Compliance & Legal

Judge orders AHA to submit proposals to clear up Medicare claims backlog
Mar 30, 2018 | Susan Morse
AHA and three of its member hospitals had sued HHS due to the long delay in…
Genesis Medical Center to pay $1.88M related to Medicare overpayments
Mar 28, 2018 | Beth Jones Sanborn
Hospital legal spokesman blamed complex interpretation billing classification rules, said hospital…
Centene fined again for failing to meet ACA standards
Mar 27, 2018 | Susan Morse
The Office of the Insurance Commission will impose some or all of a remaining $900,000 suspended fine if the insurer does not…
Alere hit with $33 million settlement over diagnostic tools
Mar 26, 2018 | Beth Jones Sanborn
Government alleged that for roughly six years, Alere knowingly sold unreliable devices and ignored complaints…
Envision sues UnitedHealthcare over contract dispute
Mar 21, 2018 | Susan Morse
The insurer claims ER physician staffing firm is charging 'outrageous' rates, while Envision blames UnitedHealthcare for…
What US health orgs need to know about Europe’s GDPR privacy law
Mar 21, 2018 | Jessica Davis
By May 25, U.S. providers caring for EU patients will need to brush up on consent forms, data sharing and privacy…
Ridesharing poses potential fraud, abuse risks
Mar 20, 2018 | Jeff Lagasse
It's crucial that providers monitor civil monetary penalties law and anti-kickback…
Dignity Health union workers get new 5-year contract
Mar 19, 2018 | Beth Jones Sanborn
After talk of protests and fears over pending mega-merger with Catholic Health Initiatives, new…
Cleveland system sued after fertility center freezer malfunction
Mar 13, 2018 | Beth Jones Sanborn
The problem occurred in one of the two large liquid nitrogen freezers that…
CMS tells Idaho it must comply with ACA
Mar 09, 2018 | Susan Morse
CMS Administrator Seema Verma suggests Idaho's state-based plans could be modified to be sold as short-term health insurance.