Legal & Regulatory Issues

Though CMS recently increased its original anesthesia conversion factors for 2012, physician groups must determine if it is in their best interest to reprocess the limited number of claims made prior to the corrected rate, according to a report from…

CMS has announced that the deadline for eligible professionals to submit eligibility appeals under the Medicare Electronic Health Record Incentive Programs' 2011 payment year has been extended until April 30, 2012.

Southside Regional Medical Center in Petersburg, Va., has lost an appeal contesting the denial of a certificate of public need to offer open-heart surgery, according to a Progress-Index report.

The South Carolina Department of Health and Environmental Control has reversed its denial of Hilton Head (S.C.) Hospital's certificate of need to build an outpatient center, according to a Savannah Morning News report.

The South Carolina Department of Health and Environmental Control has reversed its denial of Hilton Head (S.C.) Hospital's certificate of need to build an outpatient center, according to a Savannah Morning News report.

Dameron Hospital Association in Stockton, Calif., which operates Dameron Hospital, and its COO Nicholas Arismendi have been sued for racial discrimination and retaliation by an African American physician executive, according to a news release by Signature Law Group, the firm…

The difference between in- and out-of-network costs for employees has increased substantially since 2011, according to the 2010 Medical Plan Trends Report conducted by HighRoads and reported in Market Watch.

Physician Hospitals of America announced U.S. Court of Appeals for the Fifth Circuit Judge Jerry Edwin Smith issued an ultimatum to determine whether the healthcare reform's restriction on physician-owned hospitals may be repealed.

In the wake of the Supreme Court's three-day hearing on the Patient Protection and Affordable Care Act last week, President Obama insists his side of the healthcare battle will win.

The U.S. Department of Justice announced that the owner of a medical clinic pleaded guilty to participating in a Medicare fraud scheme.