• Man allegedly used Pennsylvania hospital for $25M Medicare scam

    A Florida man was charged July 27 with conspiracy involving $25 million in fraudulent Medicare claims submitted by Ellwood City (Pa.) Medical Center, according to the Justice Department. 
  • Virginia infusion center, owner ink false claims settlement

    Danville, Va.-based Piedmont Infusion Services and its owner, Jacob Patterson, agreed to pay $310,000 to resolve allegations that they violated the False Claims Act and the Virginia Fraud Against Taxpayers Act by submitting false bills to Medicare and Medicaid, according to a July 26 statement from the U.S. attorney's office.
  • Judge dismisses former director's retaliation suit against MercyOne

    A federal judge has dismissed a lawsuit by a former MercyOne Siouxland Medical Center worker in Sioux City, Iowa. The worker said she was fired in retaliation for filing an ethics complaint against a heart surgeon, according to a July 27 report from the Sioux City Journal.
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  • Healthcare billing fraud: 9 recent cases

    From the feds charging 36 people in an alleged $1.2 billion scheme, to the conviction of a New York medical billing company owner in a $600 million case, here are nine healthcare billing fraud cases that have made headlines since July 8:
  • Former nurse pleads guilty to fraudulently obtaining drugs from 3 hospitals

    A former nurse at Charlottesville, Va.-based Sentara Martha Jefferson Hospital pleaded guilty to charges related to fraudulently obtaining prescription drugs, CBS19 News reported July 26. 
  • 8 recent hospital lawsuits, settlements

    From health systems facing lawsuits over data breaches to a physician suing a Houston hospital for defamation, here are the latest hospital lawsuits and settlements making headlines. 
  • Lab companies, owners to pay $5.7M to settle Medicare fraud claims

    Three clinical laboratories and two of their owners recently agreed to pay $5.7 million to resolve allegations they submitted false claims to Medicare as part of a kickback scheme. 
  • Houston Methodist hit with 2nd lawsuit from physician accused of spreading COVID-19 misinformation

    A Houston physician who resigned her provisional privileges at Houston Methodist Hospital after being suspended for using social media to spread what the hospital called "dangerous [COVID-19] misinformation," is suing the hospital for a second time, according to Houston Public Media.
  • Former Texas health system CEO charged in $1.2B fraud crackdown

    The former CEO of Little River Healthcare was among 36 defendants across the U.S. charged in criminal cases for their alleged involvement in fraudulent telemedicine, durable medical equipment and cardiovascular and cancer genetic testing fraud. 
  • Medical device maker inks $12.95M false claims settlement

    Lake Oswego, Ore.-based Biotronik Inc. has agreed to pay $12.95 million to resolve allegations that it violated the False Claims Act by causing the submission of false claims to Medicare and Medicaid by paying kickbacks to physicians to induce their use of Biotronik's implantable cardiac devices, according to a July 22 press release from the Justice Department.
  • PeaceHealth nursing assistant fired over complaints about staffing, lawsuit alleges

    A certified nursing assistant who worked at PeaceHealth Cottage Grove (Ore.) Community Medical Center has filed a lawsuit, claiming he was fired in retaliation for his complaints about what he described as unsafe staffing, according to The Lund Report.
  • Nurse gets prison time for diverting fentanyl from Florida hospital

    A nurse has been sentenced to one year in prison for tampering with injectable fentanyl while working at a hospital in Jacksonville, Fla., the U.S. Justice Department said July 20.
  • DC nursing home resident charged with 2nd-degree murder in death of roommate

    A patient at Washington, D.C.-based Deanwood Rehabilitation and Wellness Center was charged July 21 with second-degree murder in the bludgeoning of his 80-year-old roommate with a metal bed rail, The Washington Post reported July 21.
  • Indiana hospital settles data breach lawsuit for $425K

    Gary, Ind.-based Methodist Hospitals has agreed to settle a class-action lawsuit for $425,000 following a June 2019 phishing attack that compromised the protected health information of patients. 
  • Biogen to pay $900M to settle kickback allegations

    Biogen has agreed to pay $900 million to resolve False Claim Act allegations involving kickbacks.
  • North Carolina physician assistant indicted in $10M Medicare fraud scheme

    A physician assistant from Monroe, N.C., was indicted July 20 on federal charges in a genetic testing scheme involving $10 million in fraudulent Medicare claims. 
  • Feds charge 36 in $1.2B healthcare fraud schemes

    Thirty-six people across the U.S. were charged for their alleged roles in schemes involving $1.2 billion in fraudulent telemedicine, durable medical equipment, cardiovascular and cancer genetic testing, the Justice Department announced July 20. 
  • HCA faces questions in antitrust lawsuit

    A North Carolina judge is seeking answers from HCA Healthcare by July 25 in a class-action lawsuit alleging the Nashville, Tenn.-based hospital operator engaged in anti-competitive tactics. 
  • Employee with gun arrested at Texas hospital

    An employee was arrested July 19 at Reeves County Hospital in Pecos, Texas, after police found him in his office in possession of a gun, according to NewsWest 9. 
  • BioReference Laboratories & Parent Company agree to resolve $9.85M False Claims Act allegations

    BioReference Health, formerly known as BioReference Laboratories, and OPKO Health have agreed to pay $9.85 million to resolve alleged violations of the False Claims Act arising from BioReference’s payment of above-market rents to physician landlords for office space to induce referrals from those physicians to BioReference, according to a July 14 Justice Department press release. 

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