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Legal & Regulatory Issues

From a physician couple pleading to their roles in a scheme to a former Georgia insurance commissioner pleading guilty to his role in a $2.5 million scheme, here are 12 healthcare billing fraud cases Becker's has reported since March 14: 

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The federal government reported an estimated $235.8 billion in improper payments in fiscal year 2023, with more than $100 billion coming from Medicare and Medicaid, according to a March 26 report from the U.S. Government Accountability Office. 

Kenney and Sams, a Boston law firm, has filed a lawsuit against financially troubled Dallas-based Steward Health Care claiming that the health system owes it $605,306 for legal services rendered, including interest and additional damages. 

The New York State Department of Health is accusing Mount Sinai Beth Israel of violating a "cease and desist" order prohibiting the closure of any beds or services without state approval, Politico reported March 25. 

Proposed state legislation to change Tennessee's certificate-of-need legislation would cause hospital service cuts and closures and reduce care access for many communities across the state, according to the Tennessee Hospital Association. 

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