This article briefly outlines 23 key Anti-Kickback Statute, False Claims Act and Stark Law issues and thoughts. It provides:
Legal & Regulatory Issues
Provider organizations completed reporting for the 2014 Medicare Physician Quality Reporting System (PQRS) in the first quarter of 2015, where many scrambled in the final weeks and days to gather, organize and submit their data to CMS. And yet, with…
Since the enactment of the Patient Protection and Affordable Care Act, legal and regulatory issues in the healthcare arena have become more complex and more interconnected, necessitating healthcare professionals and executives keep a closer eye out for possible violations.
Margaret "Peggy" Curtin, former executive director of Hospital Sisters Health System St. John's Children's Hospital in Springfield, Ill., pleaded guilty Thursday to stealing more than $700,000 from the hospital over a 6.5-year period ending in 2014, according to The State…
From a New York hospital agreeing to pay $18.8 million to settle kickback allegations to a judge extending the restraining order in Ebola nurse Nina Pham's case, here are the latest healthcare industry lawsuits and settlements.
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Karen Ignagni, president and CEO of America's Health Insurance Plans, is leaving to lead the New York City-based nonprofit health plan EmblemHealth.
Following a 15-month investigation into what the Drug Enforcement Administration is calling its largest operation against illegal trafficking of prescription drugs, DEA agents arrested seven physicians and 41 others Wednesday in Alabama, Arkansas, Louisiana and Mississippi, according to the New…
A Florida neurologist has agreed to pay the federal government $150,000 to settle allegations that he violated the False Claims Act by providing medically unnecessary services to federal healthcare program beneficiaries, according to the Department of Justice.
The following is a roundup of recently introduced legislation and legislative developments affecting the healthcare industry.
A family whose charities claimed to raise money for people with cancer is being sued for keeping approximately $187 million in donations over five years, spending the money on lavish vacations and expensive cars, among other things, according to the…