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Compliance & Legal

By Jeff Lagasse | 12:29 pm | July 11, 2023
The allegations involved HCA billing Medicaid improperly for three separate behavioral health services available to children who qualify.
By Jeff Lagasse | 02:25 pm | July 10, 2023
The lawsuit argues that Medicare is required to institute the payment model changes in a budget neutral manner.
By Jeff Lagasse | 04:48 pm | July 06, 2023
The lawsuit alleges that Aetna took more than $1.3 billion from Kraft Heinz to pay providers.
By HIMSS TV | 06:00 am | July 03, 2023
Understand what is written – and what is not – in HIPAA requirements, says Chad Peterson, managing director at NetSPI.
By Jeff Lagasse | 01:55 pm | June 23, 2023
Medicare will cover drugs with traditional FDA approval when a physician and clinical team participates in a registry.
By Jeff Lagasse | 04:15 pm | June 22, 2023
The move is due to its reported insolvency and inability to raise additional funds from outside investors.
By Susan Morse | 11:38 am | June 22, 2023
Drug negotiation with manufacturers is government price fixing and is unconstitutional, groups say.
By Jeff Lagasse | 05:24 pm | June 21, 2023
Letter also demands that U.S. News publicly disclose the payments it receives from the hospitals it endorses.
By Jeff Lagasse | 09:25 am | June 21, 2023
In the nine months following the Dobbs decision, an average of 2,849 fewer abortions were provided in the U.S. each month.
HIMSS23
By HIMSS TV | 06:00 am | June 09, 2023
The Medicare Advantage Risk Adjustment Validation final rule has ramped up compliance pressure against overcoding, says Dr. Calum Yacoubian, director of healthcare strategy at IQVIA.