Legal & Regulatory Issues

A New Jersey physician was sentenced to 26 months in prison for his role in a healthcare fraud scheme that targeted Amtrak. 

Jacksonville, Fla.-based Baptist Health has agreed to pay $1.5 million to address accusations of breaching the False Claims Act. 

Yale New Haven (Conn.) Health is suing Los Angeles-based Prospect Medical Holdings, from whom it is attempting to acquire three Connecticut hospitals, as it seeks to get out of the deal, CT Mirror reported May 3.

Minnesota Sen. Amy Klobuchar is calling on the Justice Department and the Federal Trade Commission to investigate potentially anticompetitive conduct by data analytics firm MultiPlan.

Heather Pressdee, a Pennsylvania nurse, pleaded guilty to three counts of first-degree murder and 19 counts of attempted homicide, the Pittsburgh Post-Gazette reported May 1.

Johnson & Johnson plans to settle 99.75% of claims alleging its talc-based baby powder products led to ovarian cancer, the company said May 1. 

From the conviction of a New Jersey physician for submitting more than $5.4 million in fraudulent claims to the indictment of a Mississippi man for his role in a $70 million Medicare fraud scheme, here are 11 healthcare billing fraud…

For $1.1 billion, Philips Respironics will settle personal injury and medical monitoring lawsuits related to the safety of its continuous positive airway pressure machines and respirators. 

Data analytics firm MultiPlan is facing another lawsuit alleging that it conspired with major payers to underpay providers by tens of billions annually.

A New Jersey physician was convicted for submitting more than $5.4 million in fraudulent claims to Medicare as part of a telemarketing scheme.