From a for-profit hospital operator settling a false claims case for $122 million to a former hospital executive charged in a $1.4 billion billing scheme, here are five healthcare billing fraud cases that made headlines in the past month.
Legal & Regulatory Issues
The FDA will now require information about naloxone, a drug that treats opioid overdose in emergency situations, on the label for all opioid pain medication and medications that treat opioid use disorder.
Bethlehem, Pa.-based St. Luke's University Health Network can sue another Pennsylvania hospital accused of inflating its reimbursement claims under the federal Racketeering Influenced and Corrupt Organization Act, a federal appeals court ruled July 22.
A former employee of Rochester, Minn.-based Mayo Clinic was sentenced July 20 for embezzling $171,000 from the health system, according to court records.
Baltimore-based University of Maryland Medical System and its Towson-based St. Joseph Medical Center are facing a lawsuit after canceling a hysterectomy for a transgender man, according to The Baltimore Sun.
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From a panel of appellate judges upholding HHS' site-neutral payment cuts to King of Prussia, Pa.-based Universal Health Services settling false claims allegations, here are the latest healthcare industry lawsuits and settlements making headlines.
An appeals court upheld the Trump administration's expansion of short-term health plans in a 2-1 decision July 17.
A judge in Gwinnett County, Ga., dismissed four nurses' request for emergency injunctive relief in a lawsuit filed against Landmark Hospital of Athens (Ga.). The lawsuit alleges the hospital manipulated COVID-19 test results and created a public health risk.
The following hospital lawsuits and settlements were reported since June 24, beginning with the most recent.
The Illinois Department of Insurance fined health insurers more than $2 million for violating mental health parity laws.