Category: Legal & Regulatory Issues

Pennsylvania system to pay $11.7M after voluntarily disclosing improper Medicare billings

Hershey, Pa.-based Penn State Health has agreed to pay more than $11.7 to resolve allegations that it submitted annual wellness visit services that violated Medicare rules.

Where the MGMA is focusing its advocacy in 2024

The Medical Group Management Association has released its federal advocacy agenda for 2024 to “ensure the sustainability of medical group practices and advance their ability to provide high-quality patient care.”

Tennessee man sentenced in conspiracy to sell patient information

A man who pleaded guilty to conspiring with five former employees of Memphis, Tenn.-based Methodist Hospital to unlawfully disclose patient information has been sentenced to five years of probation.

Tennessee man sentenced in conspiracy to sell patient information

A man who pleaded guilty to conspiring with five former employees of Memphis, Tenn.-based Methodist Hospital to unlawfully disclose patient information has been sentenced to five years of probation.

Former hospital president wins defamation, retaliation suit brought by nurses

A judge recently ruled in favor of Steward Carney Hospital and its former president, Bill Walczak, declaring that neither engaged in defamation or retaliation when firing 31 employees more than a decade ago. 

Healthcare billing fraud: 12 recent cases

From a medical biller ordered to pay more than $336 million in restitution to a serial fraudster sentenced to 10 years in prison for his latest scheme, here are 12 healthcare billing fraud cases Becker’s has reported on since Jan. 19: 

California hospital to pay $2M to settle overbilling allegations

Pomona (California) Valley Hospital Medical Center agreed to pay more than $2 million to resolve allegations it overbilled the state’s Medicaid program for prescription medications. 

Crozer sues over withdrawal of surgery residency accreditation

Los Angeles-based Prospect Medical Holdings, which owns Upland, Pa.-based Crozer Health, is suing the Accreditation Council for Graduate Medical Education after the organization withdrew accreditation for Crozer’s general surgery training program, The …

New York man ordered to pay $336M for billing fraud scheme 

A New York man has been sentenced to 12 years in prison and ordered to pay over $336 million in restitution for an elaborate healthcare billing fraud, wire fraud and identity theft scheme.

Physician malpractice lawsuits, award amounts on the rise: 3 notes

Huge malpractice awards against physicians and hospitals are on the rise, Medscape reported Feb. 2.