St. Vincent Health System, based in Erie, Pa., will pay $1.9 million to the federal government to settle claims that it submitted fraudulent Medicare reimbursement claims, according to a press release from law firm Phillips & Cohen.
Legal & Regulatory Issues
The Pennsylvania Senate Banking and Insurance Committee has recommended to the states insurance department that it deny the proposed merger between insurance providers Independence Blue Cross (IBC) and Highmark, according to a statement from Sen. Don White, chairman of the…
As the Democrats take control of the House, the Senate and the Presidency, many question the impact of such a change on ambulatory surgery centers (ASCs) and physician-owned hospitals. The most significant question is: Will the federal government shut down…
The U.S. Department of Justice has announced that a Miguel Almanza, formerly of Hialeah, Fla., has pled guilty in connection with a $56.7 million Medicare fraud scheme.
The Supreme Court of New Hampshire has ruled that Elliot Health System is not required to obtain certificate of need review for its Elliot Medical Center at Londonderry medical office building project. However, in a concurring opinion for case No.…
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Zimmer’s ongoing efforts to resolve compliance challenges relating to its orthopedic division have resulted in a disruption of the manufacturer’s work with physician consultants, thus attributing to the company’s disappointing sales, according to David Dvorak, Zimmer president and CEO, in…
These are the three biggest issues currently facing physician hospitals.
Alcon, the world’s largest researcher and developer of eye care products, is suing Synergetics USA, claiming it has infringed Alcon’s patent on an ophthalmic laser surgical device.
CMS has published online most of the edits utilized in its Medically Unlikely Edit (MUE) program to improve the accuracy of claims payments for Medicare Part B services.
The new rule requiring disclosure of physician-ownership in hospitals becomes effective Oct. 1.