An employee from University of Iowa Hospitals and Clinics, based in Iowa City, allegedly defrauded the system by more than $272,000 throughout the past 10 years by selling hospital-funded IT equipment on eBay, according to an Iowa City Press-Citizen report.
Legal & Regulatory Issues
Westchester Medical Center in Valhalla, N.Y., has agreed to a $7 million settlement to resolve civil fraud allegations that the hospital submitted false claims to Medicaid for nearly 10 years.
Just as entities governed by the Securities and Exchange Commission's laws are required to have compliance programs and a designated compliance officer or integrity officer, healthcare providers have similar requirements as effectuated under Sections 6401 and 6102 of the Patient…
CMS has agreed to change a provision in its coverage policy that, until now, restricted Medicare coverage to patients who could not demonstrate a likelihood of improvement in health conditions over time, according to a New York Times report.
The American Hospital Association has voiced its support for a preliminary decision by CMS to allow general supervision for 15 hospital outpatient therapeutic services, but asked the agency to consider expanding the "general" level of supervision to 13 additional services,…
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The lawsuit filed by Natchez (Miss.) Regional Medical Center against its former operator, Brentwood, Tenn.-based Quorum Health Services, will proceed this week in preparation of a Nov. 30 trial date, according to a Natchez Democrat report.
Albuquerque, N.M.-based Lovelace Health Plan has filed suit against ABQ Health Partners, claiming the physician group has engaged in a "smear campaign" to steer Lovelace members to other health insurers, according to a New Mexico Business Weekly report.
The assistant police chief from Pennsylvania's Monroeville municipality has filed a complaint, claiming University of Pittsburgh Medical Center, Monroeville and a former police chief violated the Health Insurance Portability and Accountability Act, according to a Pittsburgh Post-Gazette report.
Two former employees from NewYork-Presbyterian Hospital were sentenced this week after defrauding the hospital through a kickback scheme, according to a Wall Street Journal report.
The city of Birmingham, Ala., has lost its legal battle to keep Cooper Green Mercy Hospital open, according to a Birmingham News report.