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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...
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...
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...
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...
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...
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...
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...
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...
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...