The Office of Inspector General has recommended CMS improve the quality of data it provides to contractors who review Medicaid claims for potential overpayments.
Legal & Regulatory Issues
A Dallas physician, the office manager of his practice and five owners of home health agencies have been arrested for allegedly participating in a fraud scheme that bilked Medicare and Medicaid of roughly $375 million — the largest alleged home…
House Republicans are looking to repeal the Independent Payment Advisory Board, a part of the Patient Protection and Affordable Care Act consisting of a 15-member team that would be in charge of keeping Medicare per-beneficiary spending down, according to a…
As part of a settlement agreement, Detroit Medical Center is asking its affiliated physicians to pay for computer equipment provided up to six years ago, according to a Crain's Detroit Business report.
Ontario, Calif.-based Prime Healthcare Services attended a hearing in Los Angeles on Friday with the state's Senate Health Committee over its billing practices, but a Prime official said the hearing was "clearly about politics," according to a Los Angeles Times…
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A jury found that Blue Cross Blue Shield of Michigan, the state's largest health insurer, must pay the city of Holland nearly $1.6 million because BCBS of Michigan allegedly charged fraudulent and concealed fees to the city over several years,…
The University of Pennsylvania has joined a lawsuit against the current president of New York-based Memorial Sloan-Kettering Cancer Center, claiming he walked away from his former workplace with research findings to start his own company, according to a New York…
A New Hampshire House Committee has voted to support a bill that would exempt specialty hospitals from the certificate of need process, according to a New Hampshire Union Leader report.
Seven state attorneys general and several private plaintiffs have filed a lawsuit against the federal government's recent mandate that employers, including those with religious affiliations, offer health insurance that includes coverage for contraceptives, according to a CNN report.
A former executive from Riverside General Hospital in Houston pled guilty yesterday to his role in a $116 million kickback scheme, according to a Houston Chronicle report.