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A Bloomfield, Mich.-based physician was sentenced to four years in prison in a $6.3 million Medicare fraud scheme involving medically unnecessary orthotic braces, the Justice Department said in a June 26 news release.  What happened?

Here are five physician fraud cases Becker’s has reported on since June 17: 1. Columbus, Ohio-based Robert Florea, MD, was sentenced to 24 months in prison for a $1.5 million Medicaid fraud scheme. Dr. Florea fraudulently billed the Ohio Department…

Learn how to unlock interoperability and CMS readiness with the infrastructure you already have. Slow, outdated infrastructure is putting payer-provider organizations at risk of falling behind on upcoming CMS mandates for interoperability, patient access, and prior authorization. And these regulations,…

Jul 24, 2025 10:00 AM - 11:00 AM America/Chicago

Presented by:

Presented by

Presenters

Joerg Schwarz

Senior Director for Healthcare Interoperability Solutions and Strategy, Infor

Chris Smith, MS

Enterprise Architect, Mississippi Division of Medicaid

Consolidation has become a norm for many independent physicians over the last decade.  Only 42.2% of physicians were working in private practice in 2024, a dramatic decline from 60.1% in 2012, according to the American Medical Association’s Physician Practice Benchmark…

Under the Stark law’s recruitment exception, hospitals are permitted to offer certain financial incentives to medical practices to help them bring physicians into their communities, without violating anti-kickback rules, according to a recent blog post from Chelle Law.  Here are…

Here are three hospital sales Becker’s has reported on since June 11: 1. On June 18, Ohio Attorney General Dave Yost gave conditional approval for venture capital firm General Catalyst to acquire Akron-based Summa Health. The move follows a $485…

Certified registered nurse anesthetist practice  laws are shifting across the U.S. as several states take legislative or regulatory action.  Since June 2024, six states have introduced or enacted changes to how CRNAs can practice: 1. In May, West Virginia Gov.…

Clinically relevant information — including referral letters, faxes and discharge notes — often exist in unstructured formats. The result: care delays, manual review overload and untapped reimbursement. However, some health systems are now using tech to unlock structured insights from…

Aug 1, 2025 11:00 AM - 12:00 PM America/Chicago

Presented by:

Presented by

Presenters

Mauricio Garcia Jacques

CEO & Founder

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