HHS' Office of the Inspector General issued a fraud alert addressing physician compensation arrangements on Tuesday that outlined the consequences physicians could face for accepting kickbacks disguised as medical directorships.
Legal & Regulatory Issues
Earnest Gibson III, the former president of Riverside General Hospital in Houston, has been sentenced to 45 years in prison and ordered to pay nearly $46.8 million in restitution for his role in a $158 million Medicare fraud scheme, according…
The verdict on Supreme Court case King v. Burwell is expected by the end of June. The case will determine the legality of a fundamental aspect of the Patient Protection and Affordable Care Act, and a ruling in favor of…
A former nurse at Mercy Springfield (Mo.) has sued the health system and is claiming she was fired for reporting a concern about inadequate staffing and infection control, according to a Springfield News-Leader report.
Four of Dallas-based Tenet Healthcare's hospitals in metro Atlanta are involved in a criminal investigation, according to an Atlanta Business Chronicle report.
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In response to a question from a reporter following the G7 Summit in Krun, Germany, President Barack Obama explained why his administration has not bothered with a contingency plan in preparation for a potential ruling in favor of the plaintiffs…
The Supreme Court is expected to rule this month on King v. Burwell. If the judges rule in favor of King, who is challenging the legality of health insurance subsidies provided to low- and middle-income people through the federal HealthCare.gov…
The following hospitals, health systems and healthcare companies entered into settlement agreements to resolve alleged violations of the False Claims Act, the Anti-Kickback Statute or Stark Law since January.
Hospitals have multiple physician contracts.The arrangement may be for a medical directorship, a co-management contract, on-call, teaching, research or clinical guidance for clinical integration strategies.
Thirty-three healthcare lawsuits filed under the qui tam, or whistle-blower, provisions of the False Claims Act have been unsealed since March, according to a National Law Review report.