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Legal & Regulatory Issues

From a Pennsylvania hospital settling billing fraud allegations to a health insurance company suing a telehealth firm, here are the latest healthcare industry lawsuits and settlements making headlines. 

CMS' encounter data continues to lack identifiers for ordering providers, which are used to identify potential fraud and abuse, according to a report from HHS' Office of Inspector General. 

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Aetna Health of California must stop using national standards to deny payment for emergency room claims, the California Department of Managed Health Care ordered Aug. 25. 

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