Prime Healthcare in Ontario, California, and its founder and CEO, Dr. Prem Reddy, have agreed to pay $65 million to end a lawsuit alleging the hospital chain engaged in a scheme to fraudulently bill Medicare, the Department of Justice recently announced.
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News

Prime Healthcare settles false claims suit for $65 million
Source: ACDIS

Prime Healthcare in Ontario, California, and its founder and CEO, Dr. Prem Reddy, have agreed to pay $65 million to end a lawsuit alleging the hospital chain engaged in a scheme to fraudulently bill Medicare, the Department of Justice recently announced.
OIG says Medicare overpaid hospitals at least $25.8 million for IMRT planning services
Source: Revenue Cycle Advisor
The Office of Inspector General estimated that Medicare overpaid hospitals upwards of $25.8 million for Intensity-Modulated Radiation Therapy planning services after an OIG review found all 100 line items in its audit sample were billed improperly.
 

Revenue Cycle Advisor Subscriber Content

Ensuring a solid medical device cybersecurity program
Source: Revenue Cycle Advisor
In the digital age of healthcare delivery, the need for appropriate medical device cybersecurity is pervasive. Unenforced password protocols, outdated data storage, unencrypted data, unsecured access to networks—these are just a few examples of distinct vulnerabilities medical devices can have.
 

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Q&A: Developing a business case for revenue integrity
Source: Revenue Cycle Advisor
Q: How do I develop a business case proposal for establishing a revenue integrity department?

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ICD-10-PCS and CPT Reporting for Fusions and Complicated Spinal Procedures

No matter the care setting, coders are frequently challenged by reporting spinal procedures accurately. Train both your inpatient and outpatient coders by joining expert speaker Adrienne Commeree, CPC, CPMA, CCS, CEMC, CPIP, for this 90-minute webinar as she discusses CPT® and ICD-10-PCS reporting for spinal procedures, followed by a live Q&A.
 

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Population Health: Embracing greater risk

Population health is a priority for many organizations; this intelligence report shows how providers are achieving their goals.
 
 

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