Roy Payawal, the former CFO of now-shuttered Sacred Heart Hospital in Chicago, has been sentenced to one year in prison for his involvement in a kickback scheme, according to a Chicago Tribune report.
Legal & Regulatory Issues
The recent case involving Sumter, S.C.-based Tuomey Healthcare System — in which the system was ordered to pay roughly $237 million in fines for violating the Stark Law and the False Claims Act — is rife with learning opportunities for…
South Florida counties — including Miami-Dade, Broward and Palm Beach — make up the organized fraud capital of the U.S. by nearly any measure, according to the Associated Press.
Edward Novak, the former owner and CEO of now-shuttered Sacred Heart Hospital in Chicago, has been sentenced to 4 1/2 years in prison for his involvement in a massive kickback scheme, according to a Chicago Tribune report.
When CMS published the Inpatient Prospective Payment System Final Rule for 2014, the two-midnight rule regulatory revisions were included for clarification to hospitals regarding Medicare inpatient status.
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Following CMS' proposed changes to the two-midnight rule in July, a new piece of legislation intended to give patients more warning about observation care is on its way to President Barack Obama.
Former employees of two Kansas hospitals who claimed they didn't receive promised separation benefits after the hospitals were sold to Ontario, Calif.-based Prime Healthcare Services in 2013 have agreed to settle their class-action lawsuit, according to a KCUR report.
Marlton, N.J.-based Virtua Health and Trenton, N.J.-based Capital Health System have filed a lawsuit against New Jersey Gov. Chris Christie, claiming a new paramedic law in the state is unconstitutional, according to a Politico report.
A Stockton, Calif., oncologist, Neelesh Bangalore, MD, has agreed to pay the federal government $736,000 to settle allegations he violated the False Claims Act by billing Medicare, Medicaid and Tricare for certain chemotherapy drugs purchased from an unlicensed pharmaceutical distributor,…
CMS released a proposed rule earlier this month that would update the Medicare Physician Fee Schedule for calendar year 2016. The proposed rule contains a number of new policies, including Stark Law modifications.