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Home health agency agrees to pay MassHealth $6.53M to settle fraud case
Compassionate Homecare, a home health company, will pay $6.53 million to resolve a lawsuit that alleged it billed MassHealth for services that were not authorized by a physician. -
Court sides with HHS in Indiana hospitals' challenge to Medicare payment calculation
A lawsuit filed by two Indiana hospitals over a Medicare payment calculation was properly dismissed by an HHS appeal board, the U.S. District Court for the District of Columbia ruled March 25. -
Justice Department to join whistleblower lawsuit against EHR vendor, CEO
The Justice Department has filed a notice that it will join a whistleblower lawsuit against EHR vendor Modernizing Medicine and its CEO and co-founder, Daniel Cane. -
Former Vanderbilt nurse found guilty
A jury convicted former Vanderbilt nurse RaDonda Vaught of criminally negligent homicide and abuse of an impaired adult, The Tennessean reports. -
Florida physician sentenced to 2 years for fraud scheme
A Florida physician was sentenced to two years in prison for a scheme to defraud Medicare and a financial services company that offered loans to patients for out-of-pocket medical expenses. -
Scripps Health faces lawsuit in the aftermath of the Kronos data breach
San Diego-based Scripps Health employees filed a lawsuit against the health system after the Kronos data breach affected their pay. -
Former payroll director at New York hospital accused of embezzling
A former Nassau University Medical Center payroll director is accused of embezzling more than $121,000 from the hospital, Nassau County (N.Y.) District Attorney's Office announced March 24. -
Addiction treatment center owners sentenced to prison in $112M fraud scheme
Two brothers who operated a pair of South Florida addiction treatment facilities were sentenced to prison March 21 for a $112 million billing fraud scheme. -
9 recent healthcare industry lawsuits
From a New York health system suing its insurer in an attempt to recoup losses to an Arkansas hospital sued for allegedly failing to protect patient information, here are the latest healthcare industry lawsuits making headlines. -
7 recent billing disputes
Over the last two months, several lawsuits over healthcare companies' billing and reimbursement practices have made headlines. -
Massachusetts surgeon accused of billing fraud
A Massachusetts orthopedic surgeon was indicted on 11 counts of healthcare fraud for an alleged upcoding scheme, according to the Justice Department. -
10 physicians, healthcare CEO to pay $1.68M to settle kickback claims
Ten Texas physicians and a healthcare executive who operates a group of medical practices in Florida agreed to pay a total of $1.68 million to settle kickback allegations, according to a March 22 Justice Department news release. -
TeamHealth hit with suit alleging inappropriate billing, overcharges
A self-funded employer in Louisiana is suing Knoxville, Tenn.-based TeamHealth over what it considers inappropriate billing and "systematic overcharges." -
California health system sues Kaiser, alleging 'tens of millions' in underpayments
Santa Barbara, Calif.-based Cottage Health sued Oakland, Calif.-based Kaiser Permanente, alleging the insurer routinely underpaid claims, according to the Santa Barbara Independent. -
Criminal trial begins for ex-Vanderbilt nurse who made fatal drug error
Jury selection began March 21 for the trial of RaDonda Leanne Vaught, a former nurse facing criminal charges over a fatal medication error, according to CBS affiliate WTVF. -
Healthcare billing fraud: 7 recent cases
From 12 physicians receiving prison sentences in a $250 million billing fraud scheme to a Tennessee court allowing the Justice Department to intervene in an $800 million fraud case against Memphis, Tenn.-based Methodist Le Bonheur, here are seven healthcare billing fraud cases that made headlines since March 1: -
New York health system sues insurer to recoup $228M in COVID-19 losses
Buffalo, N.Y.-based Kaleida Health is suing its insurance provider, American Guarantee and Liability Insurance Co., arguing it should cover $228 million in losses tied to the COVID-19 pandemic, the Buffalo News reported March 21. -
15-month sentence for women who defrauded patients of a Louisiana medical clinic
A woman has been sentenced to serve 15 months in federal prison for defrauding patients of a Metairie, La.-based medical clinic. -
2 sentenced for $48M medical reimbursement account fraud scheme
Louisiana residents Denis and Donna Joachim were sentenced March 17 for creating, marketing and operating a $48 million fraudulent medical reimbursement program, according to a Justice Department news release. -
Virginia physician sentenced in $1.8M fraud scheme against payers, patients
Former Virginia physician Leonard Rosen, MD, was sentenced March 18 for his role in a $1.8 million fraud scheme that exploited payers and patients, according to The Washington Post.
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