BCBSIL’s New Downcoding Policy Raises Reimbursement Concerns Ahead of New Illinois Restrictions

How the DOJ Uses AI to Detect Healthcare Fraud

Maryland Sues Optum and UnitedHealth Group Over Alleged $126 Million Medicaid Fraud: The Backlash is Coming for Providers

What makes a drug diversion program legally defensible?

Polsinelli Life Sciences Spotlight - Volume 3 - Turning Insight into Action: A Life Sciences Playbook for 2026

CMS Finalizes Sweeping Reforms to Skin Substitute Payments Amid Rising Costs and Enforcement Activity

Sherri Alexander Leading the Charge as Healthcare Litigation Grows More Complex

RFK Jr Has Power to Remove USPSTF Members With Braidwood Decision: Jeffrey Fitzgerald, JD

The AI Red Flags In DOJ Fraud Investigations

Supreme Court Decision Marks a Failed Attempt at Attacking ACA: Jeffrey Fitzgerald, JD

I’m Getting Audited - Now What?

Due Process: A Winning Weapon Against Extrapolated Overpayments

Due Process: A Winning Weapon Against Extrapolated Overpayments

Due Process: A Winning Weapon Against Extrapolated Overpayments

Michigan's Biggest Decisions Of 2023

DOJ Indicts Former Executive at Medicare Advantage Organization, Signaling Continued Commitment to Individual Accountability in Corporate Criminal Investigations

Conservation Easements: Palpable Fraud or Honest Mistakes? A Federal Jury Returns a Split Verdict

New Texas Law Aims to Curb Local Prosecutorial Discretion

Righting an Institutional Wrong: Redefining an Overpayment Through HHS-OIG’s Policy Shift on Zero-Paid Claims

Righting an Institutional Wrong: Redefining and Overpayment Through HHS-OIG’s Policy Shift on Zero-Paid Claims

CMS Halts No Surprises Act IDR Process After Federal Court Sides with Providers on Claim Batching and Increased Fees

Wander Management in Senior Care: Lessons From the Brookfield Assisted Living Settlement

SCOTUS Rejects Defense-Friendly Scienter Standard In Schutte Opinion

False Claims Act Enforcement Involving Medicare Advantage Plans: Recent Cases and Current Trends

False Claims Act Enforcement Involving Medicare Advantage Plans: Recent Cases and Current Trends

Scienter Center Stage

No Grit, No Pearl: The Importance of Letting Your Struggles Define You

A Call to Action: Maternal Mortality in America Requires a Multifocal Solution

Federal Court Strikes Down Portions of the Final Rule Addressing the Independent Dispute Resolution Process Under the No Surprises Act

Title 22 is Governing Law in California – Think Twice Before Adopting a Three-Year Practitioner Reappointment Cycle

Med-Staff Newsletter

Changes to California Laws Regarding Notice to Patients: What Practitioners and Health Care Entities Need to Know

Statistical Sampling and Extrapolation

Statistical Sampling and Extrapolation