A sticking point in crafting major national health care reform legislation, according to media accounts, is whether or not Congress should create a new "public" plan as an alternative to private insurance plans. The role of a public plan has…
Legal & Regulatory Issues
Former co-owner and chairman of the board, for City of Angels Medical Center in Los Angeles, Robert Bourseau, has pleaded guilty to paying illegal kickbacks for patient referrals, according to a report by the Los Angeles Times.
Louisville, Ky.-based Kindred Healthcare will pay $1.3 million to settle allegations that it overbilled TennCare, Tennessee's Medicaid managed care program, according to a report in the Nashville Business Journal.
The University of Medicine and Dentistry of New Jersey has agreed to pay $2 million to settle federal civil fraud allegations that its hospital defrauded Medicaid, according to a news release from the U.S. Department of Justice.
It's Monday morning and your week appears to be off to a very bad start. You just received a call from a law enforcement officer. A patient's identity has been stolen, and the information breach was traced to his dealings…
Advertisement
The following common red flags apply to many healthcare entities. Please note that this is not an all-inclusive list and that not all of these flags will apply to all healthcare organizations.
In a letter to Sen. Edward Kennedy (D-Mass.) and Sen. Max Baucus (D-Mont.), President Obama said he was open to giving special considerations to Medicare Payment Advisory Commission recommendations, according to a report in the Wall Street Journal.
The key issue in the emerging national health care debate is the role of the federal government. While some Members of Congress favor a "single-payer" national health insurance system—"Medicare for all"—others, including President Obama, propose a new public plan, modeled…
Horizon Blue Cross Blue Shield of New Jersey has filed two lawsuits against two separate hospitals over billing practices at the facilities, according Horizon news releases.
The Queen's Medical Center in Honolulu, Hawaii, agreed to pay $2.5 million to settle two whistle-blower lawsuits that alleged the hospital overbilled government healthcare programs for prescription medications, according to a report in the Pacific Business News.