An audit conducted by the Oregon Health Authority found that Oregon Health Plan, the state's Medicaid program, improperly issued claims to providers for in-home care and transportation despite patients being hospitalized at the time, according to The Lund Report.
Legal & Regulatory Issues
From hospitals settling false claims allegations to a health system suing Tennessee's Medicaid program, here are the latest hospital lawsuits and settlements making headlines.
From HCA Healthcare defeating billing fraud allegations to Geisinger paying $18.5 million to settle allegations of fraudulent billing, here are nine cases that have made headlines since Nov. 1:
The federal government's vaccinate-or-test mandate for businesses will be reviewed by a three-judge panel of the 6th Circuit Court of Appeals in Cincinnati — instead of a panel of all 16 judges, according to The Washington Post.
Five groups representing hospitals and health systems across the U.S. filed an amicus brief Dec. 15 in support of the American Hospital Association and American Medical Association's legal challenge to the surprise-billing rule.
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A federal appeals court has effectively revived in 26 states a CMS vaccination mandate for eligible staff at healthcare facilities participating in Medicare and Medicaid programs.
A judge approved New York City's change to its retiree Medicare contract after a pair of lawsuits, but outlined a new timeline and conditions to its rollout, CBS New York reported Dec. 15.
The Republic of Cameroon extradited Ebong Aloysius Tilong, the owner of a home health company, to Houston to serve an 80-year prison sentence for a Medicare fraud scheme and filing false tax returns, according to a Dec. 13 Justice Department…
Gibson Area Hospital in Gibson City, Ill., will pay $292,000 to resolve allegations that it failed to return overpayments from government insurers in violation of the False Claims Act, according to WAND TV.
A federal appeals court has upheld a lower court's order that temporarily blocks CMS from enforcing its vaccination mandate for healthcare workers.