Compliance & Legal

Mercy Health settles for $14M over alleged improper physician payments
May 17, 2018 | Beth Jones Sanborn
The settlement resolves allegations that Mercy Health paid six employed physicians above and…
Memorial Hermann gets fined by DOJ
May 15, 2018 | Beth Jones Sanborn
Memorial Hermann allegedly billed for inpatient services for Medicare beneficiaries that could have been treated…
May 08, 2018 | Susan Morse
Some entities, such as ACOs, have to create work-arounds because they won't…
May 04, 2018 | Beth Jones Sanborn
Shephard Lee Spruill, CEO of Carolina Support Services, joins the growing contingent of hospital executives charged as criminals.
Court sides with UnitedHealthcare, Envision claims the win
May 04, 2018 | Susan Morse
Judge dismisses a contract dispute over billing practices that is now expected to head to…
HIPAA-required risk analysis is only way to compliance
May 04, 2018 | Jessica Davis
While gap analysis can find existing vulnerabilities in an organization's security, it's not an…
Florida CEO indicted for fraud
May 03, 2018 | Beth Jones Sanborn
Former chief executive of Calhoun-Liberty Hospital is charged with using money to pay various personal expenses like…
DHS payment
May 02, 2018 | Susan Morse
Lower court's decision about disproportionate share hospital payments undermines the…
Two healthcare fraud cases top $2.5 million
Apr 30, 2018 | Beth Jones Sanborn
A pair of physicians and one Las Vegas practice are under fire for an array of alleged offenses including fraud and…
Harvard Pilgrim, AstraZeneca ink outcomes-based Symbicort contract.
Apr 23, 2018 | Susan Morse
The deal marks Harvard Pilgrim's third such contract aligning medication payments…