1. A federal judge approved a $2.8 billion settlement resolving antitrust claims brought by healthcare providers against the Blue Cross Blue Shield Association and its independent entities, ending more than a decade of litigation. The settlement was approved Aug. 19…
ASC Coding, Billing & Collections
HMO and health plan employers offer the highest average sign-on bonuses, according to an Aug. 26 blog post from salary transparency website Marit Health. Here’s the average sign-on bonus by employer type: HMO or health plan: $60,000 State-run community hospital:…
A Louisville, Ky., physician agreed to pay $250,000 to resolve allegations that he and his practice submitted false claims to Medicare, Medicaid and TriCare by improperly billing services performed by nurse practitioners, according to an Aug. 28 Justice Department news…
Walnut Creek, Calif.-based American Psychiatric Centers agreed to pay $2.75 million to settle allegations it submitted false psychotherapy claims to government payers, the Justice Department said in an Aug. 20 news release. What happened?
A Lake Forest, Ill., physician was sentenced to 34 months in prison for fraud, hiding assets and lying to the IRS about his ability to pay $1.6 million in taxes, penalties and interest, the Justice Department said in an Aug.…
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There were a total of 50,555 malpractice and disciplinary action reports in 2024, with 39,167 adverse action reports and remaining 11,388 medical malpractice payment reports according to an analysis from Claggett, Sykes & Garza Trial Lawyers. Here’s a breakdown of…
While malpractice filings have declined nearly 20% in 10 years, the severity of claims is rising, according to a new analysis from Claggett, Sykes & Garza Trial Lawyers. In 2024 alone, payouts reached $4.93 billion, averaging $433,000 per case. Here…
Prospect Medical, parent company of Upland, Pa.-based Crozer Health, is suing HHS, CMS and others alleging they violated an automatic stay order after the company’s bankruptcy was filed in January, Philadelphia Business Journal reported Aug. 13. What happened?
A Saginaw, Mich.-based physician has been charged with 23 counts of Medicare fraud, the state’s Attorney General said in an Aug. 15 news release. What happened?
An Alabama physician has pleaded guilty to his role in a $6 million telemedicine fraud scheme involving durable medical equipment and genetic testing, the Justice Department announced Aug. 18. What happened?