On Dec. 23, a jury awarded $21 million to Benjamin Danielson, MD, after determining that Seattle Children's racially discriminated against him during his tenure as medical director of one of its clinics, according to the Seattle Times. The verdict followed…
Legal & Regulatory Issues
Knoxville, Tenn.-based University Health System and Labcorp have paid $388,667 to resolve allegations that they violated the False Claims Act by delaying the submission of physician orders for certain lab tests by Caris Life Sciences to enable improper billings to…
Indianapolis-based Community Health Network has paid $145.7 million to the Justice Department and the state of Indiana to settle alleged violations of the Anti-Kickback Statute and False Claims Act.
The U.S. Court of Appeals for the Second Circuit partially upheld and partially vacated a district court's ruling in a False Claims Act case against Novartis Pharmaceuticals.
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…
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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.
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.