Legal & Regulatory Issues

North Carolina House and Senate leaders have agreed on a Medicaid expansion plan, but expansion is only part of the deal, the Charlotte Observer reported March 3. 

Winston-Salem, N.C.-based Atrium Health Wake Forest Baptist, now part of Charlotte, N.C.-based Advocate Health, has agreed to pay $757,585 to settle claims that it overpaid for Medicare, The Center Square reported March 3. 

Michele Rose, who, according to her LinkedIn, worked for Jasper, Ind.-based Memorial Hospital and Health Care Center, has been indicted by a grand jury on charges related to the alleged embezzlement of $153,769 from the hospital. 

Two owners of a chain of addiction treatment centers in Massachusetts were charged in connection with millions of dollars of healthcare fraud connected to fraudulent billings, the Justice Department said March 2. 

Durable medical equipment company Numotion has agreed to pay $7 million to resolve allegations it submitted false claims for reimbursement to Medicaid programs. 

A California couple is accusing a fertility clinic of mistakenly implanting the wrong embryo with a genetic mutation for rare cancer, then covering it up, The Washington Post reported March 1.

Nine months after the Federal Trade Commission launched an inquiry into pharmacy benefit practices, the House Committee on Oversight and Accountability opened an investigation March 1. 

Warsaw, N.Y.-based Wyoming County Community Health System is being sued by a physician who was terminated more than a year ago, The Buffalo News reported March 1.

A former Missouri lawmaker was sentenced to six years and three months in prison without parole for separate COVID-19 and healthcare fraud schemes of $900,000 and $200,000, respectively. 

The following healthcare billing fraud cases have been reported by Becker's since Jan. 20.