What Will the King v. Burwell Decision Mean for Health Care Providers?
An upcoming U.S. Supreme Court decision could have a major impact on the health care industry. In King v. Burwell, the plaintiffs believe the text of the Affordable Care Act ...
Next Round of HIPAA Compliance Audits Still on Hold
The next round of the Health Insurance Portability and Accountability Act (HIPAA) compliance audits is still on hold after a three-year delay, and federal regulators are declining to give any ...
Study: 40 Percent of Doctors Opt for Fines Over High-Quality Reporting Compliance
According to a recent report from the Centers for Medicare and Medicaid Services, more doctors are taking part in a reporting system geared toward prioritizing the quality of patient care ...
Texas Hospital to Pay $21.8 Million to Settle Stark Law Case
According to an announcement from the U.S. Department of Justice, Citizens Medical Center in Texas will pay $21.8 million to the federal government to settle allegations of illegal payments to ...
Texas Doctor Accused of Running $5.2 Million Health Care Fraud System
According to the U.S. Attorney’s Office, a doctor from Irving, Texas was arrested May 8 under suspicion of running a $5.2 million health care fraud scheme with his Dallas house-call ...
St. Louis Physician Convicted on Health Care Fraud Charges
Dr. Devon Golding of St. Louis was convicted on multiple charges related to health care fraud, including false statements on a health care benefit plan and billing for services not ...
Department of Justice Wants to Double Health Care Fraud Litigation Budget in 2016
Three months ago, the United States Department of Justice announced that it had a record year for money made through recoveries under the False Claims Act. Recoveries in 2014 reached ...
Documentation is Vital for HIPAA Compliance
Phase II HIPAA audits are coming soon, and while each individual hospital has a very small chance of actually being the subject of an audit, it is still important to ...
HIPAA Compliance Trends That Will Be Big This Year
A couple of months into 2015, we are still piecing together what we can expect to be the major issues facing the health care industry this year. In terms of ...
Many Issues Remain in Ethics, Compliance Under Affordable Care Act
It’s been five years now since the Affordable Care Act was officially enacted. It required Medicaid and Medicare providers to put a compliance and ethics system in place, and at ...
Hospital Mergers Created Larger Systems in 2014
A new survey by Kaufman Hall, a health care consulting firm, indicates that hospital mergers and acquisitions came at a rapid rate in 2014. While the 95 deals that occurred ...
Officials Introduce Bill in Attempt to Repeal Affordable Care Act
As has been very well documented over the past six years, the Affordable Care and Patient Protection Act is not without its detractors, especially in congress. Now, a group of ...
More than 11 Million People Have Signed Up for Affordable Care Act Insurance
On Tuesday, February 17, one day after open enrollment ended for Affordable Care Act coverage for 2015, the White House announced that more than 11 million people will be covered ...
Anthem Hack Puts Information of 80 Million People at Risk
Anthem Inc., one of the nation’s largest providers of health insurance, was the subject of a significant security breach in early February that resulted in up to 80 million people ...
What Does the Future of Health Care Reform Look Like?
March marks the five-year anniversary of the enactment of the Patient Protection and Affordable Care Act. It’s hard to believe it has already been five years. And while there have ...