The future of the Stark law is uncertain following a recent district court decision that a False Claims Act lawsuit against South Charleston, W.Va.-based Thomas Health System could not be resolved without further briefings on the U.S. Supreme Court’s r…
All of healthcare has struggled with declining reimbursements, patient care issues and administrative burdens associated with Medicare Advantage plans.
Physician frustration is growing as prior authorization and other payer obstacles lead to increased retrospective payment denial.
Anti-Kickback Statute and the False Claims Act enforcement is entering a new era — turning away from enforcement of COVID-10 pandemic-era fraud, Law.com reported Nov. 7.
A West Virginia federal district court has dismissed a false claims lawsuit filed against Thomas Health System, citing insufficient detail in the plaintiff’s allegations, according to court documents filed by Becker’s.
During President-elect Donald Trump’s term, he decreased the average monthly plan premium for Medicare Advantage beneficiaries to the lowest rates MA plans had seen since 2007.
As many ASCs voice support for site-neutral payments, hospitals push back on legislator action advocating for such policies.
ASCs’ payer issues aren’t new, but many are now increasingly challenged by complex and restrictive payment policies set by insurers.
Physicians are spending more time than ever on prior authorizations for treatments and procedures, which many say has a negative impact on patient care.
CMS began requiring hospitals to report specific admission information on Nov. 1.
