New provisions to crack down on fraud could help the federal government surpass the $2.9 billion in Medicare and Medicaid overpayments recovered last year, a 29 percent increase from the year before, according to a release from HHS.
Legal & Regulatory Issues
William S. Burke, a former executive of South Shore Hospital in Weymouth, Mass., has been sentenced to 366 days in prison for stealing $222,000 from the hospital, according to a report in The Boston Globe.
The American Society for Anesthesiologists is urging its members to contact their local U.S. Representatives to support a letter to the Department of Health and Human Services to review the accuracy of Medicare's payments for anesthesia services, according to an…
Margo Hein-Muniz, MD, a board-certified OB/GYN, has filed a civil suit against Aiken (S.C.) Regional Medical Center and its parent Universal Health Services as well as several affiliated physicians and administrators alleging the groups conspired to stifle her business by…
A letter to congressional leaders from HHS Secretary Kathleen Sebelius lists the first provisions of the health reform law that will be carried out soon, according to a report by AHA News Now.
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Twenty-five surgical societies, representing more than 240,000 surgeons and anesthesiologists, sent a letter to House Speaker Nancy Pelosi, urging Congress to enact Medicare physician payment reform to stop scheduled payment cuts to physicians, according to a news release from the…
Saints Medical Center in Lowell, Mass., self-reported to the federal government technical violations of the Stark Act in contracts with physicians, according to a report by The Sun.
Many not-for-profit hospitals are not following voluntary guidelines on informing patients about their eligibility for charity care, according to a joint study by two healthcare advocacy groups, the Access Project and Community Catalyst.
Insurers should be prevented from tweaking the reported amounts they spend on medical care to comply with the new healthcare reform law, according to a letter from Sen. Jay Rockefeller (D-W.Va.) to Department of Health and Human Services' Secretary Kathleen…
While pay-for-performance programs are gaining traction, most programs have focused on primary care and not on specialists, according to a recent New England Journal of Medicine report.