The Seventh U.S. Circuit Court of Appeals has reaffirmed its view that healthcare services being below appropriate standards does not constitute a claim under the False Claims Act, according to a JDSupra report.
Legal & Regulatory Issues
A dermatologist with a practice in Lombard, Ill., has been convicted of defrauding Medicare and private health insurers by submitting false claims for more than 800 patients that totaled more than $2.6 million, according to the Department of Justice.
A loophole in the official calculator developed by HHS to approve or reject health plans allowed large companies to offer their employees health plans for 2015 that didn't include hospital coverage, according to a Washington Post report.
Earnest Gibson III, the former president of Riverside General Hospital in Houston, has been convicted for his participation in a $158 million Medicare fraud scheme involving false claims, according to the Department of Justice.
HHS' Office of the Inspector General and CMS have announced waivers to the Anti-Kickback Statute and Stark Law for Medicare Shared Savings Program accountable care organizations will be extended through Nov. 2, 2015.
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Former Walgreen Co. CFO Wade Miquelon has filed a defamation lawsuit against the company alleging he was defamed by comments made by a Walgreen executive and representative as well as a report that suggested he was "personally responsible" for the…
Nearly half of Americans think the Patient Protection and Affordable Care Act is a bad idea. While more than 50 percent of Americans supported the law in January, as of September, that number had dropped to the high thirties. And,…
Hospitals have until October 31, 2014, to consider CMS' offer to settle pending appeals of denied Medicare claims for 68 percent of the net allowable amount. All acute-care hospitals and critical access hospitals with pending appeals are eligible for this…
The California Office of the Patient Advocate has released assessments of numerous health plans based on select clinical services, according to a Kaiser Health News report.
The following is a roundup of recently reported healthcare industry lawsuits, lawsuit updates and settlements, beginning with the most recent.