Molina Healthcare (Molina) has reached a $4.6 million settlement to resolve allegations that it violated the False Claims Act after submitting improper claims for Medicaid reimbursement.
In October...
CMS recently proposed the Calendar Year 2023 End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) Proposed Rule, which would boost Medicare reimbursement for ESRD facilities and refine a new...
CMS is looking to apply a permanent prospective payment adjustment to the home health 30-day period payment rate to account for changes resulting from the implementation of the Patient-Driven Groupings...
Steward Health Care System has reached a $4.7 million settlement to resolve allegations that it violated the False Claims Act by paying physicians for services they did not provide.
The United States...
The Federal Trade Commission (FTC) has authorized a lawsuit to block the proposed hospital merger between HCA Healthcare and Steward Health Care System, alleging that the transaction would increase...
The American Hospital Association (AHA) has asked CMS to adjust the final Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) rule for FY 2023, noting concerns about the proposed...
Twelve hospital groups, including the American Hospital Association (AHA), have urged HHS to extend the COVID-19 public health emergency (PHE) an additional 90 days past the current July expiration...
Signature HomeNow, a home healthcare company operating in Florida, has reached a $2.1 million settlement to resolve allegations that it violated the False Claims Act and fraudulently billed Medicare...
HHS has requested a hold on its recent appeal of a Texas federal court ruling regarding the interim final rule on surprise billing, according to reporting from the American College of Emergency...
The Colorado House has passed a bill that seeks to prohibit hospitals from pursuing debt collections against patients if the health system does not comply with the CMS hospital price transparency...
The Federation of American Hospitals (FAH) has asked the Federal Trade Commission (FTC) and the Antitrust Division of the Department of Justice (DOJ) to maintain certain aspects of the hospital merger...
CMS has released its Hospital Inpatient Prospective Payment System (IPPS) proposed rule for fiscal year 2023, which includes a payment rate boost for general acute care hospitals and new measures...
Florida-based Physicians Partners of America (PPOA) has reached a $24.5 million settlement to resolve healthcare fraud allegations that it violated the False Claims Act and billed federal healthcare...
CMS has updated its surprise billing guidance to require independent dispute resolution (IDR) entities to consider more than just the qualifying payment amount (QPA) when determining reimbursement...
Through the Health Resources and Services Administration (HRSA), HHS has released the fifth round of Phase 4 COVID-19 Provider Relief Funds, which includes $1.75 billion for healthcare providers that...
Providence Health & Services Washington (Providence) has reached a $22.7 million settlement to resolve healthcare fraud allegations that it falsely billed Medicare and Medicaid for medically...
HHS has renewed the COVID-19 public health emergency for an additional 90 days past the previous expiration date of April 16, 2022.
The extension will help hospitals and health systems manage ongoing...
The US Department of Justice (DOJ) has filed a lawsuit against Methodist Le Bonheur Healthcare and Methodist Healthcare Memphis Hospitals, alleging that the health systems violated the False Claims Act...
CMS has released its proposed Skilled Nursing Facility (SNF) Prospective Payment System (PPS) rule for fiscal year 2023, which includes a reduction in Medicare payments for SNFs.
The proposed payment...
The Biden-Harris administration has announced a series of reforms that aim to alleviate medical debt burden and increase consumer protections for Americans.
One in three adults across the country has...
