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Thus, when a patient claims injury as the result of a medical professional's care, a malpractice case will most often be based upon one of three theories: [10] Failure to diagnose: a medical professional is alleged to have failed to diagnose an existing medical condition, or to have provided an incorrect diagnoses for the patient's medical ...
The roster of companies accused of billing fraud includes Miami-based Vitas, the largest hospice provider in the nation. Prosecutors accuse these companies of overbilling for care that isn’t required, refusing to discharge patients who improve and enrolling people who aren’t dying.
Medical malpractice is a legal cause of action that occurs when a medical or health care professional, through a negligent act or omission, deviates from standards in their profession, thereby causing injury or death to a patient. [1] The negligence might arise from errors in diagnosis, treatment, aftercare or health management.
Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their ...
The U.S. Justice Department has launched a probe into UnitedHealth's Medicare billing practices in recent months, the Wall Street Journal reported on Friday, sending the healthcare conglomerate's ...
The U.S. Department of Health & Human Services may seek over $1 billion from Johnson & Johnson as reimbursement for federal health agencies' payments of medical costs for patients who allege that ...
Forms of fraud by health insurance companies include the wrongful denial of claims, wrongful cancellation of coverage, and underpayment of hospitals and physicians. [2] [3] When detected, health insurance fraud can result in civil liability as well as criminal penalties, and potential action against a healthcare provider's license. [35] [36]
Ashley Shepherd, a behavioral therapist, sued the Highlands ARH Regional Medical Center in Prestonsburg for wrongful termination in Floyd County Circuit Court, and was ultimately awarded $2.4 ...