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Rural Hospital Spokesman: Hospital Lab Outreach Programs Are Legal

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CEO SUMMARY: As the debate grows more heated, supporters of hospital outpatient department (HOPD) billing schemes have ramped up their defense of the practice. The president of the National Association of Rural Hospitals tells THE DARK REPORT that rural hospitals are permitted to bill for hospital lab outreach program services under Medicare’s 70/30 shell rule. […]

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Theranos News Gets Worse for the Former Silicon Valley Hero

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CEO SUMMARY: In a tale of two fraudsters, the Department of Justice has filed a warning shot to all technology startups: Criminal indictments against Elizabeth Holmes and Ramesh “Sunny” Balwani could mean prison time and massive fines. In this latest Theranos news, The DOJ cited harm to investors, doctors and patients by the two company

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Lab companies and bankrupt hospitals: Dancing around medical billing fraud

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This is an excerpt from a 2,000-word article in the May 29, 2018 issue of THE DARK REPORT. The complete article is to all readers as long as the article limit has not been reached, and always available to paid members of the Dark Intelligence Group. CEO SUMMARY: Seeking the higher lab-test payment rates that

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Cleveland Clinic Lab dramatically reduces doctors ordering unnecessary tests

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This is an excerpt from a 2,920-word article in the May 7, 2018 issue of THE DARK REPORT. The complete article is available for a limited time to all readers, and available at all times to paid members of the Dark Intelligence Group.  CEO SUMMARY: In an insightful report, THE DARK REPORT shows how one

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Wake Forest Baptist Hospital Reviewing Path Lab Deficiencies

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CEO SUMMARY: In response to information the staff provided to Wake Forest Baptist Hospital’s risk manager last fall, and following a federal Centers for Medicare and Medicaid Services inspection in February, CMS describes deficiencies found as “an immediate jeopardy to the health and safety of patients” at the 885-bed hospital. THE DARK REPORT’s analysis shows

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A coming transformation: Control over important diagnostic technologies is about to change hands

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This is an excerpt from a 2,920-word article in the March 26, 2018, issue of THE DARK REPORT. The complete article is available for a limited time to all readers, and available at all times to paid members of the Dark Intelligence Group. CEO SUMMARY: Here’s the first look for the lab industry at an

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Anthem accuses tiny hospital of pass-through billing scheme

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This is an excerpt from a 1,300-word article in the March 5, 2018, issue of THE DARK REPORT. The complete article is available for a limited time to all readers, and available at all times to paid members of the Dark Intelligence Group. CEO SUMMARY: THE DARK REPORT was the first to draw attention to

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Health insurance fraud cases take new turn with HDL-BlueWave outcome

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This is an excerpt from a 2,700-word article in the February 12, 2018, issue of THE DARK REPORT. The complete article is available for a limited time to all readers, and available at all times to paid members of the Dark Intelligence Group. CEO SUMMARY: The outcome of the latest Medicare health insurance fraud trial

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Allegations in UHC health insurance fraud case involve multiple defendants

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This is an excerpt from a 5,000-word article in the January 22, 2018, issue of THE DARK REPORT. The complete article is available for a limited time to all readers, and available at all times to paid members of the Dark Intelligence Group. CEO SUMMARY: UnitedHealth made national news when it filed a $100 million lawsuit

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Allegations in UHC health insurance fraud case involve multiple defendants Read More »

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