Urgent Care Operator Settles FCA Allegations for $3 Million

Bloom Care LLC, which operated urgent care clinics across Idaho and New Mexico during the [...]

New Cigna Policy Could Downgrade Your Claims — Without Warning

Starting October 1, 2025, Cigna Healthcare® will implement a sweeping new reimbursement policy that could [...]

6th Circuit Rules Against Hospitals in Key Case on Emergency Care Reimbursement: What AMISUB v. Cigna Means for Out-of-Network Claims

In a significant ruling for the healthcare and insurance industries, the U.S. Court of Appeals [...]

Forefront Dermatology and Henghold Surgery Center to Pay $847K in False Claims Settlement Over Medicare Billing

In a significant development in the ongoing battle against healthcare fraud, Forefront Dermatology S.C. and [...]

Dental Providers Agree to Pay $540,000 to Resolve False Claims Allegations Involving Uncredentialed Services

In a significant healthcare enforcement development, Premier Dental Holdings, Inc., doing business as Sonrava Health, [...]

Turn Insurance Denials into Revenue: Master the Art of Medical Appeal Writing at Denials to Dollars® 2025

Discover how to overturn insurance denials with winning appeal strategies at the Denials to Dollars® [...]

7 Must-Have Elements in a Winning Physician Medical Claim Appeal Letter

Learn how to write a strong physician medical claim appeal letter that improves reimbursement success. [...]

Major 2026 Medicare Physician Fee Schedule Changes: What Providers Need to Know

The Centers for Medicare & Medicaid Services (CMS) has released the highly anticipated CY 2026 [...]

Big Wins for Telehealth in the CY 2026 Proposed Medicare Rule

The Centers for Medicare & Medicaid Services (CMS) has released the CY 2026 Medicare Physician [...]

False Claims, Real Consequences: DOJ and HHS Launch Enforcement Task Force

Announcement of the DOJ-HHS False Claims Act Working Group to combat healthcare fraud and abuse [...]