From a former NBA player pleading to orchestrating a $5M health insurance scheme, to the conviction of a medtech CEO in a $77M COVID-19, allergy testing scheme, here are 11 healthcare billing fraud cases Becker’s has covered since Aug. 25.
Category: Legal & Regulatory Issues
NewYork-Presbyterian/Queens Hospital settles federal healthcare fraud allegations for $2.5M
NewYork-Presbyterian/Queens Hospital will pay $2.5 million to settle allegations that a former physician performed and billed for unnecessary procedures, according to a Sept. 14 statement from the U.S. attorney’s office.
Man faces charge of assaulting West Virginia hospital nurse
A man was charged for allegedly threatening a nurse at knifepoint while being treated at Weirton (W.Va.) Medical Center, the Herald-Star reported Sept. 14.
New York health system inks settlement over ‘repayment fees’ in nurse contracts
Albany (N.Y.) Med Health System has agreed to pay $24,255 to eight nurses to resolve allegations it illegally forced the nurses to pay fees if they resigned or were fired within three years of employment, according to a Sept. 13 news release from New Y…
Medical board suspends Texas physician connected to tampered IV bags, colleague’s death
The Texas Medical Board has temporarily suspended the license of a Dallas anesthesiologist after being notified that the physician is under investigation in connection with tampered IV bags that led to a colleague’s death and a serious patient complica…
DC hospital must face executive’s retaliation case
United Medical Center in Washington, D.C., lost its motion to dismiss a lawsuit filed by its former chief medical officer Julian Craig, MD, according to Bloomberg Law.
Consulting lawyers a new norm for some emergency physicians post Roe
In states with strict abortion bans, physicians are consulting lawyers to help determine whether an abortion is legally justified when patients arrive at emergency rooms with severe pregnancy complications, The New York Times reported Sept. 10.
3 recent self-disclosed fraud settlements involving providers
Three providers settled self-reported fraud claims — worth at least $800,000 each — in July and August, according to the HHS office of the inspector general.
CarePoint accuses RWJBarnabas Health of aiming to ‘destroy’ 3 hospitals in lawsuit
Bayonne, N.J.-based CarePoint Health has accused West Orange, N.J.-based RWJBarnabas Health of conspiring to eliminate competition — specifically three CarePoint-operated hospitals in Hudson County, N.J. — in a lawsuit filed Sept. 6.
CHS wins case over hospital’s ‘as-is’ sale
A hospital that Tower Health acquired from Community Health Systems was in compliance with state and federal licensing at the time of the transaction, according to a Sept. 6 opinion from a Pennsylvania federal court.
