Category: Legal & Regulatory Issues

Healthcare billing fraud: 11 recent cases

From Dignity Health and two Tenet affiliates agreeing to a $22.5 million settlement, to a Florida physician getting more than three years in prison for his role in a $4.5 million scheme, here are 11 healthcare billing fraud cases Becker’s has reported …

Former medical director sues Cape Cod Hospital for alleged defamation, whistleblower retaliation

Former Cape Cod Hospital cardiovascular medical director Richard Zelman, MD, is suing the Barnstable, Mass.-based hospital and CEO Michael Lauf for alleged whistleblower retaliation and defamation, The Boston Globe reported Dec. 8.

HHS can't force Catholic providers to offer transgender care, court rules 

The federal government cannot compel Catholic healthcare providers to perform gender-affirming surgeries under an HHS regulation that bans sex descrimination in healthcare, a U.S. appeals court ruled Dec. 9. 

Montana vaccine choice law unconstitutional in health settings, judge rules

A federal judge has ruled that a Montana law that prohibited employers from discriminating against workers based on their vaccination status is unconstitutional in healthcare settings, the Montana Free Press reported Dec. 9.

New Mexico hospital sued for alleged overcharges, false advertising

New Mexico sued Alta Vista Regional Medical Center in Las Vegas, N.M., and its owner Quorum Health Resources, alleging the hospital engaged in false advertising and overcharging patients.

Man indicted in Methodist Dallas hospital shooting that killed 2 workers

 A Dallas County grand jury has indicted the man accused of fatally shooting two workers inside Methodist Dallas Medical Center in October, The Dallas Morning News reported Dec. 9, citing court records. 

Tenet-owned Massachusetts hospital to pay $1.78M to settle false claim allegations

Worcester, Mass.-based St. Vincent Hospital will pay more than $1.78 million to settle allegations it received impermissible payments from Medicare by inflating charges and failed to fully reimburse the government. 

Medical equipment company CEO gets 80 months for $50M fraud scheme

Tanya Grant, 51, was sentenced Dec. 8 for a healthcare fraud scheme carried out through two companies she controlled between 2017 and 2021. 

9 arrested in Florida for allegedly orchestrating $37M scheme to defraud Blue Cross Blue Shield

Nine Florida residents were arrested for allegedly conspiring to bill $37 million in fraudulent claims to Blue Cross Blue Shield, the Justice Department said Dec. 6. 

8 recent healthcare lawsuits, settlements

From Pfizer countersuing Moderna to the Texas Medical Association filing a third case challenging the No Surprises Act, here are eight healthcare industry lawsuits and settlements Becker’s has reported since Nov. 29.