A large health system implements an Artificial Intelligence (AI)-powered clinical decision support tool that promises to ensure “complete and accurate” diagnosis documentation. Within six months, the system’s Medicare...more
7/14/2025
/ Algorithms ,
Artificial Intelligence ,
Compliance ,
False Claims Act (FCA) ,
Health Care Providers ,
Healthcare Fraud ,
Hospitals ,
Medical Devices ,
Medicare ,
Popular ,
Reimbursements
On July 10, 2020, in United States v. Ruan, the Eleventh Circuit affirmed the convictions of two Alabama doctors for running an opiate “pill mill.” Among many other things, the government charged that the doctors used...more
7/15/2020
/ Anti-Kickback Statute ,
Blue Cross ,
Criminal Liability ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Health Care Providers ,
Healthcare Fraud ,
Medicare ,
Nurse Practitioners ,
OIG ,
Opioid ,
Physicians ,
RICO ,
Travel Act