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31 Mar 2017, 6:56 am by Amanda Pickens
The Morgan Group, Inc., No. 3:17-cv-00142 (W.D.N.C. [read post]
31 Mar 2017, 6:56 am by Amanda Pickens
The Morgan Group, Inc., No. 3:17-cv-00142 (W.D.N.C. [read post]
20 Mar 2017, 9:01 pm by Charles E. Binkley and David S. Kemp
Coverage of low or medium priority services before there is consistent coverage of high priority services is an unacceptable tradeoff. [read post]
Improper Patient Referrals Nature of the problem: The government and whistleblowers continue to target pharmacies, including specialty pharmacies, for improper referrals in violation of the federal AKS, which prohibits the provision of anything of value to healthcare providers in exchange for referrals of items or services that may be reimbursed by federal healthcare programs. [read post]
1 Mar 2017, 12:55 pm by Cynthia Marcotte Stamer
Heads up tax-exempt and governmental entities, employer and other qualified employee benefit plan sponsor, fiduciaries, administrators, and recordkeepers and their management, accountants, attorneys, and other service providers and advisors. [read post]
16 Feb 2017, 3:01 pm by Cynthia Marcotte Stamer
A $5.5 million settlement payment that Memorial Healthcare Systems (MHS) just paid the U.S. [read post]
2 Feb 2017, 6:04 pm by Cynthia Marcotte Stamer
The Proposed Determination notes, for instance, that: A Security Gap Analysis and Assessment conducted for Children’s December 2006-February 2007 by Strategic Management Systems, Inc. [read post]
26 Jan 2017, 8:50 am by Jeffrey May
The proposed divestiture of certain assets to Molina Healthcare, Inc. offered by the parties to resolve antitrust concerns would not counteract any anticompetitive effects of the merger, in the court’s view. [read post]
23 Jan 2017, 2:47 pm by Cynthia Marcotte Stamer
” To provide greater flexibility to States and cooperate with them in implementing healthcare programs and to waive, defer, grant exemptions from, or delay the implementation of any provision or requirement of the Act that would impose a fiscal burden on any State; For departments and agencies with responsibilities relating to healthcare or health insurance to encourage the development of a free and open market in interstate commerce for the offering of… [read post]
2 Jan 2017, 7:15 am by Greene LLP
The whistleblower (or “Relator”) in this case, the former Director of Quality and Risk Management at Prime Healthcare Services, Inc., alleges that her employer defrauded the federal government of nearly $50 million dollars by billing for “medically unnecessary” inpatient short-stay admissions. [read post]
2 Jan 2017, 7:15 am by Greene LLP
The whistleblower (or “Relator”) in this case, the former Director of Quality and Risk Management at Prime Healthcare Services, Inc., alleges that her employer defrauded the federal government of nearly $50 million dollars by billing for “medically unnecessary” inpatient short-stay admissions. [read post]
2 Jan 2017, 4:00 am by Monica Goyle
” Another explanation of what it is, as explained by Gartner Inc., “[b]lockchain is a type of distributed ledger in which value exchange transactions (in bitcoin or other tokens) are sequentially grouped sequentially into blocks. [read post]
21 Dec 2016, 7:19 am by Paul Lyons
  The United States Supreme Court upheld a whistleblower’s claim in Universal Health Services v. [read post]