A U.S. District Court rejected a challenge brought by a group of cardiologists, surgeons and physician-owned entities, which claimed that a change in CMS's self-referral rules could hurt patient care, according to a report in American Medical News.
Legal & Regulatory Issues
Regulators from the California Department of Managed Health Care obtained an order from an administrative judge preventing Raymond and Jean Palombo of Riverside, Calif., from selling HMO and PPO insurance plans in California, according to a report in the Los…
The Tennessee Medical Association is suing Franklin, Tenn.-based Health Research Insights, which was working to take back reimbursements paid to physicians in several states, alleging fraud and asking the state to stop HRI from collecting more money from physicians, according…
Jose Luis Perez of Golden Beach, Fla., and Reinaldo Guerra of Miami have been indicted in a $179 million Medicare fraud scheme, according to a report in the South Florida Business Journal.
Otis Story, former CEO of Grady Memorial Hospital in Atlanta, has settled a lawsuit with the hospital over his dismissal, which he says was orchestrated by another former CEO, Pamela Stephenson, so she could take over the position, according to…
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A federal appeals court upheld a district court ruling that Westchester County Health Care Corporation, a public benefit corporation created by the state of New York that operates Westchester Medical Center in Valhalla, N.Y., is immune from unfair competition claims…
The Yale-New Haven (Conn.) Hospital has paid $3.2 million to Medicare to settle allegations that the hospital improperly billed the program for unnecessary inpatient hospital admissions from April 1998 to April 2006, according to a report in the New Haven…
The LSU Health Sciences Center – Shreveport (La.) has settled federal allegations that it defrauded Medicare by billing $706,678 for services not provided, according to a report in the Shreveport Times.
Mimbres Memorial Hospital and Nursing Home in Deming, N.M., part of the Community Health Systems, has been named in $17 million lawsuit filed in United States District Court for violations of the federal False Claims Act, among other allegations, according…
The Centers for Medicare & Medicaid Services has released three National Coverage Determinations, which state that CMS will not pay for surgical errors.