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Compliance & Legal

By Jeff Lagasse | 03:05 pm | September 11, 2025
The group says an “unchecked” model would undermine the goal of allowing safety net providers to stretch federal resources.
By Jeff Lagasse | 10:43 am | September 10, 2025
The agency says it’s aiming to ensure that Medicaid resources are directed appropriately.
By Jeff Lagasse | 10:55 am | September 09, 2025
These codes were used to hide administrative expenses in patients’ medical charges, the original lawsuit claims.
By Jeff Lagasse | 10:44 am | September 08, 2025
Amneal Pharmaceuticals’ laboratory procedures resulted in visibly contaminated injectable medications, FDA says.
By Jeff Lagasse | 02:51 pm | September 05, 2025
An extension would give providers predictability, which they need to expand capacity and invest in staff and tech, groups say.
By Jeff Lagasse | 03:51 pm | September 03, 2025
The facilities violated the Nursing Home Reform Act, in part by failing to develop care plans for their residents, DOJ says
By Jeff Lagasse | 10:22 am | September 03, 2025
More than $6M in claims were allegedly submitted to Medicare for DME and genetic testing that were medically unnecessary.
By Jeff Lagasse | 10:14 am | September 02, 2025
PBMs’ overseas group purchasing organizations may be used to avoid transparency and oversight, committee says.
By Jeff Lagasse | 03:05 pm | August 28, 2025
The nursing home’s severe understaffing, a result of financial fraud, led to several patient deaths, the New York AG finds.
By Susan Morse | 11:25 am | August 26, 2025
The rule would cause at least 1.8M Americans to lose ACA coverage in 2026, says lawsuit.