Was it a scam or an error? A settlement is just that and there’s been no determination of liability.

Neither you nor I can know for sure what went on, but either way, there’s a lesson here about billing compliance.

Considering honey bees have been on earth for between 40 to 150 million years, it pays to consider their hive strategy for success, especially because it maps perfectly onto medical groups.

There’s huge danger in any arrangement in which you put your prescribing imprimatur on any script or order for any item, especially those reimbursed by Medicare.

In real life healthcare compliance, there's no get out of jail free card.

It’s imperative that you get started now and that you become willing to invest in your own future.

You Must Know the No. 1 Mistake in Exclusive Contract Negotiation by Mark F. Weiss

Hospital-based medical groups, notably anesthesiology and radiology groups, are increasingly turning to creative means to provide coverage and to improve collections.

There’s a reason why Medicare Advantage is fertile ground for fraud enforcement.

In healthcare, size used to signal strength. Bigger meant more services, more specialists, more veritas. But what if all that bulk is actually a liability?

As healthcare payers, tech platforms, and pricing vendors increasingly collaborate through sophisticated analytics, this case is a clear reminder: if you're coordinating decisions that competitors used to make...