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Hospital Employees Fired for Celebrity Snooping

You’ve heard the saying “curiosity killed the cat,†well in the case of dozens of hospital employees, curiosity may have ...
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OIG: Complimentary In-Home Care Permitted, Despite Potential Anti-Kickback Violation

A recent advisory opinion issued by the U.S. Department of Health and Human Services Office of the Inspector General has ...
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Judge Rules United Behavioral Health Guidelines Led to Denial of Claims Violations

A California federal judge has issued a landmark ruling that could impact the way insurance companies cover mental health and ...
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CMS to Phase Out Split-Percentage Payments for New HHAs

Despite concerns from home health agencies (HHAs) that their cash flow could be significantly impacted, the Centers for Medicare & ...
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HIPAA Enforcement tops $28M in 2018

If it seems as if HIPAA violations were in the news more often than ever last year, that may be ...
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Groundbreaking Rules for Electronic Health Records Proposed

The U.S. Department of Health and Human Services is proposing new rules that could pave the way for increased exchange ...
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HHS Proposes Changes to Drug Rebate Safe Harbors

The U.S. Department of Health & Human Services (HHS) has issued a proposed rule that would amend the safe harbor ...
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Lab to Pay $63.5M to Settle Kickback Allegations

Inform Diagnostics, an Irving, Texas-based pathology laboratory company, has agreed to pay $63.5 million to settle allegations that it violated ...
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OIG: Pediatric Clinic Can Provide Routine Cost-Sharing Waivers

A pediatric clinic that provides medical, psychiatric and dental care to low-income children can waive cost-sharing amounts for patients in ...
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Court Rules Against United’s Offsetting Policy

UnitedHealth Group’s policy of withholding payments to out-of-network physicians and doctors in order to recover previous overpayments – a practice ...
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