Earlier this year, a Santa Clara County, California jury awarded the insurer Aetna a $37,452,199.00 judgment in a lawsuit against Bay Area Surgical Management, LLC, a surgery center management company, a number of its managed ASCs, and three of Bay Area’s executives.
Tag: provider
Payor Agreements and Hidden False Claims Act and Criminal Traps
Hidden language in payor agreements can trigger False Claims Act liability and criminal risk—understand and avoid the traps.
Aetna Obtains $37 Million+ Judgment Against ASC Manager – Podcast
Earlier this year, a Santa Clara County, California jury awarded the insurer Aetna a $37,452,199.00 judgment in a lawsuit against Bay Area Surgical Management, LLC, a surgery center management company, a number of its managed ASCs, and three of Bay Area’s executives.
New Trigger of False Claims Act Liability
I know an attorney whose firm was subject to a disqualification motion by opposing counsel on the basis that one of their offices was in a suite that didn’t have a Certificate of Occupancy from the local building department. The motion was denied on the grounds, I believe, of being patently ridiculous. But if the issue involved…
Aetna Obtains $37-plus Million Judgment Against ASC Manager
This past Friday, April 15, 2016, a Santa Clara County, California jury awarded the insurer Aetna a $37,452,199.00 judgment in a lawsuit against Bay Area Surgical Management, LLC, a surgery center management company, a number of its managed ASCs, and three of Bay Area’s executives. The ASCs were out of network as to Aetna plans….
Burgers Must Be Burgers, but Doctors Might Just Not Be Physicians – Medical Group Minute
Not enough physicians? State plans to expand role of paraprofessionals.
Burgers Must Be Burgers, but Doctors Might Just Not Be Physicians – Podcast
Not enough physicians? State plans to expand role of paraprofessionals.
Burgers Must Be Burgers, but Doctors Might Just Not Be Physicians
Hardly anyone even yawned when the State of California announced that it was considering expanding the scope of paraprofessional practice because there weren’t enough physicians to go around.



