Compliance & Legal

Embattled blood testing company Theranos has filed a notice of intent to appeal the sanctions that the Centers for Medicare and Medicaid Services has imposed on their Newark, California lab.

A whistleblower case believed dead involving claims of inflated Medicare Advantage risk scores has been resurrected by a federal court.

Hospitals and former parent company admitted to knowingly and grossly exceeding 60-day repayment rule for Medicaid overpayments.

Aetna said it has already announced plans to divest much of its Medicare Advantage business.

Criminally indicted or convicted providers and physicians filed an estimated $600 million in liens against injured employees' claims for workers' compensation benefits between 2011 and 2015, according to the California Department of Industrial Relations and its Division of Workers' Compensation.

As data theft, ransomware, network attacks and accidental privacy violations continue to plague healthcare organizations of all sizes, HHS Office for Civil Rights has announced plans to devote more resources to investigating smaller breaches.

Though CMS finalized a 90-day period for 2015, many providers were not able to take advantage of that flexibility and instead had to rely on hardship exemptions to avoid penalties.

The federal agency is considering fines and other sanctions for providers who engage in this.

Centene's wholly-owned subsidiary Health Net has agreed to pay $340,000 for violating securities laws on whistleblower awards, the Securities and Exchange Commission announced Tuesday.

In 1998, investors filed more than 20 lawsuits alleging the Birmingham-based MedPartners, a physician practice management company, made false and misleading statements to the public about its financial condition and prospects.