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21 Dec 2023, 6:00 am
According to the United States’ complaint, Community Health Network began an illegal scheme in 2008 and 2009 to recruit physicians for employment to take their “downstream referrals. [read post]
20 Dec 2023, 9:52 am
According to the government, BioTelemetry and LifeWatch violated the FCA “when LifeWatch, through its marketing and enrollment process for remote cardiac monitoring services, knowingly submitted false claims to federal health care programs for a higher level of remote cardiac monitoring service than physicians had intended to order or which was medically necessary, thus resulting in a higher level of reimbursement to LifeWatch. [read post]
19 Dec 2023, 11:20 am
Community Health Network Inc. [read post]
8 Dec 2023, 1:18 pm
Fourth, the literature on health-care noncompetes is very limited: there is one paper investigating the impact on physician compensation (which finds that physicians with noncompetes are more highly compensated than those without) and one paper investigating the impact of certain policy changes on health-care prices. [read post]
4 Dec 2023, 8:20 am
As providers commonly engage collection agencies on a contingency fee model, physicians and dentists should remain diligent in their own billing and credit reporting practices and in the accuracy of the data they provide collection agencies, to maximize the return on their receivables. [read post]
28 Nov 2023, 8:10 pm
Would you mind prepping some of our physicians? [read post]
28 Nov 2023, 9:53 am
“The department is committed to preventing illegal financial relationships that undermine the integrity of our public health care programs. [read post]
25 Nov 2023, 12:00 am
That doctor will likely be one from your employer’s worker’s compensation network. [read post]
20 Nov 2023, 10:19 am
The government alleged that: (1) physicians were bribed with illeg [read post]
20 Nov 2023, 3:08 am
David Adamson, M.D., Founder, Chairman and CEO at ARC Fertility, the largest United States network fertility company. [read post]
2 Nov 2023, 5:55 am
A significant portion of Requestor’s pathology services derive from physician referrals to assist those physicians in diagnosing and treating patients; ii. [read post]
1 Nov 2023, 2:00 pm
Vertical acquisitions are when hospitals combine with other healthcare providers, such as outpatient clinics, physician practices, and other facilities in the delivery system to create more efficacy in the delivery of services. [read post]
27 Oct 2023, 3:34 pm
Department of Health and Human Services Office of Inspector General (HHS-OIG). [read post]
22 Oct 2023, 10:10 am
” NY Times “Physicians and public health experts have pointed to one culprit time and again when asked why Americans live shorter lives than peers in nations with similar resources, especially people felled by chronic diseases in the prime of life: stress. [read post]
20 Oct 2023, 9:04 am
According to the government, in 2014, the Department of Health & Human Services’ Office of the Inspector General issued a Special Fraud Alert that “warned laboratories that the practice of paying referring physicians specimen processing fees could present a substantial risk of fraud and abuse. [read post]
18 Oct 2023, 12:52 pm
Some common issues include: Exclusionary contracting practices that foreclose competition: This could involve a dominant health system blocking rival providers from joining an insurance network. [read post]
17 Oct 2023, 8:53 am
” Further Reading: Genomic Health Inc. [read post]
10 Oct 2023, 12:00 pm
SM: The anesthesia world has changed quite a bit, from the billing side, with going in- and out-of-network with insurance carriers, to the former “physician-only” model moving to care team models with physicians and CRNAs. [read post]
5 Oct 2023, 4:00 am
For example, the Organ Procurement & Transplantation Network approved a requirement that transplant hospitals use race-neutral calculations when estimating kidney function. [read post]
26 Sep 2023, 11:18 am
Key Physician Opinions: In support of her appeal, Ms. [read post]