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Magazine
'High-stakes' decision | Tuomey's adverse verdict may have lingering effects
May 11, 2013 | Print Magazine Print Magazine Subscription Details
The next time whistle-blower attorney Joel Androphy sits down for a settlement conference with hospital lawyers, he'll have a potent new tool in his arsenal: last week's $39 million Stark law jury verdict against Tuomey Healthcare System in Sumter, S.C.
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Magazine
Regional News/West: Adventist to pay $14 million over allegations it improperly compensated physicians, and other news
By Modern Healthcare | May 11, 2013 | Print Magazine Print Magazine Subscription Details
LOS ANGELES—Roseville, Calif.-based Adventist Health agreed to pay $14.1 million to resolve allegations that it improperly compensated physicians who referred patients to the system's White Memorial Hospital in Los Angeles. White Memorial also agreed to enter a five-year corporate...
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Magazine
Regional News/South: Ga. enacts doc shield law | ACA element resurrected as protection in lawsuits
By Andis Robeznieks | May 11, 2013 | Print Magazine Print Magazine Subscription Details
As Congress drafted elements of the Patient Protection and Affordable Care Act that would tie Medicare payments to quality metrics, the House of Representatives added a provision that would shield physicians from lawsuits tied to their failure to meet those marks.
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Information
Judge denies FDA bid to stay 'morning-after' pill ruling
By Reuters | May 10, 2013
A federal judge in New York on Friday declined to temporarily halt a court order directing the U.S. Food and Drug Administration to make emergency contraception available over the counter to girls of all ages.
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Information
Fired exec charges firm tracked job applicants' private lives
By Matt Dunning, Business Insurance | May 10, 2013
A former senior executive of a pharmaceutical research firm is suing the company, claiming he was fired for taking a stand against its alleged practice of scrutinizing intimate details of job applicants' personal lives.
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News
Reform Update: More training, certification urged for navigators
By Jonathan Block | May 09, 2013 | Basic Web Basic Web Subscription Details
Individuals who act as navigators assisting consumers in applying for health coverage through state insurance exchanges should have extensive training and exam-based certification, the trade association for brokers and agents has told the CMS.
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Information
Quest Diagnostics to consider job seekers with criminal histories
By Judy Greenwald, Business Insurance | May 09, 2013
Quest Diagnostics Inc. will pay a $70,000 penalty and no longer automatically disqualify job applicants with prior arrests or criminal convictions as part of a settlement agreement with the New York attorney general's office.
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News
Jury rules Tuomey Healthcare violated Stark in claims worth $39M
By Joe Carlson | May 08, 2013 | Basic Web Basic Web Subscription Details
A, jury concluded that Tuomey Healthcare in Sumter, S.C., violated the False Claims Act by submitting tens of thousands of illegal bills to Medicare worth $39 million.
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Modern Physician
Georgia enacts physician shield law
By Andis Robeznieks | May 07, 2013
A provision in the U.S. House of Representatives' version of the Patient Protection and Affordable Care Act that was left out of the Senate version has been resurrected and signed into law in the state of Georgia.
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News
Unusual billing patterns spur probe of inpatient hospice care
By Joe Carlson | May 06, 2013 | Basic Web Basic Web Subscription Details
HHS' inspector general's office is launching an in-depth investigation into cases where Medicare hospice beneficiaries get inpatient care, following unusual billing patterns that surfaced during recent research on the $1.1 billion industry.
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