Legal & Regulatory Issues

Janet Johnson-Hunter, MD, of Jacksonville, N.C., pleaded guilty to conspiring to conceal material facts in connection with the delivery and payment for healthcare benefits, items and services, according to a report in ENC Today.

The American Medical Association has added three new codes and removed two codes from the urodynamics section of the CPT 2010 Book, according to a release from the American Academy of Professional Coders.

The American Medical Association has released corrections to be made to the CPT 2010 Book on its "Errata" Web site.

Detroit-area residents Baskaran Thangarasan, Sandeep Aggarwal and Wayne Smith have pleaded guilty for their roles in connection with several Detroit-area healthcare fraud schemes, according to a U.S. Department of Justice news release.

R&V Medical Supplies, LLC, located in Philadelphia, Robert Saul and Sheila Saul were indicted on charges that they allegedly conspired to defraud Medicare and other healthcare benefit programs by submitting more than $1.2 million in fraudulent claims for reimbursement for…

A change to the policy for anesthesiologists and CRNAs who bill Medicare for teaching anesthesia services to residents and student nurse anesthetists will go into affect on Jan. 1, 2010, according to a news release from the American Academy of…

The American Hospital Association and Federation of American Hospitals are opposing a plan now under consideration by Senate Democrats to allow Americans ages 55-64 to buy into Medicare, according to a report by the New York Times.

Executives from Massachusetts' leading health insurers, including Harvard Pilgrim Health Care and Tufts Health Plan, refused to answer questions by state regulators about their reimbursement practices, according to a report by the Boston Globe.

Here are the top 10 APCs for hospitals by volume along with the national average cost and national average charge for each APC, according the American Hospital Directory's analysis of the latest Medicare claims data.

Sen. Charles Grassley (R-Iowa) is asking the AMA and several other non-profit healthcare organizations to reveal funding from pharmaceutical, medical device companies or the insurance industry, according to a letter Sen. Grassley sent the AMA.