CMS recently released revisions to its Interpretive Guidelines for Hospitals (S&C 11-36-Hospital/CAH) to clarify patients' rights concerning designation of representatives.
Legal & Regulatory Issues
The corruption trial for New York Assemblyman William F. Boyland, Jr., has begun in Manhattan federal court, with prosecutors alleging Mr. Boyland accepted bribes from executives at Brookdale University Hospital and Medical Center in Brooklyn in return for advocating for…
New York City has agreed to pay $70 million to settle a lawsuit claiming the city’s personal-care services program overbilled Medicaid for millions of dollars, according to a Wall Street Journal report. The program is part of Medicaid and is…
A federal audit has found St. John’s Hospital in Springfield and Joplin, Mo., did not fully comply with Medicare billing requirements for selected inpatient and outpatient claims, according to a report from the Department of Health and Human Services Office…
Senators are claiming CMS officials have yet to issue a moratorium, which would prevent potentially fraudulent Medicare providers from joining the program, according to a Wall Street Journal report. CMS was recently granted the authority to impose moratoriums in highly…
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DFine, a spine device company based in San Jose, Calif., has agreed to pay $2.39 million to resolve federal allegations that it paid kickbacks to induce physicians to use certain devices used to treat spinal fractures, according to a news…
Health Management Associates, based in Naples, Fla., has said two government subpoenas it received apply to the company’s entire system and may involve alleged anti-kickback and False Claims Act violations, according to a Wall Street Journal report. The subpoenas were…
A whistleblower claims Wyoming Medical Center in Casper defrauded Medicare and Medicaid by tweaking patient records to collect higher reimbursements, according to a Star-Tribune report. The federal qui tam suit was filed by a hospital worker, Gale Bryden, in 2007,…
Biotech company Amgen, based in Thousand Oaks, Calif., has set aside $780 million to cover the costs of settling federal and state probes into its sales and marketing practices, according to a Bloomberg report. Read more at Becker’s ASC Review.
Three physicians from Carolina Bone & Joint in Charlotte, N.C., have been fined $85,000 each by the state medical board for allegedly ordering unnecessary procedures, according to a Charlotte Observer report. Read more at Becker’s ASC Review.