Prime Healthcare in Ontario, California, and its founder and CEO, Dr. Prem Reddy, have agreed to pay $65 million to end a lawsuit alleging the hospital chain engaged in a scheme to fraudulently bill Medicare, the...Read More »
Only months after eClinicalWorks was sued for nearly $1 billion over inaccurate and unreliable data, the OIG fined the software company $132,500 for failing to report patient safety issues with its...Read More »
CMS’ 2019 OPPS proposed rule continues the agency’s efforts to enforce site-neutral payments and reduce drug payments by introducing policies to reduce reimbursement for hospital outpatient clinic visits...Read More »
Recently, the American College of Emergency Physicians (ACEP) and the Medical Association of Georgia (MAG) came out swinging against an insurer, Anthem. The pair of associations filed lawsuit against Anthem for its recently-implemented policy of denying medical...Read More »
