A California man is suing Torrance Memorial Physician Network in Manhattan Beach, Calif., and his physician, Elaine Jones, MD, for intentional infliction of emotional distress and libel after she listed "homosexual behavior" as a "chronic condition" on his medical records,…
Legal & Regulatory Issues
Savannah, Ga.-based Optim Healthcare has agreed to pay the government $4 million to resolve allegations the company submitted fraudulent claims to Medicare between 2008 and 2012, according to the Department of Justice.
HHS has ruled all payments made under state liability laws in response to medical malpractice claims — a written claim or demand for payment — are required to be reported to the National Practitioner Data Bank as medical malpractice payments, even…
The following is a roundup of legislative developments affecting the healthcare industry, beginning with the most recent.
People are making careers out of filing False Claims Act lawsuits against healthcare companies, causing some to question the incentives provided to whistle-blowers, according to a report by The Wall Street Journal.
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U.S. District Court Judge Michael Simon has ruled Providence Health Plan violated both federal and state mental health parity laws by denying insurance coverage for "applied behavioral analysis" — a form of autism therapy — for children in Portland, Ore.,…
San Francisco-based pharmaceutical distributor McKesson has agreed to pay $18 million to settle allegations that it failed to comply with shipping and handling requirements of its vaccines, thereby violating its contract with the Centers for Disease Control and Prevention.
Rep. Kevin Brady (R-Texas), chairman of the House Ways and Means Subcommittee on Health, has released a discussion of a draft bill containing numerous provisions aimed at fighting Medicare fraud.
A proposal at a recent Congressional hearing involved altering False Claims Act penalties by reducing the punishment imposed on healthcare organizations that self report violations of the FCA, according to a Bloomberg report.
Below are four recent fraud cases involving Medicare, Medicaid or TRICARE, beginning with the most recent.