A whistleblower has accused Boca Raton (Fla.) Regional Hospital of intentionally overbilling Medicare by at least $2 million, according to a Palm Beach Post report. In the suit, former hospital employee Jeannette Lavoie claims BRRH administrators purposely used the wrong…
Legal & Regulatory Issues
A federal review has found Cleveland Clinic was overpaid approximately $254,000 for 24 Medicare claims from 2008-2009, according to a report from the Office of Inspector General. The report says Cleveland Clinic did not fully comply with Medicare requirements to…
Norfolk, Va.-based Sentara Healthcare lost $7.6 million from its retirement fund for executives due to an investment adviser’s money-laundering scheme, according to an Associated Press report published in The News Leader. Eleven businesses and individuals lost $16.2 million to the…
Fourteen cardiologists have sued their current employer, Renown, claiming the Reno, Nev.-based healthcare network “fraudulently” induced them to sign contracts and used a “bait and switch” scheme to buy their former practice, according to a Reno Gazette-Journal report. The physicians…
New York Assemblyman William Boyland Jr., has been acquitted of corruption charges for allegedly accepting $175,000 in bribes from Brookdale University Hospital and Medical Center in Brooklyn in return for advocating for the hospital at the state capital, according to…
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CMS has released its first list of healthcare providers who will need to revalidate their Medicare enrollment, according to an AHA News Now report.
Two senators are scrutinizing three major payors and two clinical lab testing companies, seeking information about potential “pull-through” schemes, according to a news release from the U.S. Senate Committee on Finance. Chuck Grassley (R-Iowa) and Max Baucus (D-Mont.) sent letters…
New Milford (Conn.) Hospital has agreed to pay the federal government approximately $472,000 to resolve a complaint that it overbilled Medicare for prostate cancer treatments, according to a Hartford Courant report. The U.S. Department of Health and Human Services alleged…
Representative Bob Filner (D-Calif.) has asked federal officials to investigate Ontario, Calif.-based Prime Healthcare Services for possible “systematic fraud,” according to a report from the investigative news outlet California Watch. Rep. Filner sent a letter to the Office of Inspector…
The Justice Department filed a suit last week in Orlando federal court against Daytona Beach, Fla.-based Halifax Health alleging the health system violated the anti-kickback law in financial arrangements with physicians and submitted false claims as a result, according to…