CMS released a guidance April 11 that outlines the Trump administration's new COVID-19 coverage requirements for private health plans.
Legal & Regulatory Issues
From insurers accused of underpaying behavioral health claims to a Georgia man charged with orchestrating a COVID-19 billing fraud scheme, here are the latest healthcare industry lawsuits making headlines.
Irvine, Calif.-based Alecto Healthcare Services has agreed to pay nearly $1 million for earned benefit time to employees who were displaced when Fairmont (W. Va.) Regional Medical Center closed March 19, according to the union representing the employees.
The behavioral health units of UnitedHealthcare and Cigna face four class-action lawsuits claiming the insurers conspired with a third-party company to underpay providers and balance bill patients hundreds of millions of dollars.
In a recent press release, Collective Medical announced an expanded product offering to ensure hospitals fully meet requirements under the new CMS Conditions of Participation as part of the Interoperability and Patient Access final rule.
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Federal prosecutors have charged a Georgia man for allegedly conspiring to defraud Medicare and private healthcare benefit programs by submitting fraudulent claims for COVID-19 testing and genetic cancer screenings, according to the Department of Justice.
A physician at Farmington-based UConn Health was arrested March 26 after allegedly coughing on and hugging nurses, according to the Hartford Courant, which cited a police report.
Patients can now appeal to Medicare for reimbursement for nursing home stays that were initially not covered because their "inpatient" status had been changed to "observation," according to Kaiser Health News.
From the Department of Justice suing Anthem to employees alleging they faced years of racial discrimination while working at a Missouri Veterans Affairs hospital, here are the latest healthcare industry lawsuits making headlines.
Blue Cross Blue Shield of North Carolina said it will cover two drugs currently being investigated as possible treatments for COVID-19 patients: hydroxychloroquine and chloroquine, according to The Charlotte Observer.