Due to a lack of resources, HHS's Office of the Inspector General did not investigate 1,200 reports of Medicare and Medicaid fraud and abuse over the past year, according to a report from The Center for Public Integrity.
Legal & Regulatory Issues
The one-year delay on the implementation of the Patient Protection and Affordable Care Act mandate requiring large employers to provide healthcare coverage will have almost no effect on either the reform's cost or the number of people covered, according to…
CMS has finalized a proposed rule that outlines the standards for "navigators," trained professionals who will help consumers learn about and apply for coverage when the new health insurance marketplaces begin open enrollment.
In 2012, approximately $3 billion was returned to the federal government following suits filed under the False Claims Act, according to a report in Lexology.
Richard Barker, the administrative director of the John B. Amos Cancer Center in Columbus, Ga., has filed a whistle-blower lawsuit accusing the center of overbilling government insurers, according to a Ledger-Enquirer report.
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Cedars-Sinai Medical Center in Los Angeles has fired five employees over a patient data breach, according to a Reuters report.
The former CEO of the Hospital for Special Surgery in New York City has pleaded guilty to wire fraud and making false statements, according to a Bloomberg Businessweek report.
Indianapolis-based WellPoint has agreed to pay a $1.7 million settlement to HHS to resolve alleged HIPAA violations.
The United States will receive $4 million in the settlement of a False Claims lawsuit against Jackson, Mich.-based Allegiance Health, a cardiology practice and a cardiologist.
More than three years ago, the Department of Justice launched an extensive investigation into improper Medicare billing for procedures involving implanted cardioverter defibrillators, devices that use electrical pulses to regulate heart arrhythmias. As part of its investigation, the government sent…