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New Jersey healthcare company Humana Inc. recently adjusted its insurance offerings to expand in-network access for members. After much negotiations with local healthcare providers, the private insurance provider agreed to expand its terms to include additional...
The term patient-centric is a popular, sometimes overused, catch phrase within the healthcare industry these days. Although overuse is problematic, there is value to reviewing your practice’s business plan to make sure the culture provides a positive patient...
Gravity Diagnostics, a CLIA diagnostic and testing laboratory licensed to provide services throughout the country, recently announced the addition of an executive. Although the addition of another executive for this large of an organization on its own is not of note,...
Government officials have accused a Texas pharmacy owner of filing more than $5 million in fraudulent claims to several healthcare programs. The entrepreneur owned multiple pharmacies in Southern Texas, most notably in the Houston and Pharr areas. A government...
Lab owners must balance a multitude of tasks to have a successful business. They need to make sure they have the staff needed to run a safe, accurate and efficient facility. In addition to watching the bottom line, these entrepreneurs also need to have a basic...
This past August, the United States Department of Health and Human Services (HHS) Office for Civil Rights (OCR) received a complaint that Housing Works Inc., out of New York, had failed to provide a patient with a copy of his medical records. The patient argued that...
The United States Department of Justice recently announced that a hospital out of Virginia has agreed to pay $50 to settle claims that it violated the False Claims Act (FCA). This most recent settlement highlights the government's continued focus on aggressively...
Stark law. Congress intended this prohibition of self-referrals to reduce the risk of physicians referring to certain labs purely for financial gain. Any connection must fit within an exception, referred to as IOAS exception. Anti-Kickback Statues. This...
Medical professionals who receive a notice of overpayment from Medicare or commercial insurance companies may find themselves facing a massive bill. These letters demand repayment, sometimes asking the health care professional to pay millions of dollars back to the...
2020 has been a year of adaptation for those in the medical field. Doctors, nurses and medical professionals throughout the health care system must adapt to the changes that have come with the Coronavirus pandemic. Hospitals were reconfigured to better ensure they...