Category: Legal & Regulatory Issues

Here are 10 healthcare billing fraud cases that Becker’s has reported since Nov. 15: 

For the first time, the Supreme Court will hear arguments about whether states can ban gender-affirming care for youths. 

In late November, CMS  revised guidance for surveyors and healthcare providers regarding immediate jeopardy, the most serious type of warning for noncompliance deficiencies that place organizations at risk of losing federal funding. 

As several pharmaceutical companies challenge their role in the 340B drug pricing program, Bristol Myers Squibb filed a lawsuit Nov. 26 against the HHS agency that oversees the federal program. 

A former pharmacy technician at Chicago-based Lurie Children’s Hospital has filed a lawsuit accusing the hospital of firing her in retaliation for reporting unsafe medication compounding practices, the Chicago Sun-Times reported Nov. 26. 

A Maryland medical malpractice attorney known for his aggressive tactics faces up to 20 years in prison after a federal jury convicted him of attempting to extort $25 million from the University of Maryland Medical System in Baltimore.

A civil trial has commenced to determine whether Seattle Children’s racially discriminated against the former medical director of one of its clinics, The Seattle Times reported Nov. 26.

Texas Gov. Greg Abbott has suggested hospitals may risk losing CMS funding if they fail to comply with an executive order requiring hospitals to inquire about patients’ citizenship status. 

Federal officials detained former Dallas-based Steward Health Care CEO Ralph de la Torre the week of Nov. 18 to execute a search warrant and seize his phone as part of an ongoing investigation, The Boston Globe reported Nov. 25. 

The former chief of cardiology at Trinity Health Muskegon (Mich.) Hospital accused the hospital of firing him for reporting alleged unnecessary surgeries, according to court documents.