Nashville, Tenn.-based HCA Holdings is facing a lawsuit alleging the for-profit hospital operator subjected patients to medically unnecessary interventional cardiology services and then submitted false claims to government payers for reimbursement, according to a Securities and Exchange Commission filing by…
Legal & Regulatory Issues
Legislation has been introduced that would limit the monetary penalty a healthcare provider can suffer for committing a technical violation of the Stark Law.
In a recent blog post on The Greeley Company's blog, Amy Niehaus, a consultant, focused on buidling up your organization's credentialing process.
Daughters of Charity Health System, a six-hospital network based in Los Altos, Calif., has filed a lawsuit against Service Employees International Union and its United Healthcare Workers West affiliate alleging the union's attempts to sabotage the system's efforts to sell…
North Cypress (Texas) Medical Center and its CEO engaged in an illegal kickback scheme and used deceptive billing practices that led Aetna Life Insurance to overpay the physician-owned community hospital by as much as $120 million, according to allegations in…
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In a recent blog post, Managing Director of BDC Advisor's ACO Practice, Dr. Dale Anderson, commented on the pros and cons of the new rules.
HHS Secretary Sylvia Mathews Burwell has sent a letter to Congress stating the Obama administration does not have a contingency plan if the U.S. Supreme Court blocks subsidies in states that did not establish their own health insurance marketplaces, according…
On March 4, the U.S. Supreme Court will hear King v. Burwell — a lawsuit challenging subsidies under the Patient Protection and Affordable Care Act. In preparation, governors of states that could be affected by the decision are bracing themselves…
The U.S. Supreme Court is set to hear King v. Burwell, the case that will determine whether people in all states will receive health insurance subsidies under the Patient Protection and Affordable Care Act.
The U.S. Court of Appeals for the Seventh Circuit has expanded the definition of "referral" under the Anti-Kickback Statute, causing some provider arrangements that were once safe to now implicate the Anti-Kickback Statute, according to a National Law Review report.