Insights - Patriot Group

Insights

Our decades of expertise have yielded insights we’re happy to share, including developments in the law and best practices to keep you protected, and keep your revenue stream healthy.

DOJ’s $14.6B Healthcare Fraud Takedown: What Providers Need to Know

DOJ Settlement Underscores Importance of Compliant EHR Arrangements

Florida’s New Refund Law: What Providers Need to Know Before 2026

Elevance Lawsuits Signal Growing Scrutiny of IDR Under No Surprises Act

Now Is the Time to Leverage IDR: A Smart Path Forward Under the No Surprises Act

UnitedHealth Criminal Probe Raises Compliance Concerns for Providers

Zelis and Major Insurers Face Antitrust Lawsuits Over Out-of-Network Payments

States Uncover Costly Medicaid Overpayments: Legal and Compliance Implications

Former Mars Exec Indicted in $28M Fraud and Embezzlement Scheme

DOJ Investigates UHC Claims Practices

UHC in North Carolina Fined $3.4 Million for Claim Handling Practices

HHS Settles 1st Enforcement Strike Over Phishing Cyber Attack

Recent HIPAA Violations, Medicare Fraud and Healthcare Kickback Cases

Legal Actions in Healthcare Fraud Cases – Updates and Resolutions

No Surprises Act Lawsuit Filed by AMA and AHA

Blanket Reliance on Preauthorization Could Cost You

New York (Long Island) chiropractor pleads guilty to $1M healthcare fraud scheme

New Insurer Policy and Health Plan Clauses Relating to Fee Forgiveness

Federal Court Case Alleges Self-Serving Scheme by UHC in Violation of its Administrative Fiduciary Duties

Emergency Room Physicians Facility Wins right to Pursue Claim of Unjust Enrichment/Quantum Meruit Against UnitedHealthcare

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