Eight Miami residents were indicted by the Department of Justice on charges that they were involved in two Medicare and Medicaid Advantage fraud schemes, according to a DOJ news release.
Legal & Regulatory Issues
I. Summary/ConclusionHHS relied mainly on voluntary compliance measures to address HIPAA violations until approximately one year ago. Recent settlements between HHS and health care providers suggest, however, that resolution settlements could be more severe if a violation happens today. HHS…
The U.S. House of Representatives issued the first draft of its healthcare reform legislation, which could have "a devastating effect on physician-owned hospitals," according to a news release from the Physician Hospitals of America.
Bic Chau Stafford, DPM, a podiatrist practicing in St. Louis, Mo., was sentenced to five months in prison for fraudulently billing Medicare and then attempting to cover up the fraud, according to a report in the St. Louis Dispatch.
Mehmood Patel, MD, a cardiologist from Lafayette, La., has been sentenced to 10 years in prison for healthcare fraud, according to a Department of Justice news release.
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N.Y. Attorney General Andrew Cuomo has reached an agreement with California-based insurer HealthNet over flawed out-of-network reimbursement processes, according to a news release from his office.
President Obama and congressional leaders are proposing the creation of a new public health insurance plan to compete with private insurance plans. The President first proposed a public insurance option during the 2008 presidential campaign, but now the details and…
A sticking point in crafting major national health care reform legislation, according to media accounts, is whether or not Congress should create a new "public" plan as an alternative to private insurance plans. The role of a public plan has…
Former co-owner and chairman of the board, for City of Angels Medical Center in Los Angeles, Robert Bourseau, has pleaded guilty to paying illegal kickbacks for patient referrals, according to a report by the Los Angeles Times.
Louisville, Ky.-based Kindred Healthcare will pay $1.3 million to settle allegations that it overbilled TennCare, Tennessee's Medicaid managed care program, according to a report in the Nashville Business Journal.