Category: Legal & Regulatory Issues

North Carolina House and Senate leaders have agreed on a Medicaid expansion plan, but expansion is only part of the deal, the Charlotte Observer reported March 3. 

Winston-Salem, N.C.-based Atrium Health Wake Forest Baptist, now part of Charlotte, N.C.-based Advocate Health, has agreed to pay $757,585 to settle claims that it overpaid for Medicare, The Center Square reported March 3. 

Michele Rose, who, according to her LinkedIn, worked for Jasper, Ind.-based Memorial Hospital and Health Care Center, has been indicted by a grand jury on charges related to the alleged embezzlement of $153,769 from the hospital. 

Two owners of a chain of addiction treatment centers in Massachusetts were charged in connection with millions of dollars of healthcare fraud connected to fraudulent billings, the Justice Department said March 2. 

A California couple is accusing a fertility clinic of mistakenly implanting the wrong embryo with a genetic mutation for rare cancer, then covering it up, The Washington Post reported March 1.

Nine months after the Federal Trade Commission launched an inquiry into pharmacy benefit practices, the House Committee on Oversight and Accountability opened an investigation March 1. 

Warsaw, N.Y.-based Wyoming County Community Health System is being sued by a physician who was terminated more than a year ago, The Buffalo News reported March 1.

The following healthcare billing fraud cases have been reported by Becker’s since Jan. 20. 

CEOs and boards need to be held liable for staffing-related safety issues in their hospitals, especially when they created the issues in the name of profit, Robert Derlet, MD, and Mark Borden, MD, argued in an article published in Emergency Medicine Ne…

A Tennessee woman has been charged after treating thousands of patients without a nursing license, CBS affiliate WTVF reported Feb. 28.