Federal officials in two states announced healthcare fraud arrests involving millions of dollars.
Legal & Regulatory Issues
Inova Health System, based in Falls Church, Vir., is aggressively campaigning against plans for an HCA hospital that would compete with its Inova Loudoun Hospital in Leesburg, Vir., according to the Washington Post.
Massachusetts Attorney General Martha Coakley has launched an investigation into whether Blue Cross and Blue Shield of Massachusetts and Partners HealthCare colluded to drive up the price of the state's health insurance, according to a Boston Globe report.
Minnesota Attorney General Lori Swanson has filed a lawsuit against Allina Health System alleging that the organization violated the state's usury laws by charging rates of interest of up to 18 percent on medical debts owed by patients, according to…
Texas Attorney General Greg Abbott settled a two-year-old antitrust investigation into alleged anticompetitive conduct by Houston-based Memorial Hermann Healthcare System, according to a news release.
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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.
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.