• Physicians plead guilty to defrauding major payers

    A pair of pain physicians pleaded guilty to conspiring to defraud three major payers by submitting claims for corticosteroid injections that were never administered. 
  • Medical devicemaker to pay $42M in malfunctions case

    On May 20, Massachusetts-based Magellan Diagnostics agreed to pay $42 million and pleaded guilty to charges related to the concealment of a device malfunction. 
  • Kansas physicians push back against new abortion reporting law

    Kansas residents voted in 2022 to protect abortion access up to 22 weeks of pregnancy, but a new law requires physicians in the state to publicly report a patient's reason for choosing the procedure and also disclose certain personal details about them.
  • Tips on strengthening vendor risk management for healthcare compliance

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  • Orthopedic surgeon sentenced to prison for upcoding scheme

    A Massachusetts-based orthopedic surgeon was sentenced to 16 months in prison after being convicted for his role in an upcoding scheme. 
  • 10 recent hospital lawsuits, settlements

    From the Connecticut Hospital Association filing a lawsuit against Prospect Medical Holdings to the Cleveland Clinic settling False Claims Act allegations, here are 10 lawsuits, settlements and legal developments Becker's has reported since May 6: 
  • Judge orders Memorial Hermann transplant surgeon to retain texts, emails

    A Texas judge has granted a temporary injunction against a transplant surgeon at Houston-based Memorial Hermann-Texas Medical Center accused of altering patient records, potentially preventing some patients from receiving lifesaving care, the Houston Chronicle reported May 20.
  • CMS aims to expedite EMTALA probes

    CMS will now allow patients to directly file Emergency Medical Treatment and Labor Act complaints with the federal government.
  • Hospice owner gets 20 years in prison for $84M fraud scheme

    A New Orleans hospice owner was sentenced to 20 years in prison after a federal jury found him guilty for orchestrating a scheme that billed Medicare for $84 million in fraudulent claims. 
  • Maryland nursing home patients sue state over inspections

    The Maryland Department of Health and Laura Herrera Scott, MD, the state's secretary of health, are being sued by nursing home residents who say their care has been affected by lack of state inspections, dangerous conditions and violations of the Americans with Disabilities Act, The Washington Post reported May 17.
  • Alabama law protects physicians who prescribe meds for off-label use

    Alabama passed a law that prohibits the state's board of medical examiners and medical licensure commission from taking adverse action against physicians who prescribe or recommend off-label medical treatments, the Alabama Reflector reported May 20.
  • Cleveland Clinic will pay $7.6M to resolve false claims case

    The Cleveland Clinic Foundation has agreed to pay the U.S. $7.6 million to resolve allegations that it violated the False Claims Act, the Justice Department announced May 17.
  • Massachusetts hospital to pay $24M in whistleblower case

    Cape Cod Hospital in Hyannis, Mass., will pay $24.3 million to settle claims that it knowingly billed Medicare for cardiac procedures that didn't follow Medicare rules.
  • Kootenai Health antitrust investigation concludes

    Idaho Attorney General Raúl Labrador has completed his investigation into potential breaches of Idaho's antitrust regulations involving Coeur d'Alene, Idaho-based Kootenai Health and Grangeville, Idaho-based Syringa Hospital and Clinics.
  • DOJ moves to ease marijuana restrictions

    The Justice Department on May 16 issued a proposed rule to reclassify marijuana as a Schedule III controlled substance, emphasizing its currently accepted medical uses. 
  • Louisiana bill restricting physician noncompetes heads to governor's desk

    Louisiana lawmakers have unanimously approved a bill restricting physician noncompete agreements. The legislation heads to Gov. Jeff Landry's desk to be vetoed or signed into law, nola.com reported May 15. 
  • Connecticut Hospital Association lawsuit alleges Prospect Medical owes $1.75M in dues, fees

    The Connecticut Hospital Association filed a lawsuit against Prospect Medical Holdings May 14, claiming the 16-hospital system owes $1.75 million in unpaid membership dues and service fees, according to the Hartford Business Journal.
  • Adena Health hit with False Claims lawsuit

    A recently unsealed federal lawsuit is accusing Chillicothe, Ohio-based Adena Health System of performing unnecessary heart surgeries and filing false claims.
  • Wisconsin health department declines to investigate HSHS, CEO after hospital closures

    The Wisconsin Department of Health Services does not have the authority to open an investigation into Springfield, Ill.-based Hospital Sisters Health System and its president and CEO Damond Boatwright after two of its Wisconsin hospitals, Chippewa Falls, Wis.-based St. Joseph's Hospital and Eau Claire, Wis.-based Sacred Heart Hospital closed March 22.
  • Physician convicted for role in $6.3M Medicare fraud scheme

    A Michigan physician was convicted of one count of healthcare fraud and five counts of false statements relating to healthcare matters for her role in a $6.3 million Medicare fraud scheme. 
  • 1st state moves to criminalize non-prescribed abortion pills

    A bill traveling through the Louisiana legislature is seeking to outlaw possession of unprescribed, FDA-approved abortion pills. If the bill passes, the state will be the first to classify medication abortion as controlled dangerous substances. 

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