• Boston Heart to pay $26M to resolve kickback allegations

    Boston Heart, a clinical diagnostics company, will pay $26.67 million to resolve whistleblower allegations  of kickbacks to physicians, according to the U.S. Department of Justice. 
  • UPMC Susquehanna says employee wrongly viewed patient record

    Williamsport, Pa.-based UPMC Susquehanna's privacy chief David Samar confirmed that an employee had improperly viewed the protected health information of a coworker, according to Pennlive.com.
  • California surgeon gets prison time for role in $580M billing fraud scheme

    An orthopedic surgeon was sentenced to 30 months in federal prison Nov. 22 for his role in a healthcare fraud scheme that resulted in the submission of more than $580 million in fraudulent claims, mostly to California's worker compensation system, according to the Department of Justice.
  • 9 latest healthcare industry lawsuits, settlements

    From more than 600 hospitals suing HHS over Medicare payment cuts to a former executive suing Novant Health for "reverse discrimination," here are the latest healthcare industry lawsuits and settlements making headlines.
  • Former UMMS board member faces up to 35 years in prison for fraud scheme

    Catherine Pugh, former Baltimore mayor and University of Maryland Medical System board member, pleaded guilty Nov. 20 to four of 11 charges related to a children's book fraud scheme, according to the Justice Department.   
  • Florida healthcare mogul must pay $44M in massive Medicare fraud case, court rules

    A federal judge has ordered Philip Esformes, a Florida healthcare executive sentenced to 20 years in prison in a $1.3 billion Medicare fraud case, to pay $44.2 million in forfeiture and restitution, according to Law360.
  • DC hospital allegedly fired director of nursing for reporting unlawful billing

    The former director of nursing for emergency and trauma services at Washington, D.C.-based Howard University Hospital filed a lawsuit Nov. 8 alleging she was fired for reporting unlawful billing practices, according to Legal Newsline.
  • Former exec sues Novant Health for 'reverse discrimination'

    A former Novant Health executive is suing the health system for wrongful termination and discrimination — he says he was fired to help the organization reach diversity goals, reports The Charlotte Observer.
  • 10 specialties with the most lawsuits

    Surgeons, both general and specialized, are among physician specialists who are most likely to face malpractice lawsuits, according to an analysis by Medscape.
  • Hospital billing fraud: 7 latest settlements

    Here are seven healthcare organizations that entered into settlements to resolve billing fraud allegations in the past two months:
  • Former UMMS board member indicted in fraud scheme

    Former Baltimore Mayor Catherine Pugh, who served on the board of University of Maryland Medical System for 18 years, was indicted on charges of wire fraud and tax evasion related to a children's book scandal that involved the Baltimore-based health system and Oakland, Calif.-based Kaiser Permanente, a local CBS affiliate reports.
  • Cleaning staff at Maine hospital had access to patient records

    A CMS investigation at Northern Light Blue Hill (Maine) Hospital failed to keep some medical records secure, properly sanitize dishes and maintain its fire suppression system, according to the Bangor Daily News.
  • Neurosurgeon hit with false claims complaint after Sanford's $20M settlement

    The federal government has filed a False Claims Act complaint against Wilson Asfora, MD, and two medical device distributorships owned and operated by Dr. Asfora, according to the Department of Justice.
  • Former CEO will sell California health clinics to settle billing fraud allegations

    The founder and former CEO of Merced, Calif.-based Horisons Unlimited, a chain of health clinics, will be excluded from federal healthcare programs and sell 13 properties to resolve false claims allegations, according to the Department of Justice.
  • 13 latest healthcare industry lawsuits, settlements

    From Sutter Health settling a kickback lawsuit to Dignity Health facing a class-action lawsuit over emergency room fees, here are the latest healthcare industry lawsuits and settlements making headlines.
  • Sutter Health to settle kickback lawsuit for $30M 

      A lawsuit unsealed Nov. 14 reveals Sacramento, Calif.-based Sutter Health settled allegations of a referral fraud scheme for $30 million — $5.8 million of which will be paid to the whistleblower who filed the case, according to a report from The Sacramento Bee.
  • Vibra Healthcare to pay $6M to settle 2016 whistleblower suit

    Mechanicsburg, Pa.-based Vibra Healthcare will pay $6.25 million to resolve whistleblower allegations against Highlands Rehabilitation Hospital in El Paso, Texas, according to the U.S. Justice Department.
  • Investment bank sues Georgia hospital for $4.7M in unpaid fees

    Healthcare investment banker Cain Brothers recently filed a lawsuit against DeKalb Medical Center in Decatur, Ga., claiming the hospital owes more than $4.7 million in financial advisory fees associated with the hospital's merger with Atlanta-based Emory Healthcare, according to Law.com.
  • Former Idaho health system worker to pay nearly $1.5M in restitution for wire fraud

    A former office worker at Boise, Idaho-based Saint Alphonsus Health System will pay at least $1,483,963.82 in restitution for defrauding the health system, according to the U.S. Justice Department.
  • Massachusetts surgeon to pay $150K to resolve false billing allegations

    A Massachusetts surgeon will pay $150,000 to resolve allegations of falsely billing the state's Medicaid program, Attorney General Maura Healey announced.
 

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