Recent healthcare fraudsters in the news: 1. Bridgeport, Conn.-based federally qualified health center Optimus Health agreed to pay more...

Humana, UnitedHealthcare and Cigna changed or paused policies this year after receiving criticism from medical groups and other...

If you have a “HIPAA COMPLIANT” badge on your website or have a business associate with this type of badge, the FTC may not approve, as...

Humana ended a cataract surgery prior authorization policy for Medicare Advantage beneficiaries in Georgia that had been criticized by...

1. Suburban Chicago physician John Greager, MD, and his ASC will pay more than $757,000 to settle allegations he submitted fraudulent...

Physician Assistant Collaboration Requirements Concerning an expansion of a physician assistant's ability to practice, and, in connection...

CMS updated its voluntary self-referral disclosure laws Jan. 23, including an updated version of the self-referral disclosure protocol...

The Centers for Medicare & Medicaid Services (CMS) has again suspended arbitration of out-of-network payment disputes between providers...

UnitedHealthcare tapped 66 not-for-profit organizations spread over 12 states to receive grant funding to help expand access to care. The...

Miscoded diagnoses may cause CMS to pay Medicare Advantage (MA) organizations improper amounts. To emphasize the need for accurate coding...

Last month the Drug Enforcement Administration (DEA) clarified that it would be extending the public health emergency (PHE) allowances...

July 1, 2023 CMS Requires Modifier JZ for Zero Discarded Drugs Know the Difference Between JZ & JW Medicare claims filed billing...

Colby Edward Joyner, a North Carolina PA, signed fraudulent prescriptions for medically unnecessary genetic testing. Trial evidence...

The Centers for Medicare & Medicaid Services (CMS) aims to advance value-based primary care, especially in rural areas and among...

Individuals experiencing illnesses can benefit from having someone attend appointments with them and support their best interests. Often,...

Beverly Hills Plastic Surgeon Agrees to Pay Nearly $24 Million to Settle False Claims Act Allegations A plastic surgeon in Beverly Hills,...

In the Fiscal Year ending September 30, 2022, settlements and judgments under the False Claims Act exceeded $2.2 billion. That $2.2...

Examining healthcare policy and patient support roles makes it easy to understand why advocacy is important in health care. Large-scale...

Our healthcare system is expensive. Here are some resources that could save you some money. Benefits Check Up https://benefitscheckup.org...

What Does a Healthcare Advocate Do? While healthcare advocates may have areas of specialization, their cases often require them to work...