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Legal & Regulatory Issues

Steven H. Stern, MD, and his practice, Kentuckiana Center for Better Bone and Joint Health in Louisville, Ky., have agreed to pay nearly $350,000 to settle claims of Medicare overbilling, according to a news release from the Department of Justice.…

Kentucky Senator Tim Shaughnessy said physicians at University of Louisville’s medical school used nearly $4.8 million in state Medicaid funds to give themselves bonuses, according to a Courier Journal report. University of Louisville and its University Hospital and University Physicians…

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The U.S. Department of Justice has formally closed its investigation into the University of Pittsburgh Medical Center and Highmark’s roles in possible anticompetitive practices, according to a Pittsburgh Tribune-Review report. The investigation began in 2007 as part of a national…

Gibson General Hospital in Princeton, Ind., has made a civil settlement to resolve allegations that the hospital assumed billing for its surgery center to receive larger Medicare and Medicaid payments than if the billing had come from the surgery center,…

Physicians accused of accepting kickbacks from pharmaceutical companies rarely face consequences, as none of more than 75 physicians named as participants in marketing fraud or kickback suits have been sanctioned since 2008, according to a ProPublica report. Reporters from ProPublica,…

Wheeling, W.V.-based Ohio Valley Health Services and Education will pay $3.8 million to settle allegations that the system’s hospitals submitted false claims to Medicare and Medicaid from Jan. 2005-Aug. 2010, according to a Wheeling Intelligencer report. U.S. Attorney William J.…

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