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Hospital Offering Patient Discounts not Entitled to Full Reimbursement by Insurer

Cigna Healthcare emerged victorious from a lawsuit filed by a Houston hospital that had accused it of underpaying claims to ...
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CMS Proposes Payment Changes for Medicare HHAs for 2019

The Centers for Medicare & Medicaid Services (CMS) is soliciting comments on a proposed rule that will impact payment and ...
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Medical Device Maker Settles False Claims Allegations, Agrees to Pay $12.5M

A New York-based medical device manufacturer has agreed to pay $12.5 million to settle allegations it caused healthcare providers to ...
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CMS Proposes Sweeping Changes to Restore Doctor-Patient Relationship

Talk to any healthcare provider and one of the things you likely will hear is that they spend too much ...
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Sen. Rubio to Introduce Bill to Crackdown on Florida Shuffle

Have you heard of the Florida Shuffle? It’s not a new dance step, it’s what they call it when substance ...
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Common Healthcare Fraud Schemes

Last month’s indictment of more than 600 people nationwide in what the feds dubbed “the largest healthcare fraud takedown in ...
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HIPAA Violation Results in $4.3M Fine for Cancer Center

If you haven’t taken stringent measures to protect patient privacy, this recent ruling from a U.S. Department of Health and ...
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Doctors, Nurses, Other Healthcare Pros Rounded up in Opioid and Medicare Fraud Sweep

Doctors, nurses, addiction treatment professionals, pharmacists and hundreds of others are among the 601 people across 58 federal districts charged ...
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Do you Know Your Obligations Under the Medicare Secondary Payer (MSP) Provisions?

A Philadelphia-based personal injury law firm has paid $28,000 to settle allegations that it failed to reimburse the government for ...
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Advisory Opinion: Clinic Can Provide Free Telemedicine Equipment, Services

A nonprofit, federally qualified health center look-alike (FQHC) can use grant funds to provide telehealth equipment and services for free ...
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