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CMS has approved medical necessity review audits by recovery audit contractors, according to a report by AHA News Now.

Lisa Rock serves as president of National Medical Billing Services in St. Louis, Mo., one of the largest ASC billing companies in the country. With more than 25 years experience in the industry, she has a unique and intimate perspective…

The National Insurance Crime Bureau announced the establishment of a second major medical fraud task force in Florida to counter the increase and spread of medical fraud in the state, according to an NICB news release.

A recent report shows that approximately $22 million was recovered last year from fraud and abuse of the Kansas' Medicaid program, according to a news release by the Kansas Attorney General's office.

Sushil Sheth, MD, a former Chicago-area cardiologist, has been sentenced to five years in prison and ordered to pay $13 million in restitution for defrauding public and private health insurers, according to Chicago Tribune report.

U.S. Department of Health and Human Services Secretary Kathleen Sebelius has announced the availability of up to $250 million in grants for "new access points" for the delivery of primary healthcare services for underserved and vulnerable populations, according to an…

United Surgical Partners International has administrator openings in the following areas:

Here are the average operating expenses by expense category per single case in ASCs with greater than 50 percent of their case volume in orthopedics, according to VMG Health's 2009 Intellimarker.

The former CEO at Physicians Regional Medical Center in Naples, Fla., has filed a whistleblower suit against Health Management Associates alleging the hospital operator provided kickbacks to physicians in exchange for referrals, according to a Naples Daily News report.

U.S. District Judge Douglas Woodlock has ruled the U.S. Department of Justice can join a whistleblower suit against St. Jude Medical alleging the company providing kickbacks to physicians in return for their use of St. Jude's pacemakers and defibrillators, according…