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Compliance & Legal

By Mallory Hackett | 04:09 pm | September 14, 2021
The lawsuit claims that Aetna is in violation of Section 1557 of the ACA, a section that has undergone regulatory contention over recent years.
By Susan Morse | 10:54 am | September 14, 2021
This is the 20th investigation of HIPAA Right to Access by the Office of Civil Rights.
By Susan Morse | 04:37 pm | September 09, 2021
The federal government wants SB8 declared invalid and the court to issue a preliminary and permanent injunction.
By Mallory Hackett | 04:23 pm | August 31, 2021
In addition to having to pay millions, Sutter Health must adopt a number of new business practices to encourage transparency and restore competition in the area.
By Mallory Hackett | 04:02 pm | August 30, 2021
The appeal comes after a federal judge granted the FTC an injunction to halt the acquisition until it could complete an internal investigation.
By Mallory Hackett | 02:25 pm | August 27, 2021
This is just the latest report to suggest many nonprofits skimp on their community contribution requirements.
By Mallory Hackett | 04:04 pm | August 25, 2021
A federal appeals court rejected the group's latest attempt to get higher reimbursements for the outlier payments they received from 2008 to 2011.
By Jeff Lagasse | 09:28 am | August 25, 2021
The Delta variant has driven a rise in cases among nursing home residents from a low of 319 cases on June 27, to 2,696 cases on August 8.
By Susan Morse | 02:53 pm | August 17, 2021
CMS paid an estimated $16.2 billion for unsupported diagnoses in 2016, audits of Medicare Advantage plan data show. 
By Jeff Lagasse | 03:59 pm | August 13, 2021
United allegedly reduced reimbursement rates for out-of-network mental health services, thereby overcharging participants.