A Texas law passed in June allows Texans to use a mediator to negotiate disputed charges of more than $1,000 by healthcare providers, but many mediators are reluctant to participate in such negotiations, according to a report by the Dallas…
Legal & Regulatory Issues
The comment period on Standard MS 01.01.01 (formerly MS.1.20), which addresses establishing a working relationship between hospital governance and medical staff, will close on Jan. 28, 2010, according to a Joint Commission news release.
Hospitals in several states are contesting a new policy from UnitedHealthcare that would cut payments in half if the insurer isn't notified of an admission within 24 hours, according to a report by the New York Times.
It is illegal in a number of states for physicians to pay a percentage of collected fees to billing and collections companies, a practice known as "fee splitting," but the prohibition has been widely ignored and percentage-payment arrangements have flourished,…
Toe Myint, MD, a physician based in Troy, Mich., was convicted today by a Detroit jury of conspiracy to commit healthcare fraud in a $4.2 million Medicare fraud scheme, according to a news release from the U.S. Department of Justice.
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Stewart Powers, CEO of the now closed Community Specialty Hospital in Sherman, Texas, and Brandon Allen Ray, RN, were arrested for their roles in a scheme to commit healthcare fraud, according to a news release by the U.S. Department of…
Following the Democrats' loss of a filibuster-proof majority in the Senate, some in Congress are considering a scaled-back health reform bill that might win over Republicans, according to a report by the New York Times.
Nebraska State Sen. Kathy Campbell introduced a bill that would place a two-year moratorium on new hospitals in the state, according to a report by the Kearney Hub.
As Congressional Democrats work to salvage healthcare reform efforts, several states have announced that they plan to use ballot initiatives, court challenges and other tactics to “unravel” any healthcare legislation that passes Congress, according to a report by the Wall…
Medicare pays physicians for medical direction of nurse anesthetists at 50 percent of the reimbursement they would receive if they performed the work alone. CMS says physicians will be paid for medical direction of two to four concurrent cases provided…