Medicare & Medicaid

For years, the U.S. Department of Justice has been investigating individual facilities within UHS for alleged fraudulent billing practices to Medicare and Medicaid.

While reimbursement is still being determined, it’s estimated that lung cancer scans for eligible individuals could cost Medicare more than $9 billion for the scans, biopsies and treatments through 2020.

Armstrong v. the Exceptional Child Center Inc. ruling is a blow to healthcare providers who say they are losing money in seeing patients covered by Medicaid due to inadequate reimbursement.

Expenditures could mean higher deductibles and maximum out-of-pocket costs for many of the program's 39 million seniors and disabled enrollees.

Outpatient payments for cancer hospitals were 37 percent higher than teaching hospitals for the same range of services, report finds.

The CEO, CFO and COO paid hundreds of thousands in illegal kickbacks to funnel referrals to the cash-starved and now defunct hospital.

Thursday's vote came after a two-hour debate Thursday morning, with 212 Republicans and 180 Democrats voting in favor.

Former owners of California medical device companies of submitted fraudulent claims to Medicare for power wheelchairs and other equipment totaling $6.8 million.

More than 1,300 healthcare providers operate on the edge of the U.S. healthcare system. They are critical access hospitals, small facilities that have fewer than 25 beds and are often in remote, rural areas and provide needed care to smaller populations.

“Not all readmissions can or should be prevented; indeed, some are planned as part of sound clinical care,” AHA says.