Naturopathic physicians have filed a class-action lawsuit against Health Net and its plan administrator American Specialty Health Group alleging the insurer denied claims for medical services provided by the naturopathic physicians that would have been covered if other medical providers…
Legal & Regulatory Issues
Casa Colina Hospital and Centers for Healthcare, a rehabilitation hospital based in Pomona, Calif., has filed a lawsuit against HHS requesting the agency resolve Medicare appeals within 90 days of submission as required by federal law.
The following hospitals, health systems and healthcare companies entered into settlement agreements to resolve alleged violations of the False Claims Act, the Anti-Kickback Statute or Stark Law since June.
New for 2015, the CPT codes for vertebroplasty and kyphoplasty were revised to include radiology supervision and interpretation.
A Chicago podiatrist, Shanin Moshiri, DPM, has been convicted of accepting $2,000 in monthly kickbacks from now-shuttered Sacred Heart Hospital in Chicago in exchange for referrals, according to a Chicago Tribune report.
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Insurance premiums have become a new battleground in the fight against the Patient Protection and Affordable Care Act, with opponents pointing to surging premiums as a signal the Obama administration's signature healthcare reform is failing, and supporters defending that the…
Sumter, S.C.-based Tuomey Healthcare System must pay the $237 million judgment previously entered against it in a False Claims Act case after a three-judge panel of the U.S. Fourth Circuit Court of Appeals unanimously upheld the district court's ruling Thursday.
Seventy-one unattended cardboard boxes, sitting unassumingly just 20 feet from a public road, resulted in a HIPAA Privacy rule settlement — including $800,000 in fines — for Fort Wayne, Ind.-based Parkview Health System. The boxes, which contained the medical records…
From an Indiana health system settling false claims allegations for $20.2 million to the governor of Florida dropping his lawsuit against the federal government, here are the latest healthcare industry lawsuits and settlements.
University Medical Center of El Paso (Texas) and El Paso Children's Hospital have failed to resolve their conflict over outstanding debt through mediation, and now their fight is headed to court, according to an El Paso Times report.