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AHA wants False Claims Act enforcement of Medicare Advantage care denials

May 20, 2022

MAYA GOLDMAN 

The American Hospital Association on Thursday urged the Justice Department to conduct more False Claims Act investigations of Medicare Advantage insurers for denying patients access to services and payments to providers.

Rates of unnecessary procedures persisted through pandemic, study shows

May 17, 2022

MARI DEVEREAUX

Despite the risks posed by COVID-19, hospitals continued to perform eight common, low-value procedures during the first year of the pandemic at a rate similar to 2019, according to a Lown Institute analysis published Tuesday.

Supreme Court abortion draft creates tangle of issues for big hospital systems

May 03, 2022

MAYA GOLDMAN 

ALEX KACIK

Striking down Roe v. Wade would disrupt healthcare providers’ operations and increase their legal liability, lawyers and policy experts said.

MA plans deny care traditional Medicare would cover, investigation finds

April 28, 2022

Mari Devereaux & Maya Goldman

Medicare Advantage insurers could soon see more oversight of prior authorization practices.

Surprise bill resolutions' path forward hinges on final rule

April 20, 2022

MAYA GOLDMAN 

The portal to file surprise billing independent dispute resolution claims opened on Friday, but there’s a chance the process through which claims are resolved could shift in the coming months.

Federal physician malpractice database may not work as intended

April 15, 2022

LISA GILLESPIE 

Hospitals appear to be skirting federal requirements to report clinician malpractice or hospital privilege revocations to a national database designed to keep patients safe.

AMA asks for delay in Provider Relief Fund clawbacks

March 31, 2022

MAYA GOLDMAN 

The American Medical Association and more than 30 other medical groups want the Health Resources and Services Administration to give providers more time to report on the Provider Relief Funds dollars they received before the government takes the money back.

Feds join lawsuit against EHR vendor ModMed

March 25, 2022

MAYA GOLDMAN 

The federal government will intervene in a False Claims Act lawsuit against electronic health records vendor Modernizing Medicine and its co-founders that became public Friday.

United Behavioral Health beats landmark coverage class-action

March 23, 2022

NONA TEPPER 

A federal appeals court on Tuesday reversed a landmark decision that required the nation’s largest behavioral health insurer to adopt more stringent standards for mental health and substance abuse treatment and reprocess tens of thousands of claims.

OCR Cybersecurity Newsletter: Defending Against Common Cyber-Attacks

March 17, 2022

Throughout 2020 and 2021, hackers have targeted the health care industry seeking unauthorized access to valuable electronic protected health information (ePHI).

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Recent Posts
  • AHA wants False Claims Act enforcement of Medicare Advantage care denials
  • Rates of unnecessary procedures persisted through pandemic, study shows
  • Supreme Court abortion draft creates tangle of issues for big hospital systems
  • MA plans deny care traditional Medicare would cover, investigation finds
  • Surprise bill resolutions’ path forward hinges on final rule
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Phone: 702-307-4880
Toll Free: 877-307-4880
Fax: 702.307.4881
Address: 7395 S. Pecos Rd. Suite 103 Las Vegas, NV 89120
Email: Maria@nutilelaw.com

The State Bar of Nevada does not certify any attorney as an expert or specialist in any area of law.  References made to the practice areas of Nutile Law, and any individual attorney, describe experience and focus in such practice areas but do not represent any specialty or expertise.

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