Category: Legal & Regulatory Issues

Labcorp, academic health system settle false claims allegations: 5 things to know

Knoxville, Tenn.-based University Health System and Labcorp have paid $388,667 to resolve allegations that they violated the False Claims Act by delaying the submission of physician orders for certain lab tests by Caris Life Sciences to enable improper…

Indiana system settles kickback allegations, CFO whistleblower claims for $145.7M

Indianapolis-based Community Health Network has paid $145.7 million to the Justice Department and the state of Indiana to settle alleged violations of the Anti-Kickback Statute and False Claims Act.

Appeals court revives lawsuit alleging Novartis paid kickbacks for MS drug

The U.S. Court of Appeals for the Second Circuit partially upheld and partially vacated a district court’s ruling in a False Claims Act case against Novartis Pharmaceuticals. 

Healthcare billing fraud: 10 recent cases

From a judge sentencing four people for their roles in a $54.3 million scheme to a Medicare Advantage insurer agreeing to pay up to $98 million to settle allegations of knowingly submitting invalid diagnoses, here are 10 healthcare billing fraud cases …

Providence files motion to dismiss lawsuit over emergency abortion care

Providence St. Joseph Hospital in Eureka, Calif., has filed a motion to dismiss a lawsuit brought by the state attorney general, which alleged the hospital unlawfully denied an emergency abortion to a woman diagnosed with a condition that threatened he…

Steward insurer pushes court to demand payment from system

TRACO, an insurance affiliate of Dallas-based Steward Health Care, filed a Dec. 26 complaint in bankruptcy court alleging that the for-profit health system has failed to repay funds despite court orders authorizing payments, jeopardizing insurance cove…

EEOC alleges religious discrimination in UNC Health vaccine lawsuit

Raleigh-based UNC Health Rex, a private, nonprofit health system that is part of Chapel Hill, N.C.-based UNC Health, has been sued by the U.S. Equal Employment Opportunity Commission for alleged religious discrimination.

Tennessee pharmacist charged with healthcare fraud, identity theft

Philip Hall, a 48-year-old pharmacist of Jamestown, Tenn., has been arrested and charged with six counts of aggravated identity theft and nine counts of healthcare fraud.

16 cardiology practices to pay $17.7M in Medicare fraud settlement

Sixteen different cardiology practices and associated physicians across 12 states have agreed to pay a combined $17.7 million to settle allegations of overbilling Medicare for diagnostic radiopharmaceuticals.

BCBS antitrust settlement provider website goes live

A website containing information for provider class settlement members in Blue Cross Blue Shield antitrust litigation has launched.