New York hospitals sue UnitedHealth for racketeering
Healthcare Auditing Weekly, February 13, 2007
Two New York hospitals have filed a Racketeer Influenced and Corrupt Organizations (RICO) suit against against health insurer UnitedHealth, the Associated Press reports.
The two hospitals--Flushing Hospital Medical Center and Jamaica Hospital Medical Center--collectively seek at least $50 million in punitive damages and millions more in actual damages.
The suit claims UnitedHealth cost both medical centers business by repeatedly telling patients that Flushing was not in its network and that Oxford Health, which was bought by UnitedHealth, did the same thing to patients at Jamaica Hospital.
The dispute stems from contract negotiations between the insurers and hospitals. The lawsuit also claims Oxford postponed signing contracts with both hospitals to avoid paying them higher negotiated fees.
Read more on this news story here.
Related Products
-
Strategies for Health Care Compliance
News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...
-
Compliance Monitor
This HTML e-mail newsletter delivers news on Medicare and Medicaid fraud and abuse, as well as recent documents and targets...
-
Medicare Weekly Update
Each issue of Medicare Weekly Update includes the latest CMS proposed and final rules, CMS manual revisions, and...
-
Medicare Update for Physician Services
Medicare Update for Physician Services is a free, monthly e-zine that delivers news and information to help physician...
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- HIPAA Q&A: Level of encryption needed for email
- Topic: CMS, OESS post new security compliance review information, checklist
- Capturing all necessary codes for IUD insertion and removal can be challenging
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- QA:Coding multiple initial infusions
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- CMS has reformulated payments for some bilateral procedures
- HIPAA Q&A: Level of encryption needed for email
- Q&A: Follow CMS' coding guidelines when using modifier -25
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- Do not code 57288 with 52000
- Searched