Legal & Regulatory Issues

In this episode we are joined by Madison Goldfischer, Vice President of Product Innovation at Zelis, to discuss billing errors. We dive into the challenges people face in identifying them, the role that economic gaps play in addressing them, the…

Kettering (Ohio) Health has hired an outside firm to conduct an internal investigation into allegations of inappropriate fiscal and operational management, the Dayton Daily News reported March 27. The firm will recommend updates to processes and policies.

Major hospital groups are ramping up resistance to physician-owned hospitals, which were checked by the Affordable Care Act but have recently become subject of renewed attention.

A congressman has introduced a bill aimed at closing a "shocking loophole" that has led to Medicare and Medicaid fraud and abuse, Kaiser Health News reported March 28. 

A whistleblower lawsuit filed against Chattanooga, Tenn.-based Erlanger Health System alleges hospital leaders knowingly overlapped surgeries and allowed trainees to operate without physician supervision, leading to patient safety issues and illegal billing practices, Times Free Press reported March 27.

A court has awarded $20 million to a man who alleged that his left leg had to be amputated after his blood clot was misdiagnosed as sciatica by staff at Lowell (Mass.) General Hospital, according to The Boston Globe. 

The Houston-based owners of a home health company have been indicted on charges related to an alleged $8.7 million healthcare fraud scheme. 

Samer Ilayan, MD, is suing Grand Rapids, Mich.-based Corewell Health for alleged religious discrimination that resulted in his termination, ABC affiliate WXYZ reported March 27. 

Two new mothers filed complaints with the New Jersey Division on Civil Rights after they were drug tested without their knowledge or consent and then reported for neglect or abuse based on the positive test results.

Florida police arrested a former Tallahassee hospital pharmacist amid concerns over his mental health and a cache of weapons. Homemade explosives, 25 guns, body armor and hundreds of ammunition rounds were found in his car, according to the Tallahassee Democrat…