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Big bad Medicare audits, or, being put on the RAC

October 16, 2008 — 12:15am ET | By Anne Zieger
By this point, pretty much everyone in the industry is aware that Medicare is stepping up the Recovery Audit Contractor program, under which contractors visit with providers and do a deep, hard audit... Read more...

DC sues area Blue plan, demands it donate millions to community

June 26, 2008 — 12:37am ET | By Anne Zieger
The government of Washington, DC, has launched a two-pronged attack on the region's largest health plan, filing a suit alleging that the non-profit plan must donate millions to the community, while... Read more...

FL hospital staffers charged with $7M kickback scheme

June 6, 2008 — 6:59am ET
A group of former employees of a Miami-based hospital have been charged with conspiracy to commit wire fraud, accused of involving the hospital in a kickback scheme with a medical supply company that... Read more...

FL system settles federal claim over MD overpayments

May 13, 2008 — 6:59am ET
Baptist Health South Florida has agreed to pay the federal government $7.75 million to settle allegations that it paid an oncology group excessive compensation to generate referrals for two of its... Read more...

FTC works to stop VA hospital merger

May 12, 2008 — 6:59am ET
The FTC, along with Virginia's attorney general, have announced that they plan to step in to block the planned the planned merger between a Virginia hospital chain and one of its current rivals.... Read more...

Report: Antifraud compliance getting tougher for hospitals

April 30, 2008 — 6:59am ET
A new report from the Deloitte Forensic Center argues that it's getting increasingly difficult for hospitals to comply with state and federal anti-fraud rules given the surge in new anti-fraud... Read more...

CA regulators begin broad review of policy cancellations

April 18, 2008 — 6:59am ET
In a move that could cost health insurers untold dollars, and possibly change the dynamics of the individual coverage market, the California Department of Managed Health Care has begun reviewing... Read more...

Report: UCLA privacy breaches happen often

April 11, 2008 — 6:59am ET
When a hospital treats celebrities, it's no surprise that employees will be tempted to get a peek at their records--as happened recently when employees improperly looked into records on singer... Read more...

New York AG expands health plan investigation

March 7, 2008 — 7:59am ET
A few weeks ago, New York Attorney General Andrew Cuomo made national news when he filed suit against... Read more...

Senate questions device maker payments to surgeons

February 27, 2008 — 7:59am ET
Last year, five makers of orthopedic implants paid more than $221 million to surgeon consultants--and some Senate members want to know why. Today, the Senate Special Committee on Aging is holding a... Read more...
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