FinanceFormer Pacific Hospital CFO Sentenced in Fraud Case
George Hammer, who previously served as the chief financial officer of the physician management arm of Pacific Hospital has been...
Revenue CycleMolina Healthcare Settles False Claims Act Violation for $4.6M
The company allegedly submitted fraudulent Medicaid reimbursements while violating licensing and supervision of staff regulations.
FinanceSteward Health Care System To Pay $4.7M To Settle False Claims Act Lawsuit
Part of the settlement includes a five-year corporate integrity agreement subjecting the organization to a yearly financial review.
FinanceGet Data Security Funding Right
Hospitals must weigh several factors, including staff needs and overall risk appetite.
PayerCatholic Medical Center (NH) Pays $3.8M to Settle Kickback Allegations
CMC claims no liability for the whistleblower allegations.
PayerFederal Investigation Into Spine Surgeries Uses Mob Laws to Target Healthcare Fraud
Orthopedic surgeons have raked in billions through ties to medical device companies via consulting deals, royalties or ownership stakes, while...
Human ResourcesMedical Staffing Agency Ordered by Federal Court to Pay Nurses, Aides More than $7.2M in Back Wages
Steadfast Medical Staffing 'willfully' misclassified workers and shortchanged their overtime pay, U.S. Department of Labor says.
PayerHHS Proposal for Marketplace Plans Carries a Hefty Dose of Consumer Caution
A consumer's first hint that something is wrong is a big one: a letter from the IRS or a delay...
PayerCali AG Bonta Sues "Sham" Healthcare Sharing Ministry
The suit alleges that Aliera falsely represented Sharity/Trinity as a legitimate HCSM that satisfied the ACA's standards for exemption.
PayerMedicare's Open Enrollment Is Open Season for Scammers
CMS has warned payers selling Medicare Advantage and drug plans that federal requirements prohibit deceptive sales practices.
PayerHHS OIG Updates Healthcare Fraud Self-Disclosure Protocol
The revision unveiled this week incorporates legal changes made since the last revision to the SDP in 2013.
NursingSouth Dakota Issues Warning to Nurses About Licensing Scams
Scammers feign investigation and threaten to suspend or revoke nurses' licenses unless they pay up.