Lisset Lombera and Yamilet Cardenas, both of Miami-Dade County, were sentenced to prison and supervised release after pleading guilty to conspiracy to commit healthcare fraud, according to a Department of Justice news release.
Legal & Regulatory Issues
The United States' civil False Claims Act suit against drug manufacturer Johnson & Johnson and two of its subsidiaries suggests increased scrutiny by the federal government in reviewing discount and rebate arrangements between drugmakers and healthcare providers, according to Kristian…
The Hill, which covers Washington politics, has compiled a list of 10 strategic and tactical decisions by Democrats that caused their health reform legislation to stall, making it less likely to pass:
The former owners of 292-bed Los Angeles City of Angels Medical Center have agreed to pay $10 million to settle a Medicare and Medi-Cal fraud lawsuit, according to a release by the U.S. Justice Department.
A Texas law passed in June allows Texans to use a mediator to negotiate disputed charges of more than $1,000 by healthcare providers, but many mediators are reluctant to participate in such negotiations, according to a report by the Dallas…
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The comment period on Standard MS 01.01.01 (formerly MS.1.20), which addresses establishing a working relationship between hospital governance and medical staff, will close on Jan. 28, 2010, according to a Joint Commission news release.
Hospitals in several states are contesting a new policy from UnitedHealthcare that would cut payments in half if the insurer isn't notified of an admission within 24 hours, according to a report by the New York Times.
It is illegal in a number of states for physicians to pay a percentage of collected fees to billing and collections companies, a practice known as "fee splitting," but the prohibition has been widely ignored and percentage-payment arrangements have flourished,…
Toe Myint, MD, a physician based in Troy, Mich., was convicted today by a Detroit jury of conspiracy to commit healthcare fraud in a $4.2 million Medicare fraud scheme, according to a news release from the U.S. Department of Justice.
Stewart Powers, CEO of the now closed Community Specialty Hospital in Sherman, Texas, and Brandon Allen Ray, RN, were arrested for their roles in a scheme to commit healthcare fraud, according to a news release by the U.S. Department of…