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.
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.
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.
Hospitals appear to be skirting federal requirements to report clinician malpractice or hospital privilege revocations to a national database designed to keep patients safe.
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.
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.
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.
Throughout 2020 and 2021, hackers have targeted the health care industry seeking unauthorized access to valuable electronic protected health information (ePHI).
