Two pharmacy employees at Emory University Hospital Midtown in Atlanta illegally diverted more than 1 million doses of controlled drugs, including Xanax, as part a scheme that ran from October 2008 until July 2013, according to The Augusta Chronicle.
Legal & Regulatory Issues
Mercy Springfield (Mo.) was ordered Friday to pay $751,000 to a physician who sued the nonprofit health system in 2013, claiming she was fired for raising concerns over the hospital's treatment and billing practices, according to the Springfield News-Leader.
Fort Myers, Fla.-based 21st Century Oncology, the nation's largest physician-led integrated cancer care provider, has agreed to pay the federal government $34.7 million to resolve allegations it performed and billed for procedures that were not medically necessary, according to the…
The U.S. Court of Appeals for the Sixth Circuit has been ordered to re-examine Michigan's Health Insurance Claims Assessment Act in light of the Supreme Court's recent ruling in Gobeille v. Liberty Mutual, reports Bloomberg BNA.
During a health exchanges forum hosted by America's Health Insurance Plans on March 8, HealthCare.gov CEO Kevin Counihan said the Affordable Care Act exchanges are in good shape, according to The Hill.
Five behavioral health hospitals operating in Massachusetts are under investigation by the Department of Justice for possible billing fraud, according to a report filed with the Securities and Exchange Commission.
Many Virginia hospitals claimed victory Monday when the state senate used a procedural move to sideline legislation aimed at reforming the certificate of public need law, reports The Virginia Pilot.
CMS has fined Health Net and Dallas-based Tenet Healthcare, which both operate Medicare plans, for wrongly denying coverage for prescription drugs and inappropriately delaying policyholder appeals.
The current administration of Blountstown, Fla.-based Calhoun Liberty Hospital is accusing former CEO Phillip Hill of defrauding the hospital of more than $1 million over a six-year period, according to the Tallahassee Democrat.
Isaac Kojo Anakwah Thompson, MD, of Delray Beach, Fla., has pleaded guilty to one count of healthcare fraud for engaging in a scheme to defraud the Medicare Advantage program, according to the Department of Justice.