Mehmood Patel, MD, a cardiologist from Lafayette, La., has been sentenced to 10 years in prison for healthcare fraud, according to a Department of Justice news release.
Legal & Regulatory Issues
N.Y. Attorney General Andrew Cuomo has reached an agreement with California-based insurer HealthNet over flawed out-of-network reimbursement processes, according to a news release from his office.
President Obama and congressional leaders are proposing the creation of a new public health insurance plan to compete with private insurance plans. The President first proposed a public insurance option during the 2008 presidential campaign, but now the details and…
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…
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.
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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…
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.