A small hospital in Tennessee submitted "suspicious" claims to BlueCross BlueShield of Tennessee to collect improper payments, the health insurer alleged in a news release shared with the Tennessean.
Legal & Regulatory Issues
Four organizations representing hospitals and health systems across the nation sued HHS Dec. 4, challenging a final rule that requires hospitals to disclose the rates they negotiate with insurers beginning in 2021.
A federal jury ruled in favor of Mercy Physician Associates Nov. 13 in a wage discrimination lawsuit, rejecting allegations that a female family practice physician was paid less than her male peers for the same work, according to The National…
A judge handed down a suspended prison sentence Dec. 3 to Lon Butikofer, PhD, RN, the former CEO of Regional Medical Center in Manchester, Iowa, who pleaded guilty to first-degree theft in October, according to local radio station KMCH.
Kettering Health Network police believe thefts occurring at hospitals and physician practices in Ohio and Indiana may be related, local Ohio news station WHIOTV 7 reports.
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Anthem Blue Cross in California was slapped with $9.6 million in fines from January 2014 through November 2019, according to an analysis cited by the Los Angeles Times and written for Kaiser Health News.
The FBI is investigating whether Newark (N.J.) Beth Israel Medical Center attempted to defraud federal insurers through its organ transplant program, according to ProPublica.
Citing citing serious violations of the state health law, Pennsylvania's health department ordered Ellwood City (Pa.) Medical Center to cease inpatient and emergency services last week, according to KDKA, a Pittsburgh-based CBS affiliate.
Software malfunctions and misuse of medical technology have resulted in the deaths of 22 detainees in Immigration and Customs Enforcement between 2013 and 2018, according to a Dec. 1 Politico report.
Seattle Children's Hospital will face another lawsuit over the series of patient infections and deaths linked to Aspergillus mold in its operating rooms, according to KIRO 7.