The California Department of Public Health (CDPH) issued a letter on September 6, 2024, to all general acute care hospitals clarifying the scope of practice for Certified Registered Nurse Anesthetists (CRNAs) following...more
9/20/2024
/ Acute Facilities ,
California ,
CDPH ,
Documentation ,
Health Care Providers ,
Hospitals ,
Lack of Authority ,
Medicaid ,
Medical Billing Codes ,
Medicare ,
Nurse Practitioners ,
Physicians ,
Policies and Procedures ,
Reimbursements ,
Supervision
The American Academy of Emergency Medicine Physician Group (AAEM-PG) recently settled a lawsuit in United States District Court for the Northern District of California against Envision Healthcare and Envision Physician...more
8/2/2024
/ Anti-Kickback Statute ,
Corporate Practice of Medicine ,
Department of Health and Human Services (HHS) ,
Fair Market Value ,
Fee-Splitting ,
Fraud and Abuse ,
Healthcare ,
Healthcare Fraud ,
Medicaid ,
Medicare ,
Physician Ownership ,
Private Investment Funds
Use of algorithms and artificial intelligence (AI) in prior authorization and utilization management is facing growing criticism and litigation. Notable lawsuits include alleged automatic authorization denials for tests that...more
3/1/2024
/ Algorithms ,
Artificial Intelligence ,
Bias ,
Centers for Medicare & Medicaid Services (CMS) ,
Denial of Insurance Coverage ,
Discrimination ,
Health Insurance ,
Healthcare ,
Innovative Technology ,
Life Sciences ,
Machine Learning ,
Medicaid ,
Medicare ,
Patient Access