Topic:

Regulatory & Risk Management

Latest Headlines

Latest Headlines

HCA to pay $16.5M in kickback settlement

Tennessee-based Hospital Corporation of America (HCA) has agreed to pay $16.5 million to settle claims that it violated the False Claims Act and the Stark statute in 2007.

Pre-op MRI ineffective in preventing further breast cancer surgery

Though often used to determine the extent of cancer in women with dense breast tissue, a new study casts additional doubt on the usefulness of pre-operative magnetic resonance imaging in preventing further surgery among women undergoing full or partial mastectomy.

Prime antitrust lawsuit against Kaiser, union dismissed

A federal judge dismissed Prime Healthcare Services' lawsuit against Kaiser Permanente and a California workers' union in what Prime called a conspiracy to whittle the hospital operator out of the market, California Watch reported this week.

Bill would make insurers notify members of provider contracts ending

A bill requiring insurers to notify the insurance commissioner and affected members before they terminate a provider contract has reached the desk of the California governor.

States want compromise on Medicaid expansion

Several states are seeking a compromise on Medicare expansion as part of the Affordable Care Act, reported The Wall Street Journal .

Health professionals should pay attention to e-discovery regs

Healthcare professionals would be wise to pay attention to constantly maturing e-discovery regulations in their states, according to an article published this week in  American Medical News . 

Boston teaching hospital fined $1.5M for ePHI data breach

A teaching hospital for Harvard Medical School and an associated medical practice have agreed to pay a $1.5 million fine in a breach of patient protected health information (PHI), the U.S. Department of Health & Human Services announced Monday.

Billing trends could signal rise in upcoding

Physicians have been billing Medicare for increasingly complex--and more expensive--procedures over the past 10 years, signaling a growing upcoding trend that adds $11 billion to healthcare costs.

Doctors: Readmission penalties do more harm than good

As hospital leaders brace for about $280 million in payments from more than 2,200 hospitals beginning next month, some physicians warn the new penalties won't improve care.

Elections could bring more physician lawmakers

With the upcoming November elections, the number of congressional seats that belong to doctors could grow from 20 to 30, MedPage Today reported.