The CEO of a chain of medical clinics in Michigan and Ohio was sentenced March 3 to 15 years in prison and ordered to pay $51 million in restitution for his role in a $150 million healthcare fraud scheme, according…
Legal & Regulatory Issues
Allergy and Asthma Associates, a medical practice in Roanoke, Va., has agreed to pay $2.1 million to resolve allegations of fraudulent billing.
Four individuals, including a medical director, operator and two unlicensed clinicians, at a Texas medical clinic were arrested in connection with a nearly $32 million healthcare fraud scheme, the U.S. Justice Department said March 2.
George Griffin, MD, an orthopedic surgeon in Cincinnati, was sentenced to 40 months in prison March 1 for illegally distributing controlled substances, according to the U.S. Department of Justice.
A Kentucky federal grand jury on Feb. 24 indicted two surgeons on charges of illegal opioid distribution, healthcare fraud and healthcare fraud conspiracy, according to the U.S. Department of Justice.
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Blue Shield of California, which is overseeing COVID-19 vaccine distribution for the state, initially wanted "expansive" patient data from the University of California Health System in Oakland, according to the Los Angeles Times.
CMS issued a guidance Feb. 26 that requires group health plans to waive cost-sharing for COVID-19 testing even if a person doesn't have symptoms or a suspected exposure, among other requirements.
From a West Virginia hospital entering into a settlement in a false billing case to a California university sued over its plan to build a new hospital campus, here are the latest healthcare industry lawsuits and settlements making headlines.
Cigna asked a New Jersey federal court to end a lawsuit filed by a radiology lab that claims the health insurer wrongfully denied payment for COVID-19 services, according to court documents and Law 360.
A Fort Worth, Texas, physician who fraudulently billed insurers was sentenced to 10 years in prison for his role in a $10 million healthcare fraud, the U.S. Justice Department announced Feb. 25.