Category: Legal & Regulatory Issues

Arkansas medical board chair resigns amid fraud allegations

The chairman of the Arkansas State Medical Board has resigned after the state’s Medicaid inspector general found “credible allegations of fraud,” the Arkansas Democrat Gazette  reported March 3. 

Lakeland Regional Medical Center to pay $4M to settle impermissible Medicaid donation allegations

Lakeland (Fla.) Regional Medical Center has agreed to pay $4 million to settle allegations it made improper, non-bona fide Medicaid donations to Polk County, Fla., by assuming and paying certain amounts of the county’s financial obligation to other hea…

How North Carolina's Medicaid expansion plan would change its certificate of need law

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. 

Wake Forest Baptist settles Medicare overpayment allegation for $756K

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. 

Indiana hospital worker accused of stealing $153K

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. 

2 business owners accused of billing for 24+ hour days

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. 

Couple accuses clinic of implanting embryo with cancer gene

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.

Feds open another probe into PBM practices

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. 

New York health system sued by terminated physician

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.

Healthcare billing fraud: 18 recent cases

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