Category: Legal & Regulatory Issues

Florida health system will pay $20M to resolve false claims case

Clearwater, Fla.-based BayCare Health System has agreed to pay the U.S. $20 million to resolve allegations that it violated the False Claims Act, the Justice Department announced April 6. 

Former Texas health system CEO, CFO hit with false claims lawsuit

The former CEO and CFO of a Texas health system are among 18 defendants named in a false claims complaint, alleging violations of the Anti-Kickback Statute and Stark Law, the Justice Department announced April 4. 

10 recent healthcare industry lawsuits, settlements

From a cardiologist suing an EHR vendor to an ambulance company resolving improper claims allegations, here are the latest healthcare industry lawsuits and settlements making headlines. 

Hospitals can use Equifax to gauge patients’ propensity to pay, court rules

Hospitals can use financial reports from Equifax and other credit reporting agencies to help determine a patient’s propensity to pay medical debt under Medicare rules, a federal district court ruled March 29. 

Hospitals request 2 changes to merger rules

The American Hospital Association is urging the Federal Trade Commission and the Justice Department to update merger guidelines in two ways. 

Court sides with HHS in Indiana hospitals’ challenge to Medicare payment calculation

A lawsuit filed by two Indiana hospitals over a Medicare payment calculation was properly dismissed by an HHS appeal board, the U.S. District Court for the District of Columbia ruled March 25.

Justice Department joins whistleblower lawsuit against EHR vendor, CEO

The Justice Department has filed a notice that it will join a whistleblower lawsuit against EHR vendor Modernizing Medicine and its CEO and co-founder, Daniel Cane.

Former Vanderbilt nurse found guilty

A jury convicted former Vanderbilt nurse RaDonda Vaught of criminally negligent homicide and abuse of an impaired adult, ⁠The Tennessean reports. 

Scripps Health faces lawsuit in the aftermath of the Kronos data breach

San Diego-based Scripps Health employees filed a lawsuit against the health system after the Kronos data breach affected their pay.

Addiction treatment center owners sentenced to prison in $112M fraud scheme

Two brothers who operated a pair of South Florida addiction treatment facilities were sentenced to prison March 21 for a $112 million billing fraud scheme.