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Compliance & Legal

By Beth Jones Sanborn | 01:46 pm | May 04, 2018
Shephard Lee Spruill, CEO of Carolina Support Services, joins the growing contingent of hospital executives charged as criminals.
By Susan Morse | 01:30 pm | May 04, 2018
Judge dismisses a contract dispute over billing practices that is now expected to head to arbitration.
By Jessica Davis | 01:04 pm | May 04, 2018
While gap analysis can find existing vulnerabilities in an organization's security, it's not an equal substitution for HIPAA-required risk analysis.
By Beth Jones Sanborn | 02:21 pm | May 03, 2018
Former chief executive of Calhoun-Liberty Hospital is charged with using money to pay various personal expenses like credit cards, groceries, his own business and travel, the DOJ said.
By Susan Morse | 03:17 pm | May 02, 2018
Lower court's decision about disproportionate share hospital payments undermines the ability HHS has to administer Medicare reimbursement, Azar says.
By Beth Jones Sanborn | 12:52 pm | April 30, 2018
A pair of physicians and one Las Vegas practice are under fire for an array of alleged offenses including fraud and identity theft.
By Susan Morse | 03:39 pm | April 23, 2018
The deal marks Harvard Pilgrim's third such contract aligning medication payments to real-world performance with patients.
By Susan Morse | 03:57 pm | April 20, 2018
The court order covers all insurers offering qualified health plans in the Affordable Care Act market for the 2017 or 2018 benefit year.
By Beth Jones Sanborn | 12:30 pm | April 13, 2018
Government alleged Banner Health hospitals intentionally overcharged Medicare patients, rendered inpatient care that could have been handled on outpatient basis.
By Beth Jones Sanborn | 04:32 pm | April 12, 2018
Announcement comes roughly a month after company and CEO Elizabeth Holmes settled SEC investigation that stripped her of corporate voting rights, and levied a $500,000 fine.