News
A pre-authorization process for certain medical supplies has worked to bring down costs in sample studies and will help prevent questionable billing practices.
The state of Maryland is proposing significant changes to how its Medicaid system doles out cash to methadone treatment clinics.
Aria Health Systems, a major healthcare provider in Northeast Philadelphia and lower Bucks County, has settled two False Claims Act matters stemming from allegations that a cardiologist in their system performed unnecessary invasive procedures on patients and outpatients at its Torresdale facility. The second matter involves alleged violations of the False Claims Act related to overcompensation of physicians and overpayment for a trademark name while the provider was in the process of acquiring an orthopedic group in December 2012, the U.S. Attorney's Office announced in a December 23 statement.
Four hospitals in northern New Hampshire are affiliating administrative, finance, purchasing and other services in a new health system called North Country Healthcare.
New Board Chairman Mark Kelley said the affiliation may represent a first for the nation.
A nonprofit specializing in financial assistance for underinsured Americans has opened a new fund to provide help to Medicare patients suffering from renal cell carcinoma. It is the second fund launched this month by the HealthWell Foundation, an independent organization which provides a financial safety net for more than 200,000 underinsured patients by facilitating access to otherwise unaffordable medical treatments.
The clinical director of a Massachusetts home nursing agency, along with the agency's co-conspiring owner and doctor who served as the agency's medical director, have been sentenced in U.S. District Court in Boston for healthcare fraud and other charges in a multi-million dollar Medicare fraud scheme, the FBI and U.S. Attorney's office announced in a Dec. 22 statement.
The state of Maryland is proposing significant changes to how its Medicaid system doles out cash to methadone treatment clinics. And some operators of such facilities aren't happy about it.
Coloplast Corp, an ostomy and continence care product manufacturer, has agreed to pay $3,160,000 to settle allegations it paid illegal kickbacks to a number of medical suppliers. Liberator Medical Supply Inc., one of five companies named in the kickback scheme, has agreed to pay $500,000 for their part, the U.S. Attorney's Office announced through a statement released Dec. 22 by the Boston Division of the FBI.
A pre-authorization process for certain medical supplies has worked to bring down costs in sample studies and will help prevent questionable billing practices. That's the word from the Centers for Medicare and Medicaid Services, after issuing its final rule Tuesday establishing a prior authorization process for certain durable medical equipment, prosthetics, orthotics and supplies.
WellCare, a publicly traded insurer based in Florida, has filed a lawsuit against the Department of Human Services in Iowa, contesting its nixed contract to help oversee the state's Medicaid program.