A Louisiana physician pleaded guilty to defrauding Medicare out of $5.6 million by ordering medically unnecessary durable medical equipment and cancer genetic testing.
Legal & Regulatory Issues
Half of the hospitals that have been fined by CMS for alleged price transparency violations have appealed their penalties.
The federal government is planning to take another No Surprises Act court loss to the 5th Circuit Court of Appeals, according to an Oct. 20 court filing.
A Wyoming nurse pleaded guilty to conspiracy to commit healthcare fraud in a $6.1 million healthcare scheme in Idaho.
Connecticut Attorney General William Tong has widened an investigation into Stone Academy, a nursing school that was shut down in February after failing to address multiple compliance issues.
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A Kaiser Permanente hospital in California was fined $18,000 after an MRI machine's magnetic field pulled a metal bed and a nurse, causing her serious injuries, the Daily Post reported Oct. 20.
Several dialysis providers agreed to pay more than $9.5 million to settle allegations they double billed Medicaid for certain medications.
Retail pharmacies are accusing Express Scripts and Prime Therapeutics of monopolizing the pharmacy benefit manager market and conspiring to extort pharmacies, according to court documents.
St. Mary Medical Center in Long Beach, Calif., faces lawsuits filed by former executives alleging the hospital forced them out after they raised patient safety concerns, the Long Beach Business Journal reported Oct. 23.
A New York physician pleaded guilty to counts of unlawful distribution of opioids and healthcare fraud, the Adirondack Daily Enterprise reported Oct. 23.