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Prime Healthcare Billing Processes Under Question as 25% of Medicare Patients are Showing Malnutrition- Profit Algorithms?

This is something worth reading as we are all focusing on getting correct billing information entered today and with potential fraud in the high beams today as a focus. Interestingly enough Kwashiorkor is being indicated highly on a large number...

Published Sun, Feb 02 2011 4:30 PM by The Medical Quack

Filed under: Medically Related, Insurance, Other Items of Interest, My Commentaries, medicare, Health IT, Hospitals, Fraud, Seniors, Balance Billing, Prime Healthcare, Data, billing, Kwashiorkor, sickness, malnutrition

Alvarado Hospital Recently Acquired by Prime Healthcare To Lay Off One Quarter of the Staff in San Diego

Alvarado Hospital apparently wanted a higher rate than Tri-City Hospital to care for prison inmates so the contract was lost under the decision making of the new owners, Prime Healthcare. It was noted in the article below that Prime plans on spending...

Published Fri, Jan 01 2011 12:05 AM by The Medical Quack

Filed under: Medically Related, Other Items of Interest, healthcare, HMO, Hospitals, Balance Billing, Refund, Prime Healthcare, Clinics, audit, Orange County County, San Diego, Alvarado Hospital

Prime Healthcare Buys Alvarado Hospital In San Diego–One More Cadillac ER Room On the Way

The first task of of business is to upgrade the ER at Alvarado Hospital. In Orange County where I live in California, you can roll bowling balls through the once busy parking lots as the company does not normally sign contracts with insurers and...

Published Thu, Nov 11 2010 12:49 AM by The Medical Quack

Filed under: Medically Related, Insurance, healthcare, HMO, Hospitals, Balance Billing, Refund, Prime Healthcare, Clinics, infections, audit, Orange County County, Alvarado Hospital

Vanguard's Purchase of the Detroit Medical Center Receives Approval from Michigan Attorney General

This is the first in Michigan of a case of a nonprofit medical center moving to a for profit status. The purchase will make Vanguard the 5th largest investor owned hospital and healthcare firm. The company has 18 hospitals and surgery centers...

Published Sun, Nov 11 2010 12:29 PM by The Medical Quack

Filed under: Medically Related, Other Items of Interest, Hospitals, Prime Healthcare, Money, Michigan, attorney general, private equity, Blackstone, Detroit Medical Center, Vanguard Healthcare

Prime Healthcare Under Investigation for High Infection Rates in California in Four Hospitals

Prime Healthcare is back in the news again, this time not over ownership and claim issues, but infection rates this time. Prime Health though is still in the business of buying up hospitals when the opportunities arise and a few months ago they...

Published Wed, Oct 10 2010 9:53 PM by The Medical Quack

Filed under: Medically Related, Other Items of Interest, Hospital, healthcare, Investors, Hospitals, California, bankruptcy, Orange County, Prime Healthcare, Money, infections, funds, network

Heritage Provider Network May Join Prime Healthcare in Bidding for Bankrupt Victor Valley Community Hospital

If Heritage does not place a bid, then Prime Healthcare would move in as the new owner as by law the process has to be open for bidding. Prime bid last year unsuccessfully for the 4 hospital chain IHHI in Orange County, CA which returned to the...

Published Wed, Sep 09 2010 10:29 PM by The Medical Quack

Filed under: Medically Related, Other Items of Interest, Hospital, healthcare, Investors, Hospitals, bankruptcy, Orange County, Prime Healthcare, Money, funds, Chaudhuri, Hertize Provider Network

Parkview Hospital in Riverside California Working on Federal Loan to Improve Hospital’s Financials

In short, the hospital needed money to pay off the lender, Prime Healthcare to stop the foreclosure proceedings and a week prior to the hospital being sold at auction and luckily found an unnamed group to pay up. If accepted by HUD, they will be...

