Tag:
overbilling
Latest Headlines
Latest Headlines
Highmark sues UPMC for $300M 'pricing manipulation'
Highmark filed a lawsuit Wednesday against UPMC for allegedly overbilling the insurer by $300 million for cancer drugs. If Highmark wins, the case could be a "landmark and precedent-setting event" for insurers seeking to block providers from overcharging on procedures, medical billing expert Rebecca Reier told the Pittsburgh Post-Gazette.
OIG proposal may increase financial penalties for providers
Healthcare providers could be subject to steeper monetary penalties under a new proposal from the Department of Health and Human Services' Office of the Inspector General.
Shands hospitals to pay $26M in fraud settlement
Shands Healthcare, a nonprofit health system in Florida, has agreed to pay $26 million to settle fraud allegations, attorneys announced Monday in a report from the U.S. Department of Justice.
Maryland General Hospital settles False Claims suit for $750K
The former Maryland General Hospital in downtown Baltimore has agreed to pay $750,000 to settle a False Claims Act suit in connection with overbilling for cardiac testing, according to a joint announcement by the United States Attorney for the District of Maryland and the Inspector General of the U.S. Department of Health & Human Services.
5 ways to avoid incident-to overbilling
With more physician practices relying on the help of nonphysician practitioners (NPP) to help them keep up with rising patient volumes thanks to healthcare reform, the Office of Inspector General is keeping a close eye on "incident-to" billings to ensure they are appropriate, Medscape Today reported. To ensure your office is in compliance, here are five reminders for delegating patient care to nurse practitioners and physician assistants.
OIG official: 2013 work plan to focus on EHR-enabled fraud
The U.S. Department of Health & Human Services' Office of Inspector General will focus much of its attention next year on examining the role that electronic health records play in Medicare overbilling, the Center for Public Integrity reported this week.
ERs accused of overbilling in expanded whistleblower suit
The whistleblower suit accusing seven Adventist Health System hospitals of overbilling Medicare for radiology services now includes alleged overbilling in the hospitals' emergency departments.
Mostashari to investigate EHR overbilling accusations
In the wake of charges that electronic health records encourage doctors and hospitals to overbill Medicare and increase the likelihood of fraud, National Coordinator for Health IT Farzad Mostashari said he and his colleagues will investigate the matter.
Whistleblower accuses Adventist Health of overbilling millions
A whistleblower lawsuit accuses seven Adventist Health System hospitals in Florida of overbilling the government for tens of millions of dollars for more than 10 years.
UnitedHealth is second insurer to sue surgery center
UnitedHealth is the second insurer to sue Bay Area Surgical Management (BASM) and its facilities, claiming the company sidesteps California and federal laws that control costs.
