Category: Legal & Regulatory Issues

California physician, patient recruiter charged with $36M Medicare fraud

A California physician and a patient recruiter were charged with bilking Medicare out of more than $36 million, the Justice Department said this week.

UMass Memorial faces employee wage lawsuit from Kronos attack

UMass Memorial Health employees have filed a lawsuit against the Worcester, Mass.-based system, claiming they did not receive wages owed to them after hackers infiltrated the payroll system in December.

8 recent healthcare industry lawsuits, settlements

From the Colorado Supreme Court reviewing a medical billing case to a health insurance company suing a former executive, here are the latest healthcare industry lawsuits and settlements making headlines. 

12 physicians sentenced in $250M billing fraud scheme

Twelve physicians in Michigan and Ohio were among 16 defendants sentenced to prison for a healthcare fraud scheme that involved submitting $250 million in false billings to insurers, the Justice Department said March 9. 

Fellow patient charged in slaying of man at Washington, DC, psych hospital

A patient at Saint Elizabeths Hospital in Washington, D.C., has been charged with first-degree murder in the death of a fellow patient, local police said March 9. 

Florida hospitals to pay $12.7M to resolve allegations of submitting improper claims

Fort Myers, Fla.-based Lee Health and Cape Coral (Fla.) Hospital agreed to pay $12.7 million to resolve allegations that they submitted claims to federal insurers for services that didn’t meet coverage criteria.

New York physician pleads guilty to $3M billing fraud scheme

A New York physician pleaded guilty to billing Medicare for millions of dollars for medical services that were never rendered, the Justice Department said March 7.

Case over $303K hospital bill reaches Colorado Supreme Court

The Colorado Supreme Court will take up a lawsuit March 8 centering on whether a patient who expected to pay $1,337 for a surgery will be on the hook for more of the bill that reached $303,709, according to the Denver Post.

Hospital rescinding job offer over man’s HIV status warrants jury trial, judge says

St. Joseph’s/Candler Health System in Savannah, Ga., may have violated federal disability law by rescinding a job offer from a man with HIV, a federal judge ruled March 3, according to Bloomberg Law.

Ex-Kentucky hospital director admits stealing $781K in supplies

The former director of materials management at Three Rivers Medical Center in Louisa, Ky., pleaded guilty March 1 to mail fraud and admitted stealing more than $700,000 worth of medical and office supplies from the hospital, according to the Lexington …