Legal & Regulatory Issues

From a Kansas hospital firing back in a whistle-blower lawsuit filed by a former emergency department nurse to House Republicans earning another win in their lawsuit challenging the Obama administration's implementation of the Affordable Care Act, here are the latest…

Lawrence (Kan.) Memorial Hospital officials have addressed a whistle-blower lawsuit filed by a former emergency department nurse by saying the allegations are "baseless," according to a KCUR report.

Thursday, October 1, 2015 marked the official implementation date of ICD-10. Physicians, hospitals and other providers across the country are transitioning from working with 13,000 medical billing codes to 68,000 codes.

A federal judge on Monday denied the Obama administration's request to immediately appeal a ruling in House Republicans' lawsuit challenging the administration's implementation of the Affordable Care Act, according to The Hill.

Two recent False Claims Act cases have taken aim at a new target — Managed care plans.

Presidential candidate Hillary Clinton is raising objections to health insurer mega-mergers, saying she has "serious concerns" about the proposed mergers between Anthem and Cigna and between Aetna and Humana, according to The Hill.

San Diego-based Millennium Health, formerly Millennium Laboratories, has agreed to pay the federal government $256 million to resolve claims the company violated the False Claims Act and the Anti-Kickback Statute, according to the Department of Justice.

Turing Pharmaceuticals, the company that elicited public outcry after raising the price of its drug Daraprim by 5,000 percent overnight, faces an antitrust inquiry regarding its marketing and distribution of the drug, according to a report from JD Supra.

From the former president and CEO of a Chicago hospital being sentenced to prison for perjury to Sumter, S.C.-based Tuomey Healthcare System agreeing to pay the federal government $72.4 million to settle False Claims Act and Stark Law allegations, here…

Tuomey Healthcare System has agreed to pay the federal government $72.4 million to settle False Claims Act allegations, allowing the Sumter, S.C.-based system to avoid a $237 million judgment entered against it and upheld by the U.S. Court of Appeals…