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Legal & Regulatory Issues

The Office of Inspector General has issued its Provider Self-Disclosure Protocol, which outlines the process for healthcare providers to follow when they discover conduct that may violate federal fraud and abuse laws.

Smith & Nephew has reached a settlement with the U.S. Securities and Exchange Commission and the U.S. Department of Justice in connection with their Foreign Corrupt Practices Act investigation, according to a company news release.

Insurance company Aetna is suing seven California surgery centers for a billing system that the payor claims "recklessly subverts" healthcare delivery by allegedly overcharging for certain services, according to a Bloomberg Businessweek report.

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White Memorial Medical Center in Los Angeles has been accused of patient-dumping and now faces a lawsuit alleging elder abuse, false imprisonment and hospital negligence, according to a Los Angeles Times report.

Federal investigators are looking into the billing practices at Beth Israel Deaconess Medical Center in Boston to determine whether it overbilled Medicare for inpatient stays, according to a Boston Globe report.

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