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.
Category: Legal & Regulatory Issues
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 …
HHS further delays rule that could void thousands of regulations
HHS will further delay the start date on a rule that would require the department to eliminate existing regulations after 10 years unless the department reviewed them and could justify keeping the regulation in place, according to an March 3 Federal Re…
5 recent health system lawsuits
From a Connecticut health system battling antitrust allegations to a Dallas-based health system accused of fraud, here are the latest health system lawsuits making headlines.
In the trenches with the No Surprises Act: 4 insights on success, challenges and preparing for what comes next
As of January, the No Surprises Act prohibits surprise billing for out-of-network services.
