Legal + Compensation

A man from Glendale, Calif., was sentenced Jan. 31 to 10 years in prison for a Medicare fraud scheme.

CMS finalized a rule Jan. 17 requiring certain payers to include a specific reason when denying requests, publicly report certain prior authorization metrics, and send decisions within 72 hours for urgent requests and seven calendar days for standard requests beginning…

While physicians have been calling on Congress to reverse the 3.37% Medicare physician pay cuts that took effect Jan. 1, Congress chose not to halt the pay cut as it averted a government shutdown. 

An owner of three medical practices was convicted of aggravated identity theft for placing the name and address of another man with the same name in legal documents to avoid a settlement payment.

Kentucky is the worst state to retire in, according to a Jan. 22 report from WalletHub.

Florida is the best state to retire in, according to a Jan. 22 report from WalletHub.

HHS' Office of Inspector General has determined that a consultant's proposed provision of gift cards to existing physician practice customers does not violate the federal Anti-Kickback Statute, according to an article by law firm Harris Beach published Jan. 18 on…

Fifty-two percent of healthcare employees indicated they feel fairly paid for the work they do — the lowest score of any industry studied, according to a recent report by experience management company Qualtrics. 

Here's what physicians need to know in 2024 about Stark law, the strict liability statute that places restrictions on physicians making referrals for many Medicare-payable services to an entity if the physician or immediate family member has a financial relationship…

The 3.37% Medicare physician pay cut that took effect Jan. 1 is not the only compensation cut some physicians are facing in 2024, according to a Jan. 11 report from the American Medical Association.