The Justice Department filed a suit last week in Orlando federal court against Daytona Beach, Fla.-based Halifax Health alleging the health system violated the anti-kickback law in financial arrangements with physicians and submitted false claims as a result, according to…
Legal & Regulatory Issues
Carlisle (Pa.) Regional Medical Center has been cited by The Joint Commission for failing to provide care to the patient after operative or high-risk procedures and/or the administration of moderate or deep sedation or anesthesia, among other deficiencies, according to…
A bipartisan group of representatives, led by Reps. Ron Kind (D-Wis.) and Jo Ann Emerson (R-Mo.), are urging the debt reduction committee to protect critical access hospitals as they consider proposals for $1.5 trillion savings, according to an AHA News…
Drugmaker GlaxoSmithKline has agreed to a $3 billion settlement with the United States to resolve investigations of possible price irregularities and the marketing of the diabetes drug Avandia, according to a New York Times report. The settlement would be the…
Jewish Hospital & St. Mary’s HealthCare in Louisville, Ky., has agreed to pay $435,502 to settle claims that it overbilled Medicare from 2006-2010, according to a Business First report. Federal officials contended that JHSMH improperly charged Medicare for outpatient wound-care…
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A federal grand jury in Denver is investigating the relationship between dialysis company DaVita and Denver Nephrology to determine whether kickbacks were involved in patient referrals, according to a Denver Post report. In 2008, DaVita sold 49-percent ownership in seven…
Political experts say Democratic leaders and supporters of the healthcare reform law may have a new opportunity if the Supreme Court decides to strike down the healthcare reform law's individual mandate, according to a Politico report.
Twelve individuals, including five physicians, were charged today in the Eastern District of New York for their alleged roles in separate healthcare fraud schemes that resulted in the submission of more than $95 million in false claims to the Medicare…
A judge has dismissed a 2008 lawsuit filed by Community Memorial Hospital in Ventura, Calif., that claimed an attorney and accountants covered up the former CEO’s alleged financial impropriety, according to a Ventura County Star report. Ventura County Superior Court…
CMS recently released revisions to its Interpretive Guidelines for Hospitals (S&C 11-36-Hospital/CAH) to clarify patients' rights concerning designation of representatives.