The Department of Veterans Affairs is in the midst of controversy concerning secret patient wait lists and falsified appointment records, and President Obama has nominated Robert McDonald, a former CEO of Procter & Gamble, to lead the troubled department through…
Legal & Regulatory Issues
Subsidized federal health insurance plans offered under the Patient Protection and Affordable Care Act could cause the Anti-Kickback Statute and by extension the False Claims Act to reach beyond Medicare, Medicaid and Tricare, according to a National Law Review report.
Below is a roundup of recent healthcare fraud stories that were reported in the last 30 days, beginning with the most recent.
UnitedHealth Group has sued California's Insurance Commissioner concerning a $173.6 million fine the insurer was issued in relation to its acquisition of Cypress, Calif.- based PacifiCare in 2005, according to a Los Angeles Times report.
The Office of Inspector General has released a report detailing questionable billing patterns among Medicare lab services. Here are 25 important takeaways from the report.
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After years of attempting to assert jurisdiction over hospitals and the healthcare industry based solely on their TRICARE participation, the U.S. Department of Labor's Office of Federal Contractor Compliance Programs on May 7, 2014, issued Directive 2014-01 to establish a…
One day after the federal government filed suit, Carthage (N.Y.) Area Hospital has settled allegations of overbilling, according to a WWNY TV report.
The Senate Special Committee on Aging has released a report on Medicare audit programs — a topic the committee held a hearing on yesterday. Here are three findings from the report.
CMS has proposed updates to the Sunshine Act which requires applicable manufacturers and group purchasing organizations to report payments, transfers of value, ownerships or investment interests to CMS in efforts to induce greater transparency in the industry.
In the hospital supply chain, purchased services can offer significant savings for organizations, sometimes up to 30 percent.