The HHS' Inspector General has announced that an administrative law judge upheld its earlier exclusion from federal health programs of three former corporate executives with Purdue Frederick, the manufacturer of painkiller OxyContin.
Legal & Regulatory Issues
This article discusses 12 key concepts regarding the possible prohibitions on physician-owned hospitals contained in the recent version of the State Children’s Health Insurance Program (SCHIP) bill introduced in and passed by the House of Representatives. Exhibit A (pdf) is…
A New Orleans psychiatrist was sentenced to more than seven years in prison for her role in a healthcare fraud scheme, according to a news release from the U.S. Attorney's Office for the Eastern District of Louisiana.
The owners and operators of two Miami medical clinics, and a phlebotomist at one of the clinics, have pleaded guilty to conspiring with others to submit approximately $5.3 million in fraudulent claims to Medicare, according to the U.S. attorney for…
The U.S. Department of Health and Human Services (HHS) has issued a final rule that replaces the ICD-9-CM code set with ICD-10 code sets.
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The Government Accountability Office (GAO) is urging the U.S. Food and Drug Administration (FDA) to use the most stringent pre-market review process in approving high-risk medical devices, according to a GAO report.
Shortly after settling with New York Attorney General Andrew Cuomo, the nation’s second largest health insurer, Minneapolis-based UnitedHealth Group, agreed to pay $350 million to resolve a class action lawsuit with the American Medical Association (AMA) and the Medical Society,…
Minneapolis-based UnitedHealth Group has agreed to pay $50 million to settle allegations from N.Y. Attorney General Andrew Cuomo that the health plan and its wholly owned subsidiary, Ingenix, manipulated out-of-network insurance payment rates for physician fees, according to a news…
The Centers for Medicare and Medicaid Services (CMS) has, over the last several years, grown increasingly concerned with percentagebased lease arrangements, indirect financial relationships, per click payments and “under-arrangements” transactions. It has long indicated that changes to the Federal Ethics…
U.S. District Judge Patricia Seitz has sentenced two Miami brothers who headed a now bankrupt medical supply company to nearly nine years in prison for swindling a South Florida HCA hospital, according to a press release from the United States…