Hospitals to pay $34 million settlement
Fifty-five hospitals in 21 states have agreed to pay $34 million to the U.S. government to settle allegations that they used more expensive inpatient procedures rather than outpatient spinal surgeries …
Highmark, UPMC align arguments against anti-trust lawsuit
Highmark and UPMC argued on Monday that a federal judge should throw out an antitrust case filed by insurance premium payers because even if they could prove collusion between the …
Hospitals Voice Frustration to Senators About Burdensome RAC Audits
On June 25, 2013, the Senate Committee on Finance heard testimony from hospital representatives and a recovery audit contractor (RAC) representative regarding burdensome audit procedures. RACs were created to identify …
University of Louisville Hospital to pay $2.8M over Medicare Fraud
University of Louisville Hospital has agreed to pay the federal government $2,833,408 to settle allegations that it submitted false claims for payment to the Medicare program. The voluntary settlement was …
20 Most Frequently Performed Medicare Surgical Services in ASCs
The 20 surgical services performed the most in ambulatory surgery centers for Medicare patients based on data from the MedPAC analysis of claims filed in 2011. 1. Cataract surgery with …
Highmark and UPMC Battle of Patients
UPMC could lose $1.2 billion in annual revenue in its contract fight with Highmark Health Services. With that kind of money at stake, why would Western Pennsylvania’s largest hospital network …
Patient View: New Mediare Diabetic Testing Supplies Program
July 1st Medicare patients with diabetes will have to change how they get their diabetic testing supplies. That is when Medicare Part B will implement a national mail-order program. In …
Tenet Healthcare to buy Vanguard Health for $1.73 billion plus debt
Hospital operator Tenet Healthcare Corp will buy smaller rival Vanguard Health Systems Inc for about $1.73 billion plus the assumption of debt to expand into new geographies. U.S. hospital stocks …