Compliance & Legal
Blue Cross and Blue Shield of Georgia faces separate lawsuits accusing it of sending reimbursement money for emergency room care directly to patients -- and not to the hospital because it isn't part of the insurer's network. That's costing the hospitals money since patients don't always turn over the funds, according to the lawsuits, filed by Polk Medical Center in northwest Georgia and Martin Luther King, Jr. Community Hospital in Los Angeles
The United States House of Representatives' Committee on Energy and Commerce is demanding to know what Theranos, the embattled blood-testing startup based in California, is doing to address its testing inaccuracies and questionable adherence to federal guidelines.
NJSNA members and 351 nurses from around the country urged elected officials to repeal language blocking the Centers for Disease Control and Prevention from conducting gun violence research, and from looking into appropriate funding to examine the causes and effective prevention strategies for gun violence.
Pacifica Hospital of the Valley in Los Angeles has agreed to pay $1 million in civil penalties over allegations that it improperly discharged a homeless patient in direct violation of city law and the hospital's homeless discharge protocols.
More than 60 of the defendants arrested are charged with fraud related to the Medicare prescription drug benefit program known as Part D.
Ruling ensures patent challengers may make an appeal before a U.S. Patent and Trademark Office board, rather than to the federal court.
The United States is on track to spend $2.6 trillion less on healthcare between 2014 and 2019 compared to initial projections made right after the 2010 passage of the Affordable Care Act.
Money will help provide hands-on training tailored to small practices, especially those that practice in historically under-resourced areas.
Despite the ongoing shift from fee-for-service to a value-based care model, a significant number providers are resistant to implementing alternative payment methods even though revenue cycle management continues to be a critical aspect of a provider's health, says a new Peer60 report.
The Supreme Court handed down a unanimous decision today in the case of Universal Health Services vs. Escobar that could expand the use of the implied certification theory as a basis for liability under the False Claims Act, with some saying it could breed more lawsuits against providers.