Category: Legal & Regulatory Issues

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.

OxyContin advertiser to pay $350M in first-ever opioid marketing settlement

A French advertising company that worked on Purdue Pharma’s OxyContin account agreed to pay $350 million to settle a lawsuit accusing it of falsely marketing opioids as safe and unable to be abused.

California lab owner gets prison for $234M fraud scheme

A California man convicted multiple times for healthcare fraud was sentenced to 10 years in prison for his latest scheme. 

Ohio health system accused of web-tracking violations

Chillicothe, Ohio-based Adena Health System is facing a lawsuit that accuses it of sharing patient information with third parties, ClassAction.org reported Jan. 30. 

Justice Department, MedStar reach agreement over disability access

Columbia, Md.-based MedStar has reached an agreement with the Justice Department after allegedly depriving individuals with disabilities access to medical care by excluding the presence of their support persons.

Officer shoots patient wielding knife at Georgia VA hospital

A patient wielding a knife was shot and killed by an officer at a Veterans Affairs hospital in Georgia, Atlanta News First reported Jan. 30.