National Heritage Insurance failed at times to report Medicare cost reports and reconcile outlier payments, according to a report from HHS' Office of Inspector General.
Legal & Regulatory Issues
From a Texas hospital entering into a $21.75 million Stark Law settlement to an appeals court denying St. Luke Health System's request for its antitrust case to be reheard, here are the latest healthcare industry lawsuits and settlements.
Medicaid Fraud Control Units across the nation reported 1,318 criminal convictions in fiscal 2014, similar to the previous year's total of 1,344 criminal convictions, according to the HHS Office of Inspector General's Medicaid Fraud Control Units Fiscal Year 2014 Annual…
A group of veterans has filed a federal lawsuit against the Department of Veterans Affairs claiming the agency is not turning over medical records that will allow them to receive disability benefits, according to a Daily Press report.
The following is a roundup of recently introduced legislation and legislative developments affecting the healthcare industry.
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Citizens Medical Center in Victoria, Texas, has agreed to pay the federal government $21.75 million to settle allegations it violated the False Claims Act and Stark Law by having improper financial relationships with referring physicians, according to the Department of…
The 9th Circuit Court of Appeals has denied Boise, Idaho-based St. Luke's Health System's request for a rehearing of its antitrust case before a full panel of judges.
A Texas district judge has temporarily stopped Arlington-based Texas Health Resources from pursuing a worker's compensation claim for nurse Nina Pham, who was infected with Ebola while caring for the first U.S. patient with the deadly disease, The Dallas Morning…
Indianapolis-based IU Health is facing a False Claims Act lawsuit alleging it engaged in a fraud scheme that put low-income pregnant woman and their newborn babies at risk, according to an Indianapolis Business Journal report.
Republican congressional leaders have essentially abandoned the fight to repeal the Patient Protection and Affordable Care Act, according to a Los Angeles Timesreport.