The former owner of a hospice care company was sentenced to 72 months in prison and ordered to pay more than $3.6 million in restitution for her role in a healthcare fraud scheme.
Legal & Regulatory Issues
Houston-based Baylor St. Luke's Medical Center, Baylor College of Medicine and Surgical Associates of Texas have jointly agreed to pay $15 million to resolve claims they billed for concurrent heart surgeries that violated CMS teaching physician and informed consent regulations.
Massachusetts lawmakers are taking aim at real estate investment trusts amid Dallas-based Steward Health Care's ongoing financial troubles.
Arkansas Attorney General Tim Griffin filed a lawsuit June 24 against pharmacy benefit managers Optum Rx and Express Scripts for their alleged role in enabling the opioid epidemic in the state.
A Maine physician was found guilty on 15 counts of unlawfully distributing controlled substances.
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The Supreme Court has agreed to assess the constitutionality of Tennessee's ban on gender-affirming care for people younger than 18, The Washington Post reported June 24.
From a Texas physician convicted in a $70 million scheme to an Illinois physician getting an eight-year prison sentence for a $1.2 million scheme, here are 10 healthcare billing fraud cases Becker's has reported since June 7:
Sacramento, Calif.-based Sutter Health beat a whistleblower's lawsuit alleging that the health system owed $519 million for double-billing expensive operating room services without documentation, Law360 reported June 20.
A Chicago-based healthcare company and its former owners agreed to pay $2 million to settle allegations that it submitted false claims to Medicare and Medicaid.
The CEO of medical device company Stimwave on June 17 was sentenced to six years in prison for helping create and sell fake components for chronic pain devices implanted in patients.