Category: Legal & Regulatory Issues

7 recent billing disputes

Over the last two months, several lawsuits over healthcare companies’ billing and reimbursement practices have made headlines. 

10 physicians, healthcare CEO to pay $1.68M to settle kickback claims

Ten Texas physicians and a healthcare executive who operates a group of medical practices in Florida agreed to pay a total of $1.68 million to settle kickback allegations, according to a March 22 Justice Department news release.

TeamHealth hit with suit alleging inappropriate billing, overcharges

A self-funded employer in Louisiana is suing Knoxville, Tenn.-based TeamHealth over what it considers inappropriate billing and “systematic overcharges.” 

California health system sues Kaiser, alleging ‘tens of millions’ in underpayments

Santa Barbara, Calif.-based Cottage Health sued Oakland, Calif.-based Kaiser Permanente, alleging the insurer routinely underpaid claims, according to the Santa Barbara Independent.

Criminal trial begins for ex-Vanderbilt nurse who made fatal drug error

Jury selection began March 21 for the trial of RaDonda Leanne Vaught, a former nurse facing criminal charges over a fatal medication error, according to CBS affiliate WTVF. 

Healthcare billing fraud: 7 recent cases

From 12 physicians receiving prison sentences in a $250 million billing fraud scheme to a Tennessee court allowing the Justice Department to intervene in an $800 million fraud case against Memphis, Tenn.-based Methodist Le Bonheur, here are seven healt…

New York health system sues insurer to recoup $228M in COVID-19 losses

Buffalo, N.Y.-based Kaleida Health is suing its insurance provider, American Guarantee and Liability Insurance Co., arguing it should cover $228 million in losses tied to the COVID-19 pandemic, the Buffalo News reported March 21. 

2 sentenced for $48M medical reimbursement account fraud scheme

Louisiana residents Denis and Donna Joachim were sentenced March 17 for creating, marketing and operating a $48 million fraudulent medical reimbursement program, according to a Justice Department news release.

Virginia physician sentenced in $1.8M fraud scheme against payers, patients

Former Virginia physician Leonard Rosen, MD, was sentenced March 18 for his role in a $1.8 million fraud scheme that exploited payers and patients, according to The Washington Post.

7 recent hospital lawsuits

From a health system defeating an antitrust lawsuit to a defunct Arkansas hospital sued for allegedly failing to protect patient information, here are the latest hospital lawsuits making headlines.