Category: Legal & Regulatory Issues

Healthcare billing fraud: 11 recent cases

From 23 Michigan residents being charged in an alleged $61.5 million scheme to the sentencing of a Louisiana clinic owner who billed Medicaid after misdiagnosing children, here are 11 healthcare billing fraud cases Becker’s has reported since Jan. 20:&…

FBI aiming to protect, give “Ritz Carlton-level customer service” to companies that report cyberattacks

The relationship between the FBI and private companies over the past 20 years has often been cold and combative, such as the FBI’s 2016 efforts to force Apple to unlock the iPhone of a terrorist involved in the San Bernardino, Calif. shooting, The Wall…

Cardiologist, Iowa board agree to settlement 12 years after misconduct incident

The Iowa State Appeal Board settled a 2020 lawsuit with a cardiologist for releasing information related to an incident that occurred during a 2010 surgery, The Gazette reported Feb. 7.

Man pulls knife, demands info from Intermountain employee; police arrest suspect

A man was arrested Feb. 7 after allegedly terrorizing an employee near Salt Lake City-based Intermountain Health’s Lutheran Medical Center in Wheat Ridge, Colo., police said in a statement on their Facebook page.

23 charged in alleged $61.5M scheme to defraud Medicare through kickbacks, bribes

The Justice Department has charged 23 Michigan residents for their alleged involvement in two schemes to defraud Medicare of more than $61.5 million by paying kickbacks and bribes and billing CMS for unnecessary medical services that were not provided.

DOJ pulls 3 healthcare policy statements

The Justice Department withdrew three antitrust policy statements pertaining to healthcare issued between 1993 and 2011, deeming the positions “outdated,” according to a Feb. 3 agency news release.  

Labcorp to pay whistleblowers $19M to settle kickback, false claims lawsuit

Labcorp is settling a $19 million kickback and false claims lawsuit brought by two whistleblowers, according to a news release shared with Becker’s.

Woman who displayed handgun in Texas hospital fatally shot

A woman was killed after displaying a handgun and making suicidal comments at Arlington (Texas) Memorial Hospital on Feb. 4, CBS News reported.

Georgia lawmakers, advocacy groups push for repeal of certificate of need laws

After recently rolling back certificate of need laws for hospital construction, lawmakers and advocacy groups are pushing for Georgia to totally repeal the certificate of need process and allow health systems to build new medical centers without provin…

Nebraska Methodist faces lawsuit over pension plan

Omaha-based Nebraska Methodist Health is facing a lawsuit from three former employees who claim the system violated pension law with excess fees and poor scrutiny of its 401(k) performance, according to a Feb. 3 Pensions & Investments report.