The transition to ICD-10 scheduled for October 2015 will affect healthcare organizations in all areas, not just revenue management. PNC healthcare experts have offered the following tips to hospitals and health systems looking to ensure their people, processes and technologies…
Legal & Regulatory Issues
Instead of isolating purchased services in various silos of a health system, creating a centralized purchasing system allows for greater visibility, transparency and standardization.
Lowering the cost defensive medicine is typically touted as one of the reasons states need tort reform, but a new study led by Michael B. Rothberg of the Cleveland Clinic and published in JAMA Internal Medicine, suggests that argument may…
Three patient recruiters have been sentenced for their involvement in healthcare fraud and kickback scheme while working for Miami-based Trust Care Health Services, a home healthcare company, according to the FBI.
A judge has finalized the $190 million settlement between Baltimore-based Johns Hopkins Health System and more than 8,000 patients who were allegedly taped by a gynecologist who used a tiny camera to photograph women and girls during examinations, according to…
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Minneapolis-based Medtronic, a medical device manufacture, has agreed to pay $362,362 to 46 states and the District of Columbia to resolve allegations the company violated the False Claims Act, according to New York's Office of the Attorney General.
Farid Fata, MD, a Detroit-area hematologist-oncologist, has pleaded guilty to participating in a healthcare fraud scheme and admitted to administering unnecessary chemotherapy to patients to enable him to fraudulently bill Medicare and private insurance companies for the treatment, according to…
Many health insurers have disregarded regulations meant to keep health insurance subsidies distributed under the Patient Protection and Affordable Care Act from going toward abortions, according to a Government Accountability Office report. Here are three things to know about the…
Health insurer PreferredOne has decided not to continue offering coverage through Minnesota's Patient Protection and Affordable Care Act exchange, MNsure, in 2015.
Upcoming program initiatives are one of the most-discussed topics during healthcare organization internal compliance and ethics committee meetings, according to the Compliance and Ethics Program Environment Report by the New York Stock Exchange Governance Services and the Society of Corporate…