From two men charged in a $227 million Medicare scheme to a Boston physician pleading guilty to her role in a $35.3 million Medicare scheme, here are 10 healthcare billing fraud cases that Becker’s has reported since April 24: 1.…
Legal & Regulatory Issues
A months-long dispute over the future of pediatric care in Collier County has reached a resolution, as Fort Meyers, Fla.-based Lee Health and Nicklaus Children’s announced a settlement agreement ensuring that the Golisano Children’s Health Center in Naples, Fla., will…
The U.S. Trustee for the Southern District of Texas filed a May 25 expedited motion to convert Dallas-based Steward Health Care’s Chapter 11 bankruptcy case to a Chapter 7 liquidation due to the for-profit health system’s inability to pay around…
Two Illinois men have been charged for allegedly submitting more than $227 million in fraudulent claims to Medicare. Five things to know: 1. Syed Kablazada, 34, of Arlington Heights and Syed Hussain, 32, of Carol Stream, owned and operated purported…
The state of New Hampshire and Lebanon-based Dartmouth Health, Concord Hospital Health System and the New Hampshire Hospital Association have reached a settlement agreement on pending litigation over the state’s Medicaid Enhancement Tax and Disproportionate Share Hospital payments. The settlement,…
A rheumatologist from Mission, Texas, was sentenced to 10 years for falsely diagnosing patients with chronic illnesses and billing insurers for more than $118 million in fraudulent claims. Five things to know: 1. Jorge Zamora-Quezada, MD, 68, falsely diagnosed patients…
The Texas House of Representatives approved a bill on May 22 that seeks to prevent healthcare providers from changing a patient’s sex in medical records, outside of some exceptions, by levying fines of up to $25,000 per incident. If passed,…
Tensions between the federal government and Cambridge, Mass.-based Harvard University have intensified in recent days, with federal officials now moving to end all remaining financial ties with the university, The New York Times reported May 27. Six updates: 1. The…
The former COO of Jackson Health Foundation — the fundraising arm of Miami-based Jackson Health System — has been charged in a federal indictment for allegedly embezzling from the foundation by submitting false invoices and receiving kickbacks, according to a…
Medicare could face nearly $500 billion in cuts over the next decade under Republicans’ “One Big Beautiful Bill Act,” which also proposes significant reductions to Medicaid and other healthcare programs. According to a May 20 report from the nonpartisan Congressional…