by Erik Consorsha | Oct 8, 2021 | Healthcare
Anthem Blue Cross, the country’s second-biggest health insurance company, is behind on billions of dollars in payments owed to hospitals and doctors because of onerous new reimbursement rules, computer problems and mishandled claims, say hospital officials in multiple...
by Erik Consorsha | Jul 16, 2021 | FWA, Healthcare
The care was ordinary. A hospital in Modesto, California, treated a 30-year-old man for shoulder and back pain after a car accident. He went home in less than three hours. The bill was extraordinary. Sutter Health Memorial Medical Center charged $44,914 including an...
by Erik Consorsha | Jul 9, 2021 | OIG Files
Actual Loss is defined as “reasonably foreseeable pecuniary harm that resulted from the offense.” Intended Loss is defined as “the pecuniary harm that the defendant purposefully sought to inflict.” For us that do not have a law degree, what does this all...
by Erik Consorsha | May 28, 2021 | Healthcare
José Mendoza’s snoring was bad — but the silence when he stopped breathing was even worse for his wife, Nancy. The sudden quiet would wake her and she waited anxiously for him to take another breath. If too many seconds ticked by, she pushed him hard so that he moved...
by Erik Consorsha | Mar 26, 2021 | Healthcare
A recent “cost-saving change” in Medicare will cut payments to hospitals for some surgical procedures while potentially raising costs and confusion for patients. For years, the Centers for Medicare & Medicaid Services classified 1,740 surgeries and...
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