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Compliance & Legal

By Susan Morse | 04:23 pm | February 05, 2023
The RADV final rule comes after increasingly high profile instances of apparent over coding from Medicare Advantage Organizations.
By Jeff Lagasse | 12:41 pm | February 03, 2023
Rosendale has harshly criticized the VA's new EHR since 2021, citing operational inadequacies and implementation struggles.
By Jeff Lagasse | 05:07 pm | February 01, 2023
The group claims the fee hike will strip many physicians and providers of the arbitration process Congress enacted.
By Jeff Lagasse | 01:21 pm | January 30, 2023
Calling CVS Health its "chief competitor," Cigna claims its offer to Bricker is retaliation for loss of the Centene PBM contract.
By Jeff Lagasse | 12:55 pm | January 20, 2023
The AG's office accused drugmakers of "unlawful, unfair, and deceptive business practices."
By Jeff Lagasse | 05:12 pm | January 17, 2023
The lawsuit alleges that manufacturers and pharmacy benefit managers have leveraged their market power to overcharge patients.
By Susan Morse | 11:47 am | January 12, 2023
On Tuesday, a federal court ruled to allow HHS to propose an appropriate remedy for its past underpayments.
By Susan Morse | 12:06 pm | January 04, 2023
Amazon's supply chain and purchasing power may generate savings that would not necessarily be passed to consumers, says Oregon agency.
By Jeff Lagasse | 10:26 am | December 20, 2022
Failure to provide timely access to requested medical records was a potential violation of the HIPAA right of access standard, said OCR.
By Jeff Lagasse | 06:33 pm | December 13, 2022
Congressional leaders have expressed reservations about the model, saying it may allow insurers and providers to harm the Medicare system.