Most U.S. insurers measure the performance of special investigations units, but their methods for measuring SIU success vary, according to results from the Coalition Against Insurance Fraud's first-of-its-kind benchmarking study.
POPULAR COMMENT THREADS
Louisiana psychiatrist Zahid Imran, M.D. was sentenced to over seven years behind bars for participating in a Medicare fraud scheme involving partial hospitalization psychiatric services that were unnecessary or never provided, the Department of Justice announced.
Billing government programs for poor quality healthcare doesn't trigger false claims liability, according to a ruling last week by the 7th U.S. Circuit Court of Appeals.
Use of magnetic resonance imaging (MRI) climbed more than 350 percent between 1996 and 2010, a study published by the American College of Radiology found, adding millions to healthcare costs without always delivering assumed value.
The federal government scored big wins against prescription drug fraud last week, while New Jersey pushed back its implementation deadline for providers' use of securer prescription pads.
From Our Sister Sites
Texas hospitals are already under financial pressure due to the Lone Star State's steadfast refusal to expand Medicaid eligibility under the Affordable Care Act, and now they face yet another pressure point: urgent care centers.
The Great Recession may be over and the Affordable Care Act may be delivering millions of more patients, but hospitals are apparently still waiting for those bits of good fortune to make a difference to their bottom lines.