Published Tue, Jul 07 2010 12:07 PM by The Medical Quack

Filed under: Medically Related, Other Items of Interest, healthcare, Budgets, Prime Healthcare, Riverside, auctions, Parkview Community Hospital, debt, loan

Prime Healthcare Settles Lawsuit for $1.2 Million – Balance Due Billing in California

Prime Healthcare had been seeing out of network Kaiser Permanente patients and does not have contracted rates with Kaiser or any other insurance carriers and bills their normal and customary fees. Recently in the news Prime Healthcare had...

Published Tue, May 05 2010 1:40 AM by The Medical Quack

Filed under: Medically Related, Insurance, healthcare, HMO, Hospitals, Kaiser Permanente, Balance Billing, Refund, Prime Healthcare, Clinics, audit, Orange County County

Emergency Care Billing Provisions for Health Insurance Take Effect September 23rd – Out Of Network Charges No Longer Subject to Reduced Rates

In the case of an emergency, you may not have time to consult and see what hospital is in network, depending on what the emergency is. This has been a huge on going battle for years, and especially felt big time in California, lawsuits over this...

Published Fri, May 05 2010 2:03 PM by The Medical Quack

Filed under: Medically Related, Insurance, Hospital, health insurance, bankruptcy, Prime Healthcare, Emergency Room, Lawsuits, ER, healthcare reform, out of network

Prime HealthCare and Kaiser Still Duking it Out In Court – Patients are Off the Hook for the Balance Due Bills

In California, we have had many tales of balance due billings and Prime Healthcare was one of the companies at the heart of the matter, although they are not alone by any means. Prime does not have contracts with insurance carriers and bills the...

Published Fri, Aug 08 2009 10:56 PM by The Medical Quack

Filed under: Medically Related, Insurance, Kaiser, health insurance, California, Prime Healthcare, balance due billing, collection agency

Regulators again criticize conditions at Anaheim General Hospital – Orange County, CA

A few more blows for this hospital trying to survive. It has already lost it’ accreditation from the Joint Commission. Not a good idea perhaps to leave patient charts laying around in the doctor’s lounge, although I have seen this done elsewhere...

Published Tue, Apr 04 2009 2:46 AM by The Medical Quack

Filed under: Medically Related, Other Items of Interest, healthcare, Hospitals, Orange County, Prime Healthcare, Joint Commission, Desperate Hospitals, Pacific Health, Anaheim General Hospital

Tenet Healthcare Posts 33 Million 4th Quarter Loss – Charge on Sale of USC Hospitals

Tenet appears to be shrinking in size, there were 5 other hospitals sold in the Los Angeles area last year as well. BD U.S. hospital operator Tenet Healthcare Corp. reported a $33 million fourth-quarter loss, mostly reflecting a charge on...

Published Thu, Feb 02 2009 2:16 AM by The Medical Quack

Filed under: Medically Related, Other Items of Interest, Tenet, Hospitals, Charity, Prime Healthcare, Desperate Hospitals, Bad debt, USC Cancer Center, USC University Hospital

ER doctors in Orange County sue state over low Medi-Cal payments – California

Both hospitals served by the company belong to Prime Health Care . This is the second lawsuit I have posted today with the other in San Diego with a balance billing suit. We were also just informed due to the economy in California that we...

Published Tue, Jan 01 2009 11:42 PM by The Medical Quack

Filed under: Medically Related, Insurance, Other Items of Interest, Lawsuit, Physicians, Hospitals, Medi-Cal, Prime Healthcare, ER, State of California

Desperate Hospitals – January 2009 Update

It’s time for another unfortunate update to the Desperate Hospital series since last updated in November, and the related reading below has the links to the entire listings. First and foremost, the story at the top of the list is probably one of the worst...

Published Sat, Jan 01 2009 7:58 PM by The Medical Quack

Filed under: Medically Related, Insurance, healthcare, health insurance, Hospitals, Insolvency, bankruptcy, Economy, Chapter 11, Prime Healthcare, Layoffs, Desperate Hospitals

Anaheim General Hospital loses accreditation – Orange County, CA

Anaheim General in Orange County has been in the news of late and this is one last blow to the facility. Others were trying to purchase the facility, including Prime Health Care , who has been in the news of late over the balance billing situation...

Published Sat, Dec 12 2008 11:03 AM by The Medical Quack