A whistle-blower has filed a lawsuit alleging OptumHealth Behavioral Solutions, a subsidiary of UnitedHealth Group, allowed nine behavioral health providers in New Mexico to submit false claims for more than a year, according to The New Mexican.
Legal & Regulatory Issues
A former supervisor in the claims department at Pittsburgh-based UPMC has received a 21-month prison sentence for mail fraud and healthcare fraud offenses, according to the Department of Justice.
A U.S. district court judge has ruled part of a lawsuit against bankrupt West Memphis, Ark.-based Crittenden Regional Hospital can proceed as a class-action lawsuit, according to an Arkansas Business report.
A Pennsylvania woman has been charged with stealing approximately $97,000 in fraudulent Medicaid claims, according to the Reading Eagle.
Together, health insurers Aetna and Cigna spent over $1.3 million on outside lobbyists last year, according to The CT Mirror.
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Here are the seven most common reasons for malpractice suits against physicians, according to the Medscape Malpractice Report 2015: Why Most Doctors Get Sued.
From a Mississippi hospital agreeing to pay $156 million to settle pension fraud lawsuits to three Connecticut hospitals joining the legal battle over the two-midnight rule, here are the latest healthcare industry lawsuits and settlements making headlines.
Arthur Davida, MD, an employee and part owner of Bloomingdale, Ill.-based Home Care Physicians, has been sentenced to two years in prison for fraudulently certifying patients as confined to the home, allowing healthcare agencies to bill Medicare for unnecessary in-home…
Kenneth Johnson, MD, of Ladera Heights, Calif., has been sentenced to nine years in prison for his involvement in a $20 million scheme to defraud the Medicare and Medi-Cal programs, according to the Department of Justice.
The creators and marketers of the Lumosity brain-training program have agreed to settle Federal Trade Commission charges for false advertising, according to the FTC.