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Legal & Regulatory Issues

A Louisiana physician has been indicted for his alleged role in a scheme to defraud Medicare of more than $32.7 million by submitting claims for medically unnecessary definitive urine drug testing services.

After a six-year legal battle, Beaufort (S.C.) Memorial Hospital has withdrawn its certificate of need for a planned hospital in Bluffton, S.C., the hospital confirmed in a statement shared with Becker's.

Dakota Dunes, S.D.-based Dunes Surgical Hospital, United Surgical Partners International and USP Siouxland agreed to pay $12.76 million to resolve allegations that the surgical center violated the False Claims Act through improper relationships with two physician groups. 

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From 80 hospitals suing HHS over disproportionate share hospital payments to Piedmont Healthcare defeating a data-sharing lawsuit, here are 11 lawsuits, settlements and legal developments that Becker's has reported since Sept. 4:

Eighty hospitals are seeking to have the Part C (Medicare Advantage) Days Final rule vacated, alleging that HHS unlawfully reduced disproportionate hospital share payments by an estimated $3 billion to $4 billion over a nine-year period.

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