Providers utilize business intelligence to monitor referral patterns and collaborate with clinicians who order their services. Such analytics tools have also been deployed in the specialty to improve productivity, track patient satisfaction and bolster quality.
The Medicare Advantage insurer said the payout is equal to what a CMS audit stated was the total amount the company was overpaid for patient care services. Despite receiving the cash, the agency has yet to officially withdraw its enforcement action, as the two parties are still negotiating.
A report from Trilliant Health looking at payer data found that, as prescriptions for the popular weight loss drugs spike, so rises the number of approved benefits.
State Attorney General James Uthmeier is forcing the company to hand over thousands of documents related to its pharmacy contracts and reimbursement policies to see if the retail giant is abusing its position in the market as both a pharmacy benefit manager and a retail chain of drug stores.
Medaxiom CEO Jerry Blackwell, MD, MBA, FACC, discusses investor's interest in buying cardiology practices, noting that PE ownership remains relatively low.
Looking at the three largest Medicaid managed care plans related to maternal health, the Office of Inspector General found instances of ineligible providers being included in directories, as well as other errors such as incorrect contact information.
Maryland-based IT developer Force 3, a provider of dental imaging for military customers, has acquired secureRAD of Annapolis, MD, which develops secure, cloud-based image-sharing technologies.
GE Healthcare signed a deal with Swedish contrast agent developer Affibody AB for the development of a PET imaging agent that targets Human Epidermal Growth Factor Receptor 2 (Her2), a breast cancer biomarker.
Global image-sharing provider Mach 7 Technologies inked a cross-marketing deal today with IT solutions provider Logicalis for the provision of vendor-neutral cloud archiving solutions worldwide.
The key products involved in the deal include the M7T Keystone Suite Enterprise Clinical Imaging Platform and the Logicalis Enterprise Cloud solution.
Radiologists Kenneth Rall and Michael Richards were terminated from the Missouri University Health System today after a yearlong internal investigation revealed that they had committed Medicare fraud.