A physician in Largo, Fla., has agreed to pay $350,000 to resolve False Claims Act allegations that he submitted fraudulent Medicare claims. The Justice Department alleged that between September 2015 and December 2020, John Michaelos, MD, owner of St. Michael’s…
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Clinical reviewers open a utilization management or appeals case and spend most of it assembling evidence — hundreds of pages, several source systems and a fax queue that has outlasted every modernization plan built around it. The determination itself is…
Presented by:
- Mark Miller, Sr. VP of Insurance and Strategic Accounts, Naviant
- Jason Bui, Head of Healthcare, UiPath
- Jessica Wilborne, Payment Integrity Clinical Consultant, LPN, BlueCross BlueShield of North Carolina
- Colleen Bubnack, Healthcare Product Strategist, UiPath
National Healthcare Properties completed the sale of 30 primarily multi-tenant outpatient medical facilities for $198 million. The transaction represents the first tranche of its previously announced sale of 86 outpatient medical facilities for approximately $528 million, according to a Sept.…
The highest-paid gastroenterologist in Dallas earns $997,400 per year, according to Medscape’s salary reporter tool. The average salary for gastroenterologists is $530,000, according to a report from Medscape. Here is what the five highest-paid gastroenterologists in Dallas earn each year,…
Health systems and ASC operators struck some of the largest deals in the industry’s history over the past year, but not every hospital-ASC pairing works out, and Marie Edler, chief growth officer of SCA Health, has a specific way of…
Physician assistants and advanced practice registered nurses can now order every noninvasive colorectal cancer screening test Medicare covers, ending a long-standing physician-only requirement under a CMS coverage change. CMS authorized the expanded coverage in June when it finalized a decision memo revising…
Dallas-based Tenet Healthcare has upsized its previously announced $1.5 billion private senior notes offering to $2 billion, according to a Sept. 8 news release. The health system agreed to issue and sell $2 billion in aggregate principal amount of senior…
Orthopedic surgeons across the U.S. are advancing the specialty through clinical innovation, research, education and leadership across a wide range of subspecialties. The 20 surgeons featured below represent academic medical centers, health systems and independent practices, with expertise spanning orthopedic…
Colorado Imaging Associates and TRA Medical Imaging launched Affiliated Radiology, a physician-led radiology services organization. Affiliated Radiology will provide partnering organizations with PACS, clinical AI infrastructure, shared radiologist read capacity, and other technology and operational services, according to a Sept.…
The Cardiac PET Alliance launched as a physician-led organization dedicated exclusively to advancing cardiac positron emission tomography imaging, protecting patient access, and educating policymakers, physicians and patients. The alliance represents more than 1,200 cardiologists across 101 cardiovascular group practices operating…
