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Results: 1-10 of 152

Insurer Actions Cut the Heart Out of Out-of-Network Providers
  • Baker & Hostetler LLP
  • USA
  • April 21 2016

Aetna Life Insurance Company recently won a $37 million verdict against a group of Northern California surgical centers, Bay Area Surgical Management


I’ll Gladly Pay You 10 Years From Today for Care Already Provided
  • Baker & Hostetler LLP
  • USA
  • April 7 2016

Most providers whose claims have been determined to be improper by the Recovery Audit Contractors (RACs) under the Medicare Recovery Audit Program


Debt Collector for Affiliated Physician Group Can Rely on Patient Contact Consent Obtained by Hospital
  • Baker & Hostetler LLP
  • USA
  • March 24 2016

Careful drafting of consent and information release provisions can ensure that providers and affiliated physicians and their debt collectors can


Kickbacks and Commercial Bribery: Another Touchstone to Consider
  • Baker & Hostetler LLP
  • USA
  • March 24 2016

The latest indictment confirms that fraud and abuse analysis is about more than just the federal and state healthcare anti-kickback statutes


Drug Manufacturer Discount Cards: Accept With Caution
  • Baker & Hostetler LLP
  • USA
  • January 29 2016

Pharmaceutical manufacturer discount card usage by government program beneficiaries has been an active area for government action in recent years. In


Medicare: Congress Ends 2015 With Some Last-Minute Reforms
  • Baker & Hostetler LLP
  • USA
  • January 15 2016

Congress chose to end 2015 with some last-minute Medicare reforms impacting healthcare providers. Significantly, the Patient Access and Medicare


Solicitation of New Safe Harbors and Special Fraud Alerts
  • Baker & Hostetler LLP
  • USA
  • January 13 2016

The U.S. Department of Health and Human Services Office of Inspector General (OIG) recently announced its annual solicitation of proposals and


The deeper dive: guarding against unrealistic goals and organizational pressures that can lead to compliance failure
  • Baker & Hostetler LLP
  • USA
  • December 3 2015

When misconduct occurs within an organization, it is often reported and interpreted as an anecdote involving a few rogue employees who are quickly


The deeper dive: guarding against unrealistic goals and organizational pressures that can lead to compliance failure
  • Baker & Hostetler LLP
  • USA
  • December 3 2015

When misconduct occurs within an organization, it is often reported and interpreted as an anecdote involving a few rogue employees who are quickly


Hello budget agreement; goodbye provider-based status?
  • Baker & Hostetler LLP
  • USA
  • November 6 2015

H.R. 1314, the Bipartisan Budget Act of 2015, was signed into law by President Obama on November 2, 2015. The two-year budget framework, which raises