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AmeriHealth Mercy Health Plan, a third-party administrator for Passport Health Plan, Kentucky's Medicaid managed care plan, has agreed to pay $2 million in damages to the state for submitting false information in order to receive higher payments, according to a…

in2itive Business Solutions, a national revenue management and healthcare consulting firm, has named Jocelyn Gaddie as its director of business development.

Here are 10 big fraud and abuse cases involving hospital executives.

Last year was the first full year of Medicare's nationwide recovery audit contractor program. Here Lori Brocato, audit management product manager for Healthport, makes five points on how it went.

The Superior Court of Massachusetts has issued rulings in an outstanding litigation between a St. Jude Medical subsidiary and Volcano Corporation, according to a Bradenton report.

A new tax on device manufacturers through healthcare reform could increase outsourcing of medical devices, according to a report by Kalorama Information.

The Virginia Board of Medicine and the Virginia Society of Plastic Surgeons are expected to work together to prevent inadequately trained providers from performing outpatient surgery, according to a VASPS release.

The following article was written by Joseph Keane, director of ASC/GI sales for STERIS Corp.   As we all know, ambulatory surgery centers operate differently from acute-care facilities. For example, they have limited resources compared to the typically larger acute-care…

Researchers conducted a study to assess healthcare professionals' and environment's influence on the nosocomial transmission of MRSA, according to an article published in Infection Control and Hospital Epidemiology.

Jackson Davis HealthCare cited the following five issues to consider when pursuing an appeal against a recovery audit contractor's decision.