A computer system New York uses to catch Medicaid fraud let an additional $114 million in bad payments fall through the cracks, according to a New York Post news report.
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John Costino, DO, a North Wildwood, N.J.-based sports medicine and family practice physician, and his wife Barbara Costino have pleaded not guilty to healthcare fraud charges, according to a Press of Atlantic City news report.
Hollywood, Fla.-based Memorial Healthcare System, operated by the South Broward Hospital District, is being investigated by the U.S. Department of Justice after a whistleblower brought forth allegations that it had conspired with Tampa, Fla.-based WellCare to defraud Florida's Medicaid and…
Arthritis and Allergy Associates, a medical practice located in Torrington, Conn., will pay more than $247,000 to settle allegations that it had violated the False Claims Act by submitting false claims to Medicare, according to a Register Citizen news report.
CMS has achieved a 1 percent reduction in Medicare Advantage premiums for next year by denying proposed rate increases and benefit cuts in about 14 percent of bids from private insurers in the program, according to a report by the…
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As ASC and community hospital financial consultants, a recurring theme we encounter is what approach should small- to mid-sized facilities take in regards to their material management functions? There are typically three scenarios: material management as an administrative function, a…
A whole bevy of consumer-friendly provisions in the healthcare reform law kick in on Sept. 23, six months after the legislation was signed, according to a report by Kaiser Health News. Here are a six key points about the new…
The U.S. Attorney's Office for the Eastern District of Pennsylvania has filed a motion to intervene in a whistleblower suit against pharmaceutical company Pfizer's Wyeth unit for paying illegal kickbacks to physicians and promoting non-FDA approved uses of the organ…
Molly Sandvig, executive director of Physician Hospitals of America, says she will leave her position to become COO of Joint Replacement Hospitals of America, a new for-profit company developing knee- and hip-replacement hospitals to be run by physicians.
Allergan, a pharmaceutical company based in Irvine, Calif., has agreed to pay $600 million for promoting its pharmaceutical drug Botox — commonly used for cosmetic treatment — for uses not approved by the FDA, paying kickbacks to physicians and other…