Tag:
upcoding
Latest Headlines
Latest Headlines
Prime Healthcare CEO resigns amidst upcoding accusations
After a year of upcoding accusations and in the face of a reported federal investigation, Prime Healthcare Services President and CEO Lex Reddy has resigned, the California-based health system
FBI interviews patient about alleged Prime Healthcare upcoding, privacy breach
The Federal Bureau of Investigation (FBI) last week interviewed a patient, following reports that Prime Healthcare Services violated patient privacy when two executives at Prime-owned Shasta Regional
Denver Health to pay $6.3M for alleged Medicare, Medicaid overbilling
Denver Health and Hospital Authority, conducting business as Denver Health Medical Center, will pay $6.3 million to settle claims that it overbilled Medicare and Medicaid by misclassifying patient
FBI probes Prime Healthcare for alleged upcoding, watchdog reports
The Federal Bureau of Investigation (FBI) is looking into the billing practices of California-based hospital operator, Prime Healthcare Services, following reports that it allegedly overbilled
Prime sues Kaiser, SEIU against alleged monopoly scheme
In the latest twist of legal action, California hospital operator Prime Healthcare on Tuesday filed suit, alleging that Kaiser Permanente and the Service Employees International Union (SEIU) violated
Hospital faces $8.1M suit for inflated malnutrition rates, gaming reimbursements
Kernan Hospital in Baltimore is facing a $8.1 million lawsuit for manipulating patient data to receive more federal reimbursements, reports The Baltimore Sun. According to the lawsuit filed by the
Alleged fraud uncovered during EMR training
In a recently unsealed lawsuit in Florida, Dr. Juan Domingo, an internist formerly with Lee Physician Group, a division of Lee Memorial Health System, accuses his past employer of not only
Prime Healthcare accused of Medicare fraud, seeking legal action against press
In a heated battle between Prime Healthcare and California Watch, the Southern California hospital system is accused of admitting an unusually high number of emergency Medicare patients to reap the
High malnutrition rates at Prime Healthcare hospitals raise doubts
Hospitals operated by Prime Healthcare Services have reported higher rates of a Third World nutritional disorder and malnutrition in its Medicare patients, California Watch reports. California
High infection rates fuel federal probe of hospital chain
State and federal authorities are investigating a Southern California-based hospital chain for possible Medicare fraud involving an unusually high rate of blood poisoning incidents among older
