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Legal & Regulatory Issues

Oct. 1 is approaching, and it seems like this will be the year that the ICD-10 transition is here to stay.

Louisville, Ky.-based Humana has disclosed in a regulatory filing that it is the subject of a federal probe, which is related to a qui tam, or whistle-blower, lawsuit filed against the health insurer.

Following the lead of residents in other states, Colorado residents whose information may have been compromised by the data breach Anthem recently experienced have filed a class-action lawsuit against the insurer, according to The Denver Post.

The Federal Government, through the Centers for Medicare and Medicaid Services (CMS) is driving the healthcare industry to update diagnosis and procedure coding standards (ICD-10) by October 1, 2015. Is your organization ready for the ICD-10 transition?

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A physician in West Palm Beach, Fla., had to temporarily close his office doors after he was mistaken for a dead New York surgeon with the same name who was convicted of Medicare fraud, according to a WPBF report.

A lawsuit has been filed against Doctors' Hospital of Michigan in Pontiac, seeking repayment of nearly $2 million that was loaned to the hospital between April 2013 and May 2014, according to a report by The Macomb Daily.

Michael Connelly, president and CEO of Cincinnati-based Mercy Health, has filed a defamation and invasion of privacy lawsuit against Service Employees International Union No. 1199, according to a USA Today report.

Eleven Senate Democrats penned a letter to HHS Secretary Sylvia Mathews Burwell, asking the Obama administration to create a special enrollment period that would allow people extra time to sign up for health insurance following the closing of the latest…

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