Maryland General Hospital in Baltimore has agreed to pay $750,000 to settle a False Claims Act suit, according to a report in The Baltimore Sun. The hospital allegedly billed Medicare and Medicaid for multiple procedures using single scans between…
Legal & Regulatory Issues
HHS Secretary Kathleen Sebelius is being sued by eight hospitals in Maine for allegedly issuing an arbitrary and unsound ruling in a dispute over disproportionate share payments, according to a Bangor Daily News report.
The Southern District of Illinois has ruled the updated retaliation provision in the False Claims Act means immediate supervisors cannot be held individually liable for retaliation, according to a report from law firm McGuireWoods. The case that led to the…
Missouri Gov. Jay Nixon said Friday that he would neither sign nor veto anti-abortion legislation that the Missouri State Legislature has passed, which will allow it to take effect Aug. 28, according to a report from the News Tribune.
2012 was a big year for hospital fraud and abuse enforcement, as the Justice Department set a new record for healthcare fraud recoveries with the $4.9 billion it collected in settlements and judgments. This record of high recoveries is on…
From 2008 to 2011, the Hospital of the University of Pennsylvania in Philadelphia received almost $538,000 in Medicare overpayments due to incorrectly billed inpatient and outpatient claims, according to a report from the HHS Office of Inspector General.
Ogden (Utah) Regional Medical Center has been found guilty of retaliatory termination for firing an employee after he lodged a racism complaint against the hospital, according to a Miami Herald report.
Republican members of the House of Representatives will introduce a conservative healthcare reform plan to replace the Patient Protection and Affordable Care Act after the August recess, according to a report in The Hill.
Baptist Health South Florida in Coral Gables will pay $597,751 to the Internal Revenue Service to settle an investigation into the system's 2007 bond offering, according to a South Florida Business Journal report.
Lawyers are going after hospitals that allegedly reject patients' health insurance after treatment for auto accidents in hopes to collect from an auto insurance settlement, and more lawyers are keeping an eye out for such a practice, according to a…