The American Hospital Association supports a newly introduced bill in the U.S. House of Representatives that would repeal the federal antitrust exemption for health insurers, according to a report by AHA News Now.
Legal & Regulatory Issues
With an automatic 21.2 percent Medicare fee cut looming next Monday, the AMA is showing members how to opt out of Medicare's set reimbursements and become a "non-participating" physician, according to a report on the AMA Web site.
Six healthcare providers in New York have reimbursed state officials more than $2.4 million in restitution and paid a combined $39,107 in fines for inflated billings submitted to the New York State Health Insurance Program, according to a report by…
Robert Bourseau, the former owner of City of Angels Medical Center in Los Angeles, was sentenced to 37 months in federal prison for his role in a scheme to provide illegal kickbacks for the recruitment of homeless patients to come…
Johnson Memorial Hospital in Stafford Springs, Conn., has agreed to pay $191,193 to resolve allegations that it improperly billed Medicare between 2000 and 2005, according to a report by the Hartford Courant.
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Eon Labs, a subsidiary of Sandoz, which is in turn a subsidiary of Novartis AG, has agreed to pay $3.5 million to the federal government to resolve allegations that it submitted false claims to Medicaid involving the company's Nitroglycerin Sustained…
CMS is proposing to raise payments Medicare Advantage payments insurers by 1.38 percent next year, according to a CMS release.
Mercy Medical Center in Springfield, Mass., agreed to pay nearly $2.8 million to settle allegations that it violated the federal False Claims Act by failing to provide the minimum amount of rehabilitation therapy required by Medicare, according to a Justice…
Five anesthesiology practices — Christus Schumpert Health System, Pierremont Anesthesia Consultants, Regional Anesthesia Consultants, Shreveport Anesthesia Services, and South Shreveport Anesthesia Service — in the Shreveport, La., region have withdrawn from Blue Cross and Blue Shield of Louisiana, effective Feb.…
CMS has delayed a mandatory reporting deadline that would implement Medicare Secondary Payer reporting, according to a press release from the Medicare Advocacy Recovery Coalition.