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publication date

Finance
Former Pacific Hospital CFO Sentenced in Fraud Case
Amanda Schiavo | June 27, 2022
George Hammer, who previously served as the chief financial officer of the physician management arm of Pacific Hospital has been...
Revenue Cycle
Molina Healthcare Settles False Claims Act Violation for $4.6M
Jay Asser | June 24, 2022
The company allegedly submitted fraudulent Medicaid reimbursements while violating licensing and supervision of staff regulations.
Finance
Steward Health Care System To Pay $4.7M To Settle False Claims Act Lawsuit
Amanda Schiavo | June 14, 2022
Part of the settlement includes a five-year corporate integrity agreement subjecting the organization to a yearly financial review.
Finance
Get Data Security Funding Right
David Weldon | May 25, 2022
Hospitals must weigh several factors, including staff needs and overall risk appetite.
Payer
Catholic Medical Center (NH) Pays $3.8M to Settle Kickback Allegations
John Commins | February 16, 2022
CMC claims no liability for the whistleblower allegations.
Payer
Federal Investigation Into Spine Surgeries Uses Mob Laws to Target Healthcare Fraud
Kaiser Health News | February 08, 2022
Orthopedic surgeons have raked in billions through ties to medical device companies via consulting deals, royalties or ownership stakes, while...
Human Resources
Medical Staffing Agency Ordered by Federal Court to Pay Nurses, Aides More than $7.2M in Back Wages
Carol Davis | January 31, 2022
Steadfast Medical Staffing 'willfully' misclassified workers and shortchanged their overtime pay, U.S. Department of Labor says.
Payer
HHS Proposal for Marketplace Plans Carries a Hefty Dose of Consumer Caution
Kaiser Health News | January 19, 2022
A consumer's first hint that something is wrong is a big one: a letter from the IRS or a delay...
Payer
Cali AG Bonta Sues "Sham" Healthcare Sharing Ministry
John Commins | January 18, 2022
The suit alleges that Aliera falsely represented Sharity/Trinity as a legitimate HCSM that satisfied the ACA's standards for exemption.
Payer
Medicare's Open Enrollment Is Open Season for Scammers
Kaiser Health News | November 11, 2021
CMS has warned payers selling Medicare Advantage and drug plans that federal requirements prohibit deceptive sales practices.
Payer
HHS OIG Updates Healthcare Fraud Self-Disclosure Protocol
John Commins | November 08, 2021
The revision unveiled this week incorporates legal changes made since the last revision to the SDP in 2013.
Nursing
South Dakota Issues Warning to Nurses About Licensing Scams
Carol Davis | September 16, 2021
Scammers feign investigation and threaten to suspend or revoke nurses' licenses unless they pay up.
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