal law, according to a…
Legal & Regulatory Issues
Grady Health System in Atlanta is suing several metro governments in the area for thousands of dollars in unpaid medical bills, according to a WSBTV report.
Dartmouth-Hitchcock Medical Center in Lebanon, N.H., has agreed to pay the government upwards of $500,000 to resolve charges that its neurologists overbilled Medicare and Medicaid, according to a Valley News report.
Reynold Jennings, president and CEO of Marietta, Ga.-based WellStar Heath System, said the greatest lesson he's learned from financial scandals is "that if you are doing better than anyone else in the country, you better ask why," according to an…
Eleven Republicans in the U.S. House of Representatives have introduced a resolution that claims the Patient Protection and Affordable Care Act violates the Constitution because it is a revenue measure that was not introduced in the House, according to a…
Advertisement
The South Carolina Senate restored funding for its Certificate of Need program yesterday, defying Gov. Nikki Haley's veto, according to a Charleston Regional Business Journal report.
GOP leaders of the U.S. House Energy and Commerce Committee and Senate Finance Committee have sent a letter to HHS Secretary Kathleen Sebelius asking for the data and formula used to estimate federal savings from a proposed blended matching rate…
The Office of Inspector General's aggressive Medicaid fraud-fighting methods don't sit well with many physicians, especially a tactic in which reimbursement is suspended, according to a New York Times report.
HHS has issued a final rule (pdf) to establish data collection standards that will help define the essential health benefits of qualified health plans in individual and small group markets.
Massachusetts has contracted a publicly-traded technology company to identify fraudulent Medicaid claims before they are paid.