Posted and filed under Fraud, Healthcare, Payers.

High Cost of Healthcare: When Treatment Goes Wrong

Should a patient who suffers a medical condition as a result of their treatment have to pay for the resulting treatment? Should the financial responsibility go to their insurance or the facility that caused the problem? Before everyone starts hitting the comment button and mentioning hospital-acquired conditions, let us set the stage for the scenario:…

Read the full article

Posted and filed under FWA, Healthcare.

Whistle Blower Costs NJ Hospital $450,000 In Recent Settlement

On May 31, 2016 the US Attorney’s Office for the District of New Jersey published a press release regarding the latest settlement for health care fraud in the state involving Saint Michael’s Medical Center and four individual physicians who submitted false claims for procedures that were not deemed medically necessary. These allegations come from a…

Read the full article