Category: Legal & Regulatory Issues

3 recent provider self-disclosed fraud settlements

Three providers settled self-reported fraud claims for $500,000 or more in June, according to the HHS Office of the Inspector General: 

Oklahoma State University settles HIPAA allegations for $875K

Stillwater-based Oklahoma State University Center for Health Science has agreed to pay a financial penalty of $875,000 to resolve allegations it violated HIPAA privacy, security and breach notification rules stemming from a 2018 data breach. 

Texas sues Biden administration over rules on emergency abortion

Texas Attorney General Ken Paxton is suing the Biden administration over HHS guidance that says hospitals must provide abortions in emergency cases. 

UNC Health settles with patients who accused system of violating their civil rights

Chapel Hill, N.C.-based University of North Carolina Health will pay a $125,000 settlement to two blind patients who said the system did not provide billing or health information in Braille or any other accessible format, according to a report in The C…

Fresenius Vascular Care accused of defrauding federal programs at 9 locations

Berwyn, Pa.-based Fresenius Vascular Care has been accused of defrauding Medicare and other healthcare programs through “billing for unnecessary procedures” at nine of its locations, the Justice Department said July 13. 

Specialty pharmacy to pay $1.3M to settle false claims allegations

A Pompano Beach, Fla.-based specialty pharmacy agreed to pay $1.31 million to resolve allegations that it submitted false claims to Medicare for prescriptions for an expensive treatment used for opioid overdoses. 

Federal jury convicts New York man in $600M billing fraud scheme

A New York man is facing the potential of nearly five decades in prison after a federal jury convicted him July 13 for an elaborate $600 million healthcare billing fraud, wire fraud and identity theft scheme.

Tenet Healthcare, Baptist Health face class-action lawsuit over April data breach

A class-action lawsuit was filed against Dallas-based Tenet Healthcare and its affiliate, San Antonio, Texas-based Baptist Health System, over an April data breach that has affected 1.2 million patients, the Dallas Morning News reported July 12. 

Michigan physician convicted in $35M healthcare fraud

David Jankowski, DO, was convicted on July 11 by a federal jury in Detroit on 30 charges related to the unlawful distribution of schedule II, III and IV controlled substances and healthcare fraud.

Miami man charged with selling fake Cisco equipment to hospitals as part of $1B scheme

A CEO running dozens of companies across two states has been indicted in New Jersey after he allegedly trafficked billions of dollars worth of fake Cisco equipment and sold it to hospitals and other organizations.