Insurance company prior-authorization processes delay care while amplifying patient anxiety and physician frustration. But one leading health system has worked to automate its process for ordering and scheduling imaging tests and has dramatically sped up and improved the experience.
Carter Healthcare LLC, an Oklahoma-based for-profit home health provider, its affiliates CHC Holdings and Carter-Florida (collectively Carter Healthcare), and their President Stanley Carter and Chief Operations Officer Bradley Carter have agreed to pay $7.175 million to resolve allegations that they violated the False Claims Act by billing the Medicare program for medically unnecessary therapy provided to patients in Florida.
Sutter Health, a Sacramento-based health care services provider, and its affiliate Sutter Bay Hospitals, the successor to Sutter East Bay Hospitals dba Alta Bates Summit Medical Center (collectively Sutter Health), agreed to pay more than $13 million to settle allegations that it violated the False Claims Act by billing the United States for toxicology screening tests performed by outside labs.
We are in the midst of a national crisis affecting the lives of more than 100 million Americans, including many Coloradans. This crisis is worsening racial disparities in health and wealth.
Even after five decades of argument about abortion in the United States, the most contentious question newly at the forefront is a very basic one: What is abortion?
Major medical societies, and medical billing codes, define abortion as any procedure that terminates a pregnancy — whether that pregnancy is wanted or unwanted, whether a woman is seeking the procedure to clean out her uterus after a miscarriage, or because of a dire fetal diagnosis, or to terminate a pregnancy that she had not expected.
The Texas Medical Association filed its second lawsuit in less than a year against the US Department of Health and Human Services (HHS) last month over federal policies on surprise billing.
