Most New Yorkers are not able to find out-of-network coverage in health plans offered on their state exchange, according to a Kaiser Health News report.
Legal & Regulatory Issues
Mudassar Sharif, MD, has been hit with a federal indictment claiming he was running a "pill mill" operation, according to the Department of Justice.
The following is a roundup of recent lawsuits and settlements involving cases filed under the qui tam, or whistle-blower, provisions of the False Claims Act, beginning with the most recent.
From national accounting firm KPMG attempting to get a lawsuit filed by Pascagoula, Miss.-based Singing River Health System tossed to Notre Dame's Patient Protection and Affordable Care Act contraception challenge being revived, here are the latest healthcare industry lawsuits.
Another person has admitted their involvement in a long-running fraud scheme involving Parsippany, N.J.-based Biodiagnostic Laboratory Services, according to the Department of Justice.
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Karo Gotti Blkhoyan, who was convicted for stealing physicians' identities in order to defraud Medicare, was sentenced to 57 months in prison on March 10.
Recoveries involving false claims against healthcare programs made up a significant portion of the federal government's total $5.7 billion in civil fraud recoveries in 2014, according to a report from the law firm of Bass, Berry & Sims.
A bureaucratic problem left some Chicago hospital kitchens with no oversight for years, according to a CBS Chicago report.
Nineteen healthcare lawsuits filed under the qui tam, or whistle-blower, provisions of the False Claims Act were unsealed in November and December 2014, according to a National Law Review report.
If health insurer Florida Blue and Orlando-based Florida Hospital do not come to an agreement over their contract by June 1, Florida Blue members will have to find new providers or pay out-of-network costs for care at Florida Hospital facilities,…