Category: ROOT

Healthcare billing fraud: 13 recent cases

From a Florida physician getting 20 years in prison for the “largest ever” case of its kind, to a New York gastroenterologist getting 30 months in prison for a Medicare fraud scheme, here are 13 healthcare billing fraud cases Becker’s has reported sinc…

The greatest challenges in physician self-employment: 5 thoughts

Medscape surveyed 744 self-employed physicians for its 2022 “Self-employed Physicians Report” on their experiences.

Optum's busy start to 2023: 3 moves ASCs need to know

Optum has inked two major deals and reported a jump in revenue since the beginning of 2023. 

Avera hospital names Theresa Guenther permanent CEO

Avera Creighton (Neb.) Hospital has promoted its interim CEO, Theresa Guenther, to the permanent post. 

The top 10 rural hospitals nationwide, by margin

Rural hospitals are often the most vulnerable to economic pressures, but there is no shortage of success stories for leaders to learn from and emulate, according to the Center for Healthcare Quality and Payment Reform. 

Eye Clinic of Wisconsin opens its 8th office

Wausau-based Eye Clinic of Wisconsin has opened its eighth location, Wausau Pilot & Review reported Jan. 17. 

Hawaii physician to keep $205K in Medicaid funds after state's attempt to recoup

Hawaii’s state Supreme Court ruled that Frederick Nitta, MD, of Hilo, Hawaii, is allowed to keep $205,000 in enhanced Medicaid payments, despite state officials’ attempts to recoup the funds, the American Medical Association said Jan. 18. 

Colorado hospital margins 49% below pre-pandemic levels

Colorado hospitals’ operating margins have dropped 49 percent below 2019 levels, with most hospitals in the state operating under “unsustainable financial situations,” according to data published by the Colorado Hospital Association. 

Orlando Health upgraded amid strong operating performance, Fitch says

Orlando (Fla.) Health has been upgraded to “AA-” because of its sustained operating performance, healthy financial position and strong local market share, Fitch Ratings said.

Joint Commission issues 2 alerts on maternal health disparities

The Joint Commission published two new alerts on Jan. 17 to reduce morbidity and mortality in pregnant and postpartum patients: a sentinel alert on eliminating racial and ethnic disparities, and a safety advisory on mental health conditions as the lead…