• Florida radiology practice pays $1.4M to settle false claims charges

    Jacksonville, Fla.-based radiology practice Mori, Bean and Brooks, P.A. agreed to pay the federal government $1.4 million to settle allegations it knowingly submitted false claims to Medicare and Medicaid, according to the U.S. Justice Department.
  • HCA defeats whistleblower's billing fraud suit

    Nashville, Tenn.-based HCA Healthcare and others have defeated a whistleblower's allegations that they improperly billed federal healthcare programs for physical therapy services, according to Bloomberg Law. 
  • Florida medical biller charged with healthcare fraud

    A medical biller in the Tampa Bay, Fla., area has been charged with healthcare fraud and aggravated identity theft, the Department of Justice announced Nov. 20. 
  • CMS finalizes Stark Law overhaul: 6 things to know

    CMS issued a final rule Nov. 20 that modifies the Stark Law, which prohibits physician self-referrals.  
  • 8 latest healthcare industry lawsuits, settlements

    From Kaiser Permanente settling false claims allegations to a Montana health system sued over an oncologist's sudden absence, here are the latest healthcare industry lawsuits and settlements making headlines. 
  • Ex-Swedish Health surgeon's libel lawsuit against Seattle Times dismissed

    A federal judge on Nov. 18 dismissed a lawsuit filed in 2018 by former Swedish Health surgeon Johnny Delashaw Jr., MD, against The Seattle Times over an investigative series the newspaper published titled "Quantity of Care," according to The Seattle Times. 
  • 9 latest lawsuits involving hospitals

    The following hospital lawsuits and settlements were reported in the past month, beginning with the most recent.
  • Healthcare exec pleads guilty to part in $1.2B Medicare fraud scheme

    The owner of nine medical brace companies has pleaded guilty in federal court for his role in a Medicare scam that resulted in more than $1.2 billion in losses, according to Law360. 
  • Drug testing practices prompt investigation of 3 New York hospitals

    The New York City Commission on Human Rights is investigating drug testing practices at Montefiore Medical Center, Mount Sinai and NewYork-Presbyterian hospitals to determine if they disproportionately target Black and Latinx parents and infants.
  • Ex-employee sentenced for defrauding Georgia hospital to buy 93 guns

    The former director of security for a Georgia hospital has been sentenced to one year and six months in prison for fraudulently using hospital funds to acquire guns that he then sold for profit, the Department of Justice announced Nov. 13. 
  • Kaiser pays $6.4M to settle false claims allegations

    Oakland, Calif.-based Kaiser Permanente has agreed to pay nearly $6.4 million to resolve allegations that Kaiser Foundation Health Plan of Washington submitted invalid diagnoses to Medicare for Medicare Advantage members, according to the Department of Justice. 
  • 10 latest healthcare industry lawsuits, settlements

    From an Ohio system facing an antitrust lawsuit to the U.S. Supreme Court hearing arguments in a case questioning the legality of the ACA, here are the latest healthcare industry lawsuits and settlements making headlines. 
  • Virginia physician convicted on 52 charges related to billing fraud scheme

    A federal jury convicted Javaid Perwaiz, MD, on Nov. 9 of 52 counts related to his scheme to perform unnecessary hysterectomies and other surgeries on women and bill insurers for the procedures, according to the Department of Justice. 
  • Pennsylvania physician pays $850K to settle false billing case

    A Pennsylvania physician has agreed to pay the federal government $850,000 to resolve allegations that she submitted fraudulent travel claims to Medicare, the Department of Justice announced Nov. 9. 
  • ACA legality case has first encounter with Supreme Court: 6 takeaways

    The U.S. Supreme Court heard the first arguments Nov. 10 in a case questioning the legality of the ACA.
  • Ohio hospital files antitrust suit against ProMedica

    McLaren St. Luke's Hospital in Maumee, Ohio, has filed an antitrust lawsuit in an attempt to stop Toledo, Ohio-based ProMedica from terminating St. Luke's from its insurance network. 
  • Feds charge New Jersey physician in $24.6M billing fraud case

    A New Jersey physician has been charged with healthcare fraud, wire fraud and mail fraud for his alleged role in a long-standing billing scheme, the Department of Justice announced Nov. 9. 
  • Healthcare worker charged after incendiary devices set off at Michigan hospital

    A man contracted to work in the lab at McLaren Port Huron (Mich.) Hospital has been charged in connection with incendiary devices placed in three trash cans at the facility, according to a Nov. 8 news release from the Port Huron Police Department.
  • Cigna refused to cover COVID-19 testing, lawsuit alleges

    A Connecticut medical practice has sued Cigna alleging the health insurer wrongfully refused to pay for members' COVID-19 testing, according to Law360. 
  • San Antonio microhospital sued for alleged overbilling

    A former patient has sued Baptist Emergency Hospital in San Antonio and its owner for allegedly fraudulently overcharging for lab work to generate higher reimbursements, according to a Nov. 5 report at MySanAntonio.

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