The North Carolina Medical Society, along with other state physician groups, oppose a contract addendum sent by Blue Cross Blue Shield of North Carolina that the physicians say would allow the insurance provider to change fees at any time and…
Legal & Regulatory Issues
Seven Philadelphia-area healthcare systems are being sued for allegedly not compensating nurses and other employees for work during unpaid meal breaks, according to a report by the Philadelphia Inquirer.
Jaya H. Maddur, MD, a gastroenterologist based in Sierra Vista, Ariz., agreed to pay the U.S. government $400,000 to settle claims he submitted false claims to TRICARE, according to a news release from the U.S. Attorney General's office.
The U.S. Food and Drug Administration, the Centers for Disease Control and Prevention and the Department for Veterans Affairs have issued a new set of guidelines for healthcare facilities, including hospitals, ASCs and private practices, for the cleaning and processing…
The U.S. Department of Justice secured $2.4 billion in settlements and judgments in cases involving fraud against the government in the fiscal year ending Sept. 30, 2009, according to a DOJ news release.
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Detroit resident Jaquita Lovelace and Miami resident Timothy Pierce have pleaded guilty in U.S. District Court in Detroit to participating in conspiracies to defraud the Medicare program, according to a U.S. Department of Justice news release.
As part of the Obama Administration's goal of reducing waste, fraud and abuse in Medicare, the Department of Health and Human Services and the Centers for Medicare & Medicaid Services have revised and improved their calculations of Medicare fee-for-service error…
Akasia Lee of New Orleans was sentenced in federal court to five years in prison and to pay nearly $5 million in restitution for her role in the conspiracy to commit healthcare fraud, according to a release from the U.S.…
Trinitas Regional Medical Center in Elizabeth, N.J., has agreed to pay the United States $3.02 million to settle allegations that it defrauded Medicare, according to a U.S. Department of Justice news release.
The Mississippi State Department of Health has recommended that Methodist Le Bonheur Healthcare's plan to $137 million, 100-bed hospital in Olive Branch, Miss., is approved, according to a report by the Desoto Times-Tribune.