From a judge sentencing four people for their roles in a $54.3 million scheme to a Medicare Advantage insurer agreeing to pay up to $98 million to settle allegations of knowingly submitting invalid diagnoses, here are 10 healthcare billing fraud…
Legal & Regulatory Issues
Providence St. Joseph Hospital in Eureka, Calif., has filed a motion to dismiss a lawsuit brought by the state attorney general, which alleged the hospital unlawfully denied an emergency abortion to a woman diagnosed with a condition that threatened her…
TRACO, an insurance affiliate of Dallas-based Steward Health Care, filed a Dec. 26 complaint in bankruptcy court alleging that the for-profit health system has failed to repay funds despite court orders authorizing payments, jeopardizing insurance coverage for thousands of Steward-affiliated…
Raleigh-based UNC Health Rex, a private, nonprofit health system that is part of Chapel Hill, N.C.-based UNC Health, has been sued by the U.S. Equal Employment Opportunity Commission for alleged religious discrimination.
Philip Hall, a 48-year-old pharmacist of Jamestown, Tenn., has been arrested and charged with six counts of aggravated identity theft and nine counts of healthcare fraud.
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Sixteen different cardiology practices and associated physicians across 12 states have agreed to pay a combined $17.7 million to settle allegations of overbilling Medicare for diagnostic radiopharmaceuticals.
A website containing information for provider class settlement members in Blue Cross Blue Shield antitrust litigation has launched.
A San Francisco federal judge expressed skepticism about advancing a proposed class action accusing Google of violating privacy laws by collecting health data through its website tracking tools, Bloomberg Law reported Dec. 19.
Two U.S. senators have introduced a bill they say aims to bolster the No Surprises Act by ensuring health insurers "reimburse providers promptly so costs are not passed along to patients."
Riverdale Ga.-based Southern Regional Medical Center is being sued by a patient's family after he escaped from the hospital and was shot by police, Atlanta News First reported Dec. 18